Parental report of receipt of adolescent preventive health counseling services from pediatric providers.
Parental report of receipt of adolescent preventive health counseling services from pediatric providers.
复制标题
家长报告从儿科提供者处获得青少年预防性健康咨询服务。
DOI：
10.1016/j.pec.2013.10.003
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发表时间：
2014
影响因子：
3.5
通讯作者：
Lee,Minjae
中科院分区：
文献类型：
--
作者：
Akers,AlethaY;Davis,EsaM;JacksonFoster,LovieJ;Morrison,Penelope;Sucato,Gina;Miller,Elizabeth;Lee,Minjae
关于以预防为中心的咨询服务提供者向青少年父母提供的信息知之甚少。本研究比较了父母的报告与他们的青少年的供应商的讨论一系列的青少年预防topics.MethodsBetween 2009年6月至11月，问卷调查提供给父母陪同青少年11-18岁的门诊就诊。父母匿名指出，他们记得与青少年的提供者讨论过22个预防主题中的哪一个。分层逻辑回归模型被用来确定相关的父母recall.ResultsAmong的358名参与者，83%的报告讨论至少一个预防主题。更多的家长报告说，他们讨论的是一般预防话题，而不是心理健康或高风险话题（例如性）。青少年的性别，访问类型，有一个通常的来源的照顾，和父母的信念，他们的青少年的风险行为与父母的报告有关的高风险和心理健康topics.ConclusionMost父母回忆讨论一个或多个主题与他们的青少年的健康提供者。然而，家长报告的讨论与显着的青少年发病率的主题是low.Practice implicationsStrategies，以提高频率，及时性和适当的咨询服务提供给家长有关青少年预防性健康是必要的。利用决策支持工具或患者教育工具的策略可能是必要的。
ObjectiveLittle is known about prevention-focused counseling health providers deliver to parents of adolescents. This study compared parental report of discussions with their adolescents’ providers about a range of adolescent prevention topics.MethodsBetween June and November 2009, a questionnaire was provided to parents accompanying adolescents aged 11–18 on outpatient clinic visits. Parents indicated, anonymously, which of 22 prevention topics they remembered discussing with their adolescent's provider. Hierarchical logistic regression models were used to identify correlates of parental recall.ResultsAmong the 358 participants, 83% reported discussing at least one prevention topic. More parents reported discussing general prevention topics than mental health or high-risk topics (e.g. sex). Adolescent gender, visit type, having a usual source of care, and parental beliefs about their adolescents’ risk behaviors correlated with parental report of discussions about high-risk and mental health topics.ConclusionMost parents recalled discussing one or more topics with their adolescent's health provider. However, parental report of discussions about topics linked to significant adolescent morbidity was low.Practice implicationsStrategies to improve the frequency, timeliness and appropriateness of counseling services delivered to parents about adolescent preventive health are needed. Strategies that utilize decision support tools or patient education tools may be warranted.