Adolescents’ Perspectives on Personalized E-Feedback in the Context of Health Risk Behavior Screening for Primary Care: Qualitative Study

Zieve, Garret G.; Richardson, Laura P.; Katzman, Katherine; Spielvogle, Heather; Whitehouse, Sandy; McCarty, Carolyn A.

doi:10.2196/jmir.7474

Cited by 20 publications

(15 citation statements)

References 44 publications

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“…Specific types of feedback included comparison of reported behaviors with rates reported by peers or national guidelines, education about health risks, and tips for behavior change. 18 Based on internal tracking data, the tool took an average of 15 minutes to complete.…”

Section: Methodsmentioning

confidence: 99%

Effect of Electronic Screening With Personalized Feedback on Adolescent Health Risk Behaviors in a Primary Care Setting

et al. 2019

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Key Points Question Does electronic risk screening with personalized feedback and clinical decision support increase clinician counseling and reduce risk behaviors in adolescents? Findings In this randomized clinical trial of 300 adolescents randomly assigned to receive electronic screening with personalized feedback vs usual care in the context of a well-child care visit, youths who received the electronic screening intervention were more likely than controls to receive risk counseling. Three months after the visit, youths who received the electronic screening also had a significantly greater reduction than controls in their risk behavior scores. Meaning Electronic screening tools that provide risk information to clinicians and motivational feedback to teens can improve care delivery and youth outcomes.

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Section: Methodsmentioning

confidence: 99%

Effect of Electronic Screening With Personalized Feedback on Adolescent Health Risk Behaviors in a Primary Care Setting

et al. 2019

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“…The mean age of participants was 15.2 years. As previously published, the sample included 20 participants who self-identified as Caucasian (64.5%), 6 as Hispanic (19.4%), 3 as Asian (9.7%), 2 as African American (6.5%), 1 as Other (3.2%), and 2 as Mixed race (6.5%) (Table 1) [14].…”

Section: Resultsmentioning

confidence: 99%

“…Interviewers used a semi-structured interview guide which included 3 areas of inquiry: (1) electronic health assessment feedback (results from this published in a previous study) [14]; (2) adolescent preferences for health behavior change support from their provider (results from this have been submitted and are under review); and (3) technology used and preferences for technology use by adolescents for their health. Due to the large volume of data, this paper primarily focuses on the responses given to questions on the third area of inquiry with the specific questions listed in Textbox 1.…”

Section: Methodsmentioning

confidence: 99%

Adolescents’ Perspectives on Using Technology for Health: Qualitative Study

Radovic¹,

McCarty²,

Katzman³

et al. 2018

JMIR Pediatr Parent

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Background Adolescents’ wide use of technology opens up opportunities to integrate technology into health visits and health care. In particular, technology has the potential to influence adolescent behavior change by offering new avenues for provider communication and support for healthy choices through many different platforms. However, little information exists to guide the integration of technology into adolescent health care, especially adolescents’ perspectives and preferences for what they find useful. Objective This qualitative study aimed to take a broad approach to understanding adolescents’ use of technology for supporting their overall health and to understand whether and how adolescents envision using technology to enhance their health and clinical care, particularly in communicating with their provider. Methods Adolescents (13–18 years) were recruited to participate in semi-structured, in-depth individual interviews. Potential participants were approached in-person through the Seattle Children’s Hospital Adolescent Medicine Clinic while they were waiting for consultation appointments, through outreach to youth who expressed interest in other local research study activities, and via flyers in waiting rooms. Interviews were recorded, transcribed, and analyzed using a thematic analysis approach. Results Thirty-one adolescents (58% female, M= 15.2 years) were interviewed and described 3 main uses of technology: (1) to gather information, (2a) to share their own experiences and (2b) view others’ experiences in order to gain social support or inspiration, and (3) to track behaviors and health goals. Perceived benefits and potential downsides were identified for technology use. Teens desired to use technology with their provider for 3 main reasons: (1) have questions answered outside of visits, (2) have greater access to providers as a way to build relationship/rapport, and (3) share data regarding behaviors in between visits. Social media was not a preferred method for communicating with providers for any of the youth due to concerns about privacy and intrusiveness. Conclusions Although youth are avid users of technology in general, in regard to technology for health, they display specific use preferences especially in how they wish to use it to communicate with their primary care provider. Healthcare providers should offer guidance to youth with regard to how they have used and plan to use technology and how to balance potential positives and negatives of use. Technology developers should take youth preferences into account when designing new health technology and incorporate ways they can use it to communicate with their healthcare provider.

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“…Of note, this company had previous experience in participatory mobile health design in multiple languages, which directly informed this work. [35][36][37] Moving forward, there is more work needed in several domains. First, there are multiple questions about the best strategies for reporting processes.…”

Section: Discussionmentioning

confidence: 99%

Adapting Patient Experience Data Collection Processes for Lower Literacy Patient Populations Using Tablets at the Point of Care

et al. 2019

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Background: Patient experience surveys are widely used to capture patient-reported quality of care and are increasingly being used for formal reporting purposes. There is evidence that certain patient subgroups are less likely to respond to traditional CAHPS surveys. As patient-facing technologies become more common, it is important to examine whether tablet-based patient experience surveys have the potential to promote responses from more diverse populations. Objectives: To develop, gain perspectives about, and pilot an English and Spanish low-literacy adaptation of the CG-CAHPS administered on a tablet device at the point of care. Research Design: Cognitive testing and evaluation of a quality improvement pilot comparing a tablet-based adaptation and traditional paper-based versions of the CG-CAHPS survey.

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Adolescents’ Perspectives on Personalized E-Feedback in the Context of Health Risk Behavior Screening for Primary Care: Qualitative Study

Cited by 20 publications

References 44 publications

Effect of Electronic Screening With Personalized Feedback on Adolescent Health Risk Behaviors in a Primary Care Setting

Effect of Electronic Screening With Personalized Feedback on Adolescent Health Risk Behaviors in a Primary Care Setting

Adolescents’ Perspectives on Using Technology for Health: Qualitative Study

Adapting Patient Experience Data Collection Processes for Lower Literacy Patient Populations Using Tablets at the Point of Care

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