Screening Adolescents for Sensitive Health Topics in Primary Care: A Scoping Review.
Screening Adolescents for Sensitive Health Topics in Primary Care: A Scoping Review.
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DOI：
10.1016/j.jadohealth.2021.10.028
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发表时间：
2022-05
影响因子：
7.6
通讯作者：
Beidas, Rinad S.
中科院分区：
文献类型：
--
作者：
Davis, Molly;Hoskins, Katelin;Phan, Mary;Hoffacker, Carlin;Reilly, Megan;Fugo, Perrin B.;Young, Jami F.;Beidas, Rinad S.
我们试图汇总在初级保健中筛查青少年敏感健康主题（如抑郁症、衣原体）的常见障碍和促进因素，以及特定健康主题特有的障碍和促进因素。我们对三个数据库（PsycInfo、MEDLINE和CINAHL）和纳入文章的参考文献列表进行了文献检索。研究的重点是国家指南所建议的初级保健中对青少年（12-17岁）进行敏感健康问题筛查的障碍和促进因素。文章经过同行评议，提供实证数据，并于2006-2021年以英文出版。我们使用实施研究统一框架（一个在实施科学中完善的框架）对障碍和促进因素进行编码。总共有39项研究符合纳入标准，涵盖了几个健康主题：抑郁症、自杀、药物使用、人类免疫缺陷病毒（HIV）和衣原体。我们发现了跨健康主题筛查的共同障碍和促进因素，其中大多数与初级保健诊所的特征（例如，时间限制）有关。与筛查实施相关的其他因素包括从保密问题到临床医生知识。还注意到某些保健专题所特有的障碍和促进因素，例如是否有现场实验室进行艾滋病毒检查。研究结果可以指导筛选实施的改进。
We sought to aggregate common barriers and facilitators to screening adolescents for sensitive health topics (e.g., depression, chlamydia) in primary care, as well as those that are unique to a given health topic. We conducted a literature search of three databases (PsycInfo, MEDLINE, and CINAHL) and reference lists of included articles. Studies focused on barriers and facilitators to screening adolescents (ages 12–17 years) for sensitive health topics in primary care that are recommended by national guidelines. Articles were peer-reviewed, presented empirical data, and published in English in 2006–2021. We coded barriers and facilitators using the Consolidated Framework for Implementation Research, a well-established framework within implementation science. In total, 39 studies met inclusion criteria and spanned several health topics: depression, suicide, substance use, Human Immunodeficiency Virus (HIV), and chlamydia. We found common barriers and facilitators to screening across health topics, with most relating to characteristics of the primary care clinics (e.g., time constraints). Other factors relevant to screening implementation ranged from confidentiality concerns to clinician knowledge. Barriers and facilitators specific to certain health topics, such as the availability of on-site laboratories for HIV screening, were also noted. Findings can guide refinements to screening implementation.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
7.2
作者：
Aarons, Gregory A.;Glisson, Charles;Landsverk, John A.
通讯作者：
Landsverk, John A.
影响因子：
7.6
作者：
Brown, Jonathan D.;Wissow, Lawrence S.
通讯作者：
Wissow, Lawrence S.
DOI：
10.1097/dbp.0000000000000750
发表时间：
2020-02-01
影响因子：
2.4
作者：
Farley, Alyssa M.;Gallop, Robert J.;Young, Jami F.
通讯作者：
Young, Jami F.
影响因子：
2.9
作者：
Meredith LS;Ewing BA;Stein BD;Shadel WG;Brooks Holliday S;Parast L;D'Amico EJ
通讯作者：
D'Amico EJ