OBJECTIVES: To describe the health issues reported using a personal digital assistant (PDA) to conduct screening at adolescent well visits, and to determine the effect of a PDA screening tool on the content and quality of the clinical interaction. DESIGN: The PDA screening tool was used to record adolescent health risk behaviors, and cross-sectional exit surveys were administered before and after PDA introduction. SETTING: Five primary care practices in New England. PARTICIPANTS: The PDA screening was completed by 1052 youth aged 11 to 19 years. In addition, youth seen before (n = 65) and after (n = 98) PDA screening implementation completed exit surveys. Intervention Adolescents completed the PDA screening immediately before the well visit. Branching questions explored risk behaviors in more depth, including motivation to change. Physicians viewed the summarized findings before the adolescent health visit. MAIN OUTCOME MEASURES: Health risk behaviors based on PDA data. Exit surveys assessed the quality of the visit and of any discussion of nutrition, exercise, screen time, tobacco use, alcohol and other drug use, and mood. RESULTS: Multiple risk behaviors (n = 3-9) were reported by 30% of 11- to 14-year-olds and 45% of 15- to 19-year-olds. Exit surveys showed that, with PDA use, the proportion of visits that included discussions of health risk behaviors increased for fruit/vegetable intake (60.4% vs 41.7% without PDA use; P =.03), tobacco use (54.9% vs 40.0%; P = .07), and alcohol use (53.9% vs 38.0%; P =.05). With PDA use, more adolescents rated the visit as confidential (83.7% vs 61.5%; P =.002), more thought they were listened to carefully (87.8% vs 64.6%; P <.001), and more were very satisfied (87.8% vs 63.1%; P < .001). CONCLUSION: Use of a PDA-based screening tool enhances physician counseling and improves adolescents' perceptions of the well visit.
OBJECTIVES: To describe the health issues reported using a personal digital assistant (PDA) to conduct screening at adolescent well visits, and to determine the effect of a PDA screening tool on the content and quality of the clinical interaction. DESIGN: The PDA screening tool was used to record adolescent health risk behaviors, and cross-sectional exit surveys were administered before and after PDA introduction. SETTING: Five primary care practices in New England. PARTICIPANTS: The PDA screening was completed by 1052 youth aged 11 to 19 years. In addition, youth seen before (n = 65) and after (n = 98) PDA screening implementation completed exit surveys. Intervention Adolescents completed the PDA screening immediately before the well visit. Branching questions explored risk behaviors in more depth, including motivation to change. Physicians viewed the summarized findings before the adolescent health visit. MAIN OUTCOME MEASURES: Health risk behaviors based on PDA data. Exit surveys assessed the quality of the visit and of any discussion of nutrition, exercise, screen time, tobacco use, alcohol and other drug use, and mood. RESULTS: Multiple risk behaviors (n = 3-9) were reported by 30% of 11- to 14-year-olds and 45% of 15- to 19-year-olds. Exit surveys showed that, with PDA use, the proportion of visits that included discussions of health risk behaviors increased for fruit/vegetable intake (60.4% vs 41.7% without PDA use; P =.03), tobacco use (54.9% vs 40.0%; P = .07), and alcohol use (53.9% vs 38.0%; P =.05). With PDA use, more adolescents rated the visit as confidential (83.7% vs 61.5%; P =.002), more thought they were listened to carefully (87.8% vs 64.6%; P <.001), and more were very satisfied (87.8% vs 63.1%; P < .001). CONCLUSION: Use of a PDA-based screening tool enhances physician counseling and improves adolescents' perceptions of the well visit.
Authors: Kate E Fothergill; Anne Gadomski; Barry S Solomon; Ardis L Olson; Cecelia A Gaffney; Susan Dosreis; Lawrence S Wissow Journal: Acad Pediatr Date: 2013 Jul-Aug Impact factor: 3.107
Authors: Federico E Vaca; Jessica M Walthall; Sheryl Ryan; Alison Moriarty-Daley; Antonio Riera; Michael J Crowley; Linda C Mayes Journal: Ann Adv Automot Med Date: 2013
Authors: Anne M Gadomski; Kate E Fothergill; Susan Larson; Lawrence S Wissow; Heather Winegrad; Zsolt J Nagykaldi; Ardis L Olson; Debra L Roter Journal: J Adolesc Health Date: 2015-01-10 Impact factor: 5.012
Authors: Ty A Ridenour; David Willis; Debra L Bogen; Scott Novak; Jennifer Scherer; Maureen D Reynolds; Zu Wei Zhai; Ralph E Tarter Journal: Drug Alcohol Depend Date: 2015-03-02 Impact factor: 4.492