Designing an Adolescent Centered Cards on the Table Toolkit

摘要 拟议的第一阶段STTR项目将开发桌子上的卡片工具包。该工具包将建立在 桌上纸牌的现有原型，一副纸牌，包含与七个基本主题相关的问题 青春期性健康和生殖健康咨询，包括：性传播感染；避孕；健康关系； 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 健康和医疗保健；性别认同和性取向。使用以人为中心的 与青少年和供应商的设计方法，卡片的设计是为了从根本上重组传统 临床导向的咨询，允许青少年从纸牌中选择两到三张牌来指导患者- 供应商在访问期间的沟通。目前的项目将在现有卡的基础上开发一种数字 卡片的版本，以及包括青少年教育信息和 临床医生将卡片纳入其临床实践的实施指南。桌上的牌 工具包将在芝加哥大学医学中心在看青少年的临床医生中实施 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 被招募参加这项研究，以评估工具包的可用性、可行性和可接受性。经济衰退带来的影响 关于青少年的知识、态度和以患者为中心的咨询经验的工具包也将 评估过了。第一阶段项目的最终结果将是为第二阶段准备的桌子工具包上的卡片 全面发展，包括制定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.