Improving Adolescent Health Risk Assessment: A Multi-method Pilot Study
| Autor: | Lindsay A. Thompson, Mobeen H. Rathore, Elizabeth Shenkman, Michael J. Muszynski, Martin P. Wegman, Jessica De Leon, Keith E. Muller, Katie Z. Eddleton |
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| Jazyk: | angličtina |
| Předmět: |
Adult
Counseling Male medicine.medical_specialty Adolescent Health information technology Epidemiology Health Behavior Adolescent health services Pilot Projects Risk Assessment Health informatics Article Practice-based research network 03 medical and health sciences 0302 clinical medicine Nursing 030225 pediatrics Preventive Health Services Obstetrics and Gynaecology Humans Medicine Patient Reported Outcome Measures 030212 general & internal medicine Pediatrics Perinatology and Child Health Quality improvement Counseling/standards Quality Indicators Health Care Patient-reported outcomes business.industry Public health Public Health Environmental and Occupational Health Obstetrics and Gynecology Health care surveys Focus Groups Middle Aged Focus group 3. Good health Patient recruitment Family medicine Pediatrics Perinatology and Child Health Florida Female business Risk assessment Medical Informatics Adolescent health |
| Zdroj: | Maternal and Child Health Journal |
| ISSN: | 1092-7875 |
| DOI: | 10.1007/s10995-016-2070-5 |
| Popis: | Objectives Given poor compliance by providers with adolescent health risk assessment (HRA) in primary care, we describe the development and feasibility of using a health information technology (HIT)-enhanced HRA to improve the frequency of HRAs in diverse clinical settings, asking adolescents’ recall of quality of care as a primary outcome. Methods We conducted focus groups and surveys with key stakeholders (Phase I) , including adolescents, clinic staff and providers to design and implement an intervention in a practice-based research network delivering private, comprehensive HRAs via tablet (Phase II). Providers and adolescents received geo-coded community resources according to individualized risks. Following the point-of-care implementation , we collected patient-reported outcomes using post-visit quality surveys (Phase III). Patient-reported outcomes from intervention and comparison clinics were analyzed using a mixed-model, fitted separately for each survey domain. Results Stakeholders agreed upon an HIT-enhanced HRA (Phase I). Twenty-two academic and community practices in north-central Florida then recruited 609 diverse adolescents (14–18 years) during primary care visits over 6 months; (mean patients enrolled = 28; median = 20; range 1–116; Phase II). Adolescents receiving the intervention later reported higher receipt of confidential/private care and counseling related to emotions and relationships (adjusted scores 0.42 vs 0.08 out of 1.0, p |
| Databáze: | OpenAIRE |
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