Partnerships Between Parents and Health Care Professionals to Improve Adolescent Health
Partnerships Between Parents and Health Care Professionals to Improve Adolescent Health
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DOI：
10.1016/j.jadohealth.2010.10.004
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发表时间：
2011-07-01
影响因子：
7.6
通讯作者：
McRee, Annie-Laurie
中科院分区：
文献类型：
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作者：
Ford, Carol A.;Davenport, Amy F.;McRee, Annie-Laurie
关于父母和卫生保健专业人员（HCPs）之间的伙伴关系以改善青少年健康的研究是有限的。在本研究中，我们开发了一个经验推导的框架来指导这一特定领域的研究。方法：采用焦点小组和深度半结构化访谈的方法进行定性研究。共有85名参与者（51名HCPs， 17名12-18岁患者的母亲和17名青少年）从北卡罗莱纳州的三家独立青少年健康诊所和五家学校卫生中心招募。我们独立地探讨了医护人员和母亲对父母、医护人员和父母-医护人员伙伴关系在预防和解决青少年健康问题中的作用的看法。然后，我们引出了青少年对母亲和HCP感知的反馈。在使用ATLAS进行内容分析期间，我们确定了常见的和信息丰富的主题。以及卫生保健提供者、母亲和青少年的三角视角，以制定建立家长-卫生保健提供者伙伴关系的框架，以改善青少年健康。结果：出现了一个总体框架，概念化了建立父母- hcp伙伴关系的直接和间接策略。直接策略包括在实践和社区环境中加强父母和卫生保健提供者之间的关系和/或沟通。间接策略涉及到医护人员有机会在青少年访视的背景下影响亲子关系和/或沟通。例如，医护人员可以与青少年讨论父母参与和监测的重要性，鼓励和促进父母与青少年的沟通，提供量身定制的父母指导，同时在适当情况下尊重青少年对保密医疗保健的愿望。结论：在青少年卫生保健的背景下，直接加强父母- hcp关系和/或沟通的干预措施，以及间接支持父母- hcp伙伴关系的干预措施，应以健康结果为目标进行设计。(C) 2011年青少年健康和医学学会。版权所有。
Introduction: Research on partnerships between parents and health care professionals (HCPs) to improve adolescent health is limited. In this study, we have developed an empirically derived framework to guide research in this particular area.Methods: We conducted a qualitative study using focus groups and in-depth semi-structured interviews. A total of 85 participants (51 HCPs, 17 mothers of patients of ages 12-18 years, and 17 adolescents) were recruited from three free-standing adolescent health clinics and five school-based health centers across North Carolina. We independently explored the perceptions of HCPs and mothers regarding the roles of parents, HCPs, and parent-HCP partnerships in preventing and addressing adolescent health problems. We then elicited feedback of adolescents on mother and HCP perceptions. We identified common and informative themes during content analysis using ATLAS. ti, and triangulated perspectives of HCPs, mothers, and adolescents to develop a framework for building parent-HCP partnerships to improve adolescent health.Results: A general framework emerged that conceptualizes both direct and indirect strategies for building parent-HCP partnerships. Direct strategies involve strengthening relationships and/or communication between parents and HCPs in both practice and community settings. Indirect strategies involve opportunities for HCPs to influence parent-adolescent relationships and/or communication within the context of adolescent visits. For example, HCPs can discuss the importance of parental involvement and monitoring with adolescents, encourage and facilitate parent-adolescent communication, and deliver tailored parental guidance while also respecting adolescents' desires for confidential health care when appropriate.Conclusions: Interventions that directly strengthen parent-HCP relationships and/or communication, and those that indirectly support parent-HCP partnerships within the context of adolescent health care, should be designed targeting health outcomes. (C) 2011 Society for Adolescent Health and Medicine. All rights reserved.