Caregiver Comfort in Adolescents Independently Completing Screening Tablet-Based Questionnaires at Primary Care Visits

Overview

Journal J Adolesc Health

Publisher Elsevier

Specialty Pediatrics

Date 2019 Sep 17

PMID 31522906

Citations 2

Authors

Stephanie N Ferrin

Randall W Grout

Amy Lewis Gilbert

Tracey A Wilkinson

Erika R Cheng

Stephen M Downs

Matthew C Aalsma

Affiliations

Soon will be listed here.

Abstract

Purpose: The objective of this study was to assess caregiver comfort regarding adolescent completion of computerized health screening questionnaires created for adolescents.

Methods: We conducted a mixed-method, cross-sectional survey of caregivers of adolescent patients (n = 104) aged 12-18 years who had a medical visit between June 2017 and August 2017. Topics assessed included who completed the questionnaire, caregiver comfort and concern regarding questionnaire data, and caregiver reasons for involvement in completing the questionnaire. A one-way analysis of variance was used to compare the age of the adolescent and caregiver involvement in the questionnaire.

Results: The majority of adolescents (64%) reported independent completion of the questionnaire. Thirteen percent of caregivers completed the questionnaire with no involvement of the adolescent and 23% reported that caregivers and adolescents completed the questionnaire in tandem. The majority of caregivers (84%) were comfortable with adolescents completing the questionnaire. A variety of reasons were identified for caregivers completing the questionnaire (time constraints, 22%; adolescent requested caregiver help, 19%; caregiver desired to answer questions, 14%; caregiver did not realize that the questionnaire was intended for the adolescent, 11%; caregiver believed that the adolescent was too young to respond alone, 11%). Caregiver comfort with adolescent completing the questionnaire increase with age.

Conclusion: We found the reason most caregivers gave for completing the questionnaires were related to clinic processes (e.g. time constraints). Caregivers were more likely to complete the questionnaire with younger adolescents. Thus, pediatricians should consider how to best prepare families for initial questionnaires in primary care.

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References

Van Hook S, Harris S, Brooks T, Carey P, Kossack R, Kulig J . The "Six T's": barriers to screening teens for substance abuse in primary care. J Adolesc Health. 2007; 40(5):456-61. DOI: 10.1016/j.jadohealth.2006.12.007. View

Rand C, Auinger P, Klein J, Weitzman M . Preventive counseling at adolescent ambulatory visits. J Adolesc Health. 2005; 37(2):87-93. DOI: 10.1016/j.jadohealth.2005.02.008. View

Croft C, Asmussen L . A developmental approach to sexuality education: implications for medical practice. J Adolesc Health. 1993; 14(2):109-14. DOI: 10.1016/1054-139x(93)90094-6. View

Ozer E, Adams S, Lustig J, Gee S, Garber A, Gardner L . Increasing the screening and counseling of adolescents for risky health behaviors: a primary care intervention. Pediatrics. 2005; 115(4):960-8. DOI: 10.1542/peds.2004-0520. View

Paperny D, Aono J, Lehman R, Hammar S, Risser J . Computer-assisted detection and intervention in adolescent high-risk health behaviors. J Pediatr. 1990; 116(3):456-62. DOI: 10.1016/s0022-3476(05)82844-6. View

Anand V, Carroll A, Biondich P, Dugan T, Downs S . Pediatric decision support using adapted Arden Syntax. Artif Intell Med. 2015; 92:15-23. PMC: 4818208. DOI: 10.1016/j.artmed.2015.09.006. View

Ozer E, Millstein S, Wibbelsman C, Fuster C, Elster A, Irwin Jr C . Preventive services in a health maintenance organization: how well do pediatricians screen and educate adolescent patients?. Arch Pediatr Adolesc Med. 2000; 154(2):173-9. DOI: 10.1001/archpedi.154.2.173. View

McCarty C, Levy S, Harris S . Alcohol Use Screening and Behavioral Counseling With Adolescents in Primary Care: A Call to Action. JAMA Pediatr. 2018; 173(1):12-14. DOI: 10.1001/jamapediatrics.2018.4171. View

Mangunkusumo R, Moorman P, Van Den Berg-de Ruiter A, van der Lei J, de Koning H, Raat H . Internet-administered adolescent health questionnaires compared with a paper version in a randomized study. J Adolesc Health. 2005; 36(1):70.e1-6. DOI: 10.1016/j.jadohealth.2004.02.020. View

10.

Elster A, Levenberg P . Integrating comprehensive adolescent preventive services into routine medicine care. Rationale and approaches. Pediatr Clin North Am. 1997; 44(6):1365-77. DOI: 10.1016/s0031-3955(05)70564-2. View

11.

Gilbert A, Downs S . Medical legal partnership and health informatics impacting child health: Interprofessional innovations. J Interprof Care. 2015; 29(6):564-9. PMC: 5725761. DOI: 10.3109/13561820.2015.1029066. View

12.

Stevens J, Kelleher K, Gardner W, Chisolm D, McGeehan J, Pajer K . Trial of computerized screening for adolescent behavioral concerns. Pediatrics. 2008; 121(6):1099-105. DOI: 10.1542/peds.2007-1878. View

13.

Ozer E, Adams S, Orrell-Valente J, Wibbelsman C, Lustig J, Millstein S . Does delivering preventive services in primary care reduce adolescent risky behavior?. J Adolesc Health. 2011; 49(5):476-82. DOI: 10.1016/j.jadohealth.2011.02.011. View

14.

Harris P, Taylor R, Thielke R, Payne J, Gonzalez N, Conde J . Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2008; 42(2):377-81. PMC: 2700030. DOI: 10.1016/j.jbi.2008.08.010. View

15.

Paperny D, Hedberg V . Computer-assisted health counselor visits: a low-cost model for comprehensive adolescent preventive services. Arch Pediatr Adolesc Med. 1999; 153(1):63-7. DOI: 10.1001/archpedi.153.1.63. View

16.

Buckelew S, Adams S, Irwin Jr C, Gee S, Ozer E . Increasing clinician self-efficacy for screening and counseling adolescents for risky health behaviors: results of an intervention. J Adolesc Health. 2008; 43(2):198-200. DOI: 10.1016/j.jadohealth.2008.01.018. View

17.

Ford C, Davenport A, Meier A, McRee A . Partnerships between parents and health care professionals to improve adolescent health. J Adolesc Health. 2011; 49(1):53-7. DOI: 10.1016/j.jadohealth.2010.10.004. View

18.

Ozer E, Adams S, Gardner L, Mailloux D, Wibbelsman C, Irwin Jr C . Provider self-efficacy and the screening of adolescents for risky health behaviors. J Adolesc Health. 2004; 35(2):101-7. DOI: 10.1016/j.jadohealth.2003.09.016. View

19.

Elster A . The American Medical Association Guidelines for Adolescent Preventive Services. Arch Pediatr Adolesc Med. 1997; 151(9):958-9. DOI: 10.1001/archpedi.1997.02170460096021. View

20.

Pealer L, Weiler R, Pigg Jr R, Miller D, Dorman S . The feasibility of a web-based surveillance system to collect health risk behavior data from college students. Health Educ Behav. 2001; 28(5):547-59. DOI: 10.1177/109019810102800503. View