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Adolescent Health Literacy: Improving Use of Preventive Health Services

青少年健康素养：改善预防性健康服务的使用

基本信息

批准号：
7933929
负责人：
DEBORAH C GLIK
金额：
$ 66.11万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-20 至 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7933929
关键词：
17 year old Accident and Emergency department Acute Address Adolescence Adolescent Adult Age Alcohols Anxiety Area Attitude Attitude to Health California Caring Characteristics Chronic Client Clinical Cognitive Collection Communicable Diseases Comprehensive Health Insurances Computers Confidentiality Control Groups Counseling Data Databases Demographic Factors Development Disadvantaged Disease Drug usage Educational Intervention Educational process of instructing Effectiveness Effectiveness of Interventions Emergency Care Emergency Situation Emergency medical service Emotional Enabling Factors Ethnic Origin Family Gender Generations Goals Health Health Insurance Health Planning Health Services Accessibility Health Status Health behavior Healthcare Healthcare Systems Immunization Infection Information Resources Injury Insurance Insurance Benefits Interactive Communication Intervention Knowledge Learning Link Low income Mails Measures Media Intervention Mediating Medicaid Medical Mental Depression Minority Online Systems Outcome Outpatients Parents Participant Patient Self-Report Patients Pattern Perception Pharmacy facility Population Preventive Preventive Health Services Primary Health Care Printed Media Printing Provider Public Health Randomized Randomized Controlled Trials Recruitment Activity Research Rights Risk Risk Reduction Behavior Sampling Screening procedure Services Sexually Transmitted Diseases Smoke Social Conditions Specialist State Children&apos s Health Insurance Program Surveys Target Populations Technology Teenagers Testing Time Training Training Programs Unplanned pregnancy Upper Respiratory Infections Vaccines Violence Visit administrative database aged base behavioral health beneficiary care systems clinical practice diet and exercise empowered experience follow-up good diet group intervention health care service utilization health literacy health record improved information seeking behavior innovation interest medical specialties next generation prevent programs response skills social treatment as usual urinary volunteer

项目摘要

Adolescence is characterized by social, physical, cognitive and emotional transitions. Developmental goals for teens include their becoming responsible and independent. While adolescents have many health issues and programs addressing them, one area of that is of growing interest is how adolescents interface with the medical care system. Most adolescents have access to healthcare and healthcare insurance (88% of teens are insured), however, they may have little experience or skill using healthcare effectively, especially those from disadvantaged backgrounds. Preventing disease and promoting health are integral part of current clinical primary care practice. In the proposed study we will partner with Health Net of California, a large health insurance corporation, to develop, implement, and assess an intervention to increase their adolescent patients’ utilization of preventive care and decrease emergency services use. We will engage beneficiaries of public health insurance namely Medicaid (Medi-cal) and SCHIP (Healthy Families) clients whose health care is managed by Health Net. Our goal is to develop a health literacy training intervention to encourage adolescents aged 12 – 17 to utilize their health care plan more effectively, specifically to increase the rate at which they receive an annual Adolescent Well Care Visit. Additionally we will attempt to increase their level of engagement in their health care and their own health. We will use a randomized controlled trial to test the effectiveness of two different interventions, one a web based social media intervention and one that could be called ‘usual care’. We will recruit an initial volunteer sample of 8000 Health Net patients out of 155,000 Medi-cal and Healthy Families teens they serve. We will conduct a 2 wave repeated measures survey to assess intervention impact on utilization patterns, health care system knowledge, positive encounters with their primary care provider, health information seeking, attitudes towards health care, and health behaviors. Data will also be collected from Health Net administrative data bases. Based on response rates and attrition we anticipate a final sample of 3478 participants distributed across the two study conditions (n= 1739 each) which are the treatment condition (social media) and control condition (usual care). Our goal is to enhance adolescent health literacy, increasing teens’ capacity to access and use their insurance and the current health care system, so they can become empowered health consumers as they transition into adulthood.

青春期的特点是社会、身体、认知和情感的转变。青少年的发展目标包括他们变得负责任和独立。而青少年有许多健康问题和解决方案，其中一个领域是青少年如何与医疗保健系统互动，也越来越引起人们的关注。大多数青少年获得医疗保健和医疗保险（88%的青少年有保险），然而，他们可能缺乏有效使用医疗保健的经验或技能，尤其是来自弱势背景。预防疾病和促进健康是目前的临床初级保健实践。在拟议的研究中，我们将与健康网合作，加州，一家大型医疗保险公司，开发，实施和评估一个干预措施，以增加他们的青少年患者的利用预防保健和减少紧急服务使用。我们将让公共医疗保险的受益人参与， Medicaid（Medi-cal）和SCHIP（健康家庭）客户，其医疗保健由健康网。我们的目标是开发一种健康素养培训干预措施，以鼓励 12 - 17岁的青少年更有效地利用他们的保健计划，特别是提高他们每年接受青少年健康护理访问的比率。另外我们将尝试提高他们对医疗保健和自身健康的参与程度。我们将使用随机对照试验来测试两种不同干预措施的有效性，一个基于网络的社交媒体干预，一个可以被称为“常规护理”的干预。我们将招募从155，000名Medical和HealthNet患者中抽取了8，000名健康网患者的初始志愿者样本，他们所服务的家庭。我们将进行2波重复测量调查，以评估干预对利用模式、卫生保健系统知识、积极接触的影响与他们的初级保健提供者，健康信息寻求，对卫生保健的态度，健康行为。还将从保健网行政数据库收集数据。基于根据回复率和流失率，我们预计最终样本将分配3478名参与者在两种研究条件（各n= 1739）中，这两种研究条件是治疗条件（社交媒体）和控制条件（常规护理）。我们的目标是提高青少年健康素养，提高青少年获得和使用保险和现有医疗保健的能力因此，他们可以在进入成年期时成为有能力的健康消费者。