Family-centred practice (FCP) has been suggested as a best practice for treating youth with emotional and behavioural difficulties in residential care. In this preregistered systematic review, we examined how FCP is operationalized and measured in residential youth care and which family outcomes are associated with FCP. Our systematic search in six databases identified 5784 articles. We analysed included articles by coding the operationalizations of FCP in the interventions and study measures. Further, we descriptively summarized relations between FCP and family outcomes. Thirteen articles met our inclusion criteria. In these articles, FCP was operationalized by five types of youth worker actions in interventions and was measured as five types of family involvement. Ten articles examined pre–post differences in family-centred interventions. Only four articles analysed relations between FCP and a family outcome. Studies found some support for a positive association between FCP and whole-family functioning, but overall, the association between FCP and family outcomes remains unclear. Our findings demonstrate that more research is needed that specifically examines different aspects of FCP and how they relate to family outcomes in residential youth care. Such studies can benefit from the conceptual model proposed for FCP in residential youth care interventions.

中文翻译：

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青少年寄宿护理中以家庭为中心的实践和家庭结果：系统评价

以家庭为中心的实践（FCP）被认为是治疗寄宿护理中存在情绪和行为困难的青少年的最佳实践。在这项预先注册的系统评价中，我们研究了 FCP 在青少年寄宿护理中的运作和衡量方式，以及哪些家庭结果与 FCP 相关。我们在 6 个数据库中进行系统检索，发现了 5784 篇文章。我们通过对 FCP 在干预措施和研究措施中的操作化进行编码来分析纳入的文章。此外，我们描述性地总结了 FCP 与家庭结局之间的关系。十三篇文章符合我们的纳入标准。在这些文章中，FCP 通过五种类型的青年工人干预行动来实施，并被衡量为五种类型的家庭参与。十篇文章研究了以家庭为中心的干预措施的前后差异。只有四篇文章分析了 FCP 与家庭结局之间的关系。研究发现一些支持 FCP 与整个家庭功能之间存在正相关关系，但总体而言，FCP 与家庭结局之间的关系仍不清楚。我们的研究结果表明，需要更多的研究来专门研究 FCP 的不同方面以及它们与青少年寄宿护理中的家庭结果的关系。此类研究可以受益于为青年寄宿护理干预中的 FCP 提出的概念模型。