@Article{info:doi/10.2196/16370,
author="Folk, Johanna Bailey
and Harrison, Anna
and Rodriguez, Christopher
and Wallace, Amanda
and Tolou-Shams, Marina",
title="Feasibility of Social Media--Based Recruitment and Perceived Acceptability of Digital Health Interventions for Caregivers of Justice-Involved Youth: Mixed Methods Study",
journal="J Med Internet Res",
year="2020",
month="Apr",
day="30",
volume="22",
number="4",
pages="e16370",
keywords="caregivers; telemedicine; mobile health; juvenile delinquency; social media",
abstract="Background: Caregiver involvement is critical for supporting positive behavioral health and legal outcomes for justice-involved youth; however, recruiting this population into clinical research studies and engaging them in treatment remain challenging. Technology-based approaches are a promising, yet understudied avenue for recruiting and intervening with caregivers of justice-involved youth. Objective: This mixed methods study aimed to assess the feasibility of recruiting caregivers of justice-involved youth using social media into clinical research and to understand caregivers' perceptions of the acceptability of digital health interventions. Methods: Caregivers of justice-involved youth were recruited through paid Facebook advertisements to participate in a Web-based survey. Advertisement design was determined using Facebook A/B split testing, and the advertisement with the lowest cost per link click was used for the primary advertisement campaign. Survey participants were offered the option to participate in a follow-up qualitative phone interview focused on the perceived feasibility and acceptability of digital health interventions. Results: Facebook advertisements were successful in quickly recruiting a diverse set of caregivers (80/153, 52.3{\%} female; mean age 43 years, SD 7; 76/168, 45.2{\%} black, 34/168, 20.2{\%} white, and 28/168, 16.7{\%} Latinx; and 97/156, 62.2{\%} biological parents); cost per click was US {\$}0.53, and conversion rate was 11.5{\%}. Survey participants used multiple social media platforms; 60.1{\%} (101/168) of the participants indicated they would participate in a digital health intervention for caregivers of justice-involved youth. Survey respondents' most preferred intervention was supportive and motivational parenting messages via SMS text message. Of the survey respondents, 18 completed a phone interview (12/18, 67{\%} female; mean age 45 years, SD 10; 10/18, 56{\%} black, 7/18, 39{\%} white, and 1/18, 6{\%} Latinx; and 16/18, 89{\%} biological parents). Interview participant responses suggested digital health interventions are acceptable, but they expressed both likes (eg, alleviates barriers to treatment access) and concerns (eg, privacy); their most preferred intervention was video-based family therapy. Conclusions: Recruiting and intervening with caregivers of justice-involved youth through social media and other digital health approaches may be a feasible and acceptable approach to overcoming barriers to accessing traditional in-person behavioral health care. ",
issn="1438-8871",
doi="10.2196/16370",
url="http://www.jmir.org/2020/4/e16370/",
url="https://doi.org/10.2196/16370",
url="http://www.ncbi.nlm.nih.gov/pubmed/32352388"
}