Adolescent Views on Comprehensive Health Risk Assessment and Counseling: Assessing Gender Differences
| Autor: | TaJuana Chisholm, Hajar Kadivar, Martin P. Wegman, Michael J. Muszynski, Maryum Khan, Katie Z. Eddleton, Elizabeth Shenkman, Lindsay A. Thompson |
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| Rok vydání: | 2014 |
| Předmět: |
Counseling
Male Adolescent media_common.quotation_subject Trust Risk Assessment Article Grounded theory Interviews as Topic Risk-Taking Sex Factors Ambulatory care Humans Medicine Minority Health Confidentiality Parent-Child Relations Poverty media_common Internet Modalities Health risk assessment Medicaid business.industry Public Health Environmental and Occupational Health Professional-Patient Relations Focus Groups Focus group United States Psychiatry and Mental health Adolescent Behavior Adolescent Health Services Pediatrics Perinatology and Child Health Florida Female business Attitude to Health Autonomy Clinical psychology |
| Zdroj: | Journal of Adolescent Health. 55:24-32 |
| ISSN: | 1054-139X |
| Popis: | Purpose Adolescence is an important time for the detection of health risk behaviors and factors with subsequent counseling and intervention. Limited research has examined adolescent perceptions of comprehensive health risk assessments (HRAs) and counseling with an assessment of gender differences. Methods Participants were identified using Florida's Medicaid and State Children's Health Insurance Program databases. A total of 35 low-income, racially/ethnically diverse adolescents (ages 14–18 years) participated in eight focus groups stratified by gender. Adolescents completed an internet-based, tablet-administered, comprehensive HRA and then participated in a semi-structured interview. Discussions were recorded, transcribed, and analyzed using a multi-step, team-based approach applying grounded theory to determine major themes. Results Male adolescents desired less parental involvement, had less understanding of the protections of clinical confidentiality and the need for comprehensive HRA, and placed greater emphasis on the importance of professional appearance. In contrast, more females valued face-to-face interactions and stressed the importance of concern from the health risk assessor. Overall, adolescents placed importance on their relationship with the health risk assessor, and on valuing trust, confidentiality, and nonjudgmental care. Adolescents preferred to complete HRAs in clinical, private, and professional settings, and reported that tablet technology supported their confidentially in completing the HRA. Furthermore, they stressed the importance of autonomy and learning about the health risk outcomes for risk reduction. Conclusions Gender differences exist in adolescent perceptions of comprehensive HRAs. Adolescent perceptions of HRAs support their use in confidential primary care settings using modalities that emphasize nonjudgmental, private care, and the use of communication techniques that respect adolescents' autonomy to change health risks. |
| Databáze: | OpenAIRE |
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