Designing an Adolescent Centered Cards on the Table Toolkit

摘要 拟议的第一阶段短期信托基金项目将开发桌上卡片工具包。该工具包将建立在 现有的桌上卡片原型，一副卡片包含与七个基本主题相关的问题 青少年性健康和生殖健康咨询，包括：性传播感染;避孕;健康的关系; 青少年患者的权利，包括保密和同意;性健康;影响青少年的社会因素 健康和保健;性别认同和性取向。以人为本， 设计方法与青少年和供应商，卡的目的是从根本上重组传统的 临床导向咨询，允许青少年从卡片中选择两到三张卡片，指导患者， 访问期间的供应商沟通。目前的项目将建立在现有的卡，以开发一个数字 以及一个包括青少年教育信息的综合工具包， 为临床医生提供实施指南，以便将卡片纳入其临床实践。桌上的牌 工具包将在芝加哥大学医学中心的临床医生中实施， 初级保健或性和生殖保健就诊的患者。10名临床医生和40名青少年将 该研究招募了一批专家，以评估工具包的可用性、可行性和可接受性。的影响 还将在青少年中提供关于知识、态度和以病人为中心的咨询经验的工具包， 评估。第一阶段项目的最终成果将是为第二阶段编制的“桌上卡片工具包” 充分发展，包括发展更多的格式和完善执行材料。

Abstract The proposed Phase I STTR project will develop the Cards on the Table Toolkit. The Toolkit will build on the existing prototype of Cards on the Table, a deck of cards containing questions related to seven essential topics of adolescent sexual and reproductive health counseling, including: STIs; contraception; healthy relationships; adolescent patients’ rights including confidentiality and consent; sexual health; social factors affecting adolescent health and their healthcare; and gender identity and sexual orientation. Developed using a human-centered design approach with adolescents and providers, the cards were designed to radically restructure the traditional clinical-driven counseling by allowing adolescents to select two to three cards from the deck to guide patient- provider communication during the visit. The current project will build on the existing cards to develop a digital version of the cards, as well as a wrap-around toolkit including educational information for adolescents and implementation guides for clinicians to incorporate the cards into their clinical practice. The Cards on the Table Toolkit will be implemented at the University of Chicago Medical Center among clinicians who see adolescent patients for primary care or for sexual and reproductive healthcare visits. Ten clinicians and 40 adolescents will be recruited to the study to evaluate the usability, feasibility and acceptability of the toolkit. The impact of the toolkit on knowledge, attitudes and patient-centered counseling experiences among adolescents will also be assessed. The Phase I project will culminate in a Cards on the Table Toolkit which will be prepared for Phase II full development, including the development of additional formats and refinement of implementation materials.