Implementation of a youth violence prevention programme in primary care
| Autor: | Meredith L Philyaw-Kotov, Eric Sigel, Ken Resnicow, Rebecca M. Cunningham, Patrick M. Carter, Golfo Tzilos Wernette, Maureen A. Walton, Jessica S. Roche, Andria B. Eisman |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Psychological intervention Motivational interviewing Pilot Projects Telehealth Motivational Interviewing Violence Article Intervention (counseling) medicine Humans Multicenter Studies as Topic Clinical Trials as Topic Primary Health Care business.industry Aggression Public health Public Health Environmental and Occupational Health Adolescent Behavior Family medicine Community health Brief intervention medicine.symptom business |
| Zdroj: | Inj Prev |
| Popis: | Background and objectivesYouth violence is an alarming public health problem, yet, violence screening and interventions are not systematically offered in primary care (PC). This paper describes data from a pilot effectiveness-implementation trial of an efficacious youth violence prevention programme (SafERteens).MethodsThe study was conducted in two PC clinics: a university-affiliated satellite clinic and a community health centre. In phase 1, we obtained stakeholder feedback to customise the SafERteens package and enrolled a comparison group of adolescents (age 14–18) seeking care in two clinics. In phase 2, clinical staff delivered the SafERteens-PC intervention with adolescents, which is a single, behavioural health therapy session delivered one-on-one from clinic providers to youth patients, followed by text message (TM) reminders. In phase 3, we assessed planned maintenance. All participants reported past-year violent behaviour at intake and completed a 3-month follow-up assessment.ResultsBased on stakeholder interviews (n=13), we created a web-based SafERteens-PC programme package, including a three-item past-year violence screen, 30 min motivational interviewing-based brief intervention delivery tool, training videos and 2 months of TM boosters. We enrolled a comparison group (n=49) first, then an intervention group (n=61). Intervention delivery characteristics varied by clinic, including completion of intervention (75.9%; 62.5%), modality (100% delivered via telehealth; 60% via telehealth/40% in-person) and enrolment in TMs (81.8%; 55.0%); 91.8% completed the follow-up. Using an intention-to-treat approach, the intervention group showed significantly greater reductions in severe peer aggression (pConclusionsIf these challenges could be addressed, routine provision of behavioural health services for violence prevention in PC could have high impact on health outcomes for adolescents. |
| Databáze: | OpenAIRE |
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