Clinical Uses of an Adolescent Intake Questionnaire: Adquest as a Bridge to Engagement

Elliott, Jennifer; Nembhard, Michael; Giannone, Vincent; Mirabito, Diane; Peake, Ken

doi:10.4324/9781315821184-5

Cited by 4 publications

(6 citation statements)

References 1 publication

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“…In general, most participants felt that the e-tool would be particularly useful in helping them disclose the domains that they were most embarrassed about, and overall would be open to the idea of using the assessment e-tool to initially indicate concerns in all of the relevant psychosocial domains. Views were similar to the findings of Elliott et al ( 2004 ), in that participants felt that the e-tool would help provide a structure to their thoughts and the overall session by allowing them to identify issues of importance and take the time to decide what they were ready to disclose. These views indicate that young people would like greater input into the mental healthcare process and their discussions within session.…”

Section: Discussionsupporting

confidence: 78%

“…The preference for a self-administered questionnaire may be due to the young person having increased feelings of control in the disclosure process as they have the time to organize their thoughts and feelings. For example, a study by Elliott et al ( 2004 ), found that the implementation of an adolescent intake questionnaire allowed adolescents to identify the issues that were of most importance to them, identify the domains they were ready to discuss immediately and those that would need to be returned to, signaled that it was okay to disclose certain information, and helped them to structure their thoughts by providing a time for personal reflection.…”

Section: Introductionmentioning

confidence: 99%

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Young People’s Views on Electronic Mental Health Assessment: Prefer to Type than Talk?

Bradford

Rickwood

2014

J Child Fam Stud

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For mental health professionals to provide personalized early interventions, young people need to disclose sensitive information to a clinician they are unlikely to have yet formed a relationship with. We conducted in-depth qualitative interviews with 129 young people aged 12–25 years from several sites across Australia to gauge views on whether young people thought that an electronic psychosocial assessment tool could help them initially disclose personal information. Additionally, we were interested in whether young people from different demographic groups held similar views around using the e-tool. Results provided support for the use of an e-tool, with most young people stating that it could help in the disclosure of particularly embarrassing problems. The main advantages reported were that the e-tool would support disclosure without fear of judgment by health professionals, and would enable young people greater input in deciding what to focus on. Young people who held a preference to simply talk were most concerned about the clinician missing non-verbal cues. These findings highlight the value of incorporating electronic options within clinical practice, but also the need for health professionals to work within a flexible framework guided by the individual preferences of each of their clients.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Young People’s Views on Electronic Mental Health Assessment: Prefer to Type than Talk?

Bradford

Rickwood

2014

J Child Fam Stud

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“…Youth appreciated the colorful and interactive content, valued aspects of the tool that enhanced privacy, and indicated that they would disclose more health risk behaviors to the tool than to paper-and-pencil forms, consistent with prior research on electronic health screening [ 29 , 37 - 41 ]. Importantly, and also consistent with prior research on electronic screening, participants perceived the tool as a way to enhance—but not replace—interactions with providers by helping them to identify questions and concerns before an appointment [ 41 , 42 ]. To date, studies regarding screening instruments have focused primarily on the frequency of provider counseling and referral [ 8 - 12 ].…”

Section: Discussionsupporting

confidence: 56%

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

et al. 2017

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BackgroundElectronic health screening tools for primary care present an opportunity to go beyond data collection to provide education and feedback to adolescents in order to motivate behavior change. However, there is limited research to guide feedback message development.ObjectiveThe aim of this study was to explore youth perceptions of and preferences for receiving personalized feedback for multiple health risk behaviors and reinforcement for health promoting behaviors from an electronic health screening tool for primary care settings, using qualitative methodology.MethodsIn total, 31 adolescents aged 13-18 years completed the screening tool, received the electronic feedback, and subsequently participated in individual, semistructured, qualitative interviews lasting approximately 60 min. Participants were queried about their overall impressions of the tool, perceptions regarding various types of feedback messages, and additional features that would help motivate health behavior change. Using thematic analysis, interview transcripts were coded to identify common themes expressed across participants.ResultsOverall, the tool was well-received by participants who perceived it as a way to enhance—but not replace—their interactions with providers. They appreciated receiving nonjudgmental feedback from the tool and responded positively to information regarding the consequences of behaviors, comparisons with peer norms and health guidelines, tips for behavior change, and reinforcement of healthy choices. A small but noteworthy minority of participants dismissed the peer norms as not real or relevant and national guidelines as not valid or reasonable. When prompted for possible adaptations to the tool, adolescents expressed interest in receiving follow-up information, setting health-related goals, tracking their behaviors over time, and communicating with providers electronically between appointments.ConclusionsAdolescents in this qualitative study desired feedback that validates their healthy behavior choices and supports them as independent decision makers by neutrally presenting health information, facilitating goal setting, and offering ongoing technological supports.

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“…They felt a flagging function would improve the usefulness of the e-tool as they could indicate to their clinicians what was most important, and what they wanted to focus on in session. This functionality appears to be an important component in providing young people more control over their service use and may result in even greater outcomes than previous psychosocial assessments conducted using pen-andpaper formats (Elliott et al, 2004). Also identified as being important to both groups of stakeholders was the incorporation of ''Information links'' that could be used by young people to gain further information on topics that they were currently unwilling to discuss.…”

Section: Discussionmentioning

confidence: 96%

“…It is likely that the preference for self-administered tools exists because these provide young people with increased control over the help-seeking and treatment process by allowing them to identify the areas they most want to focus on and structure their thoughts prior to the face-to-face clinical interview (Elliott et al, 2004). Although most of the current self-administered 276 S. Bradford and D. Rickwood psychosocial assessments are administered using pen and paper, those that have been converted into a computerized format appear to have greater user satisfaction (Truman et al, 2003;Wolford et al, 2008).…”

mentioning

confidence: 99%

Electronic Psychosocial Assessment Tool: Concept Development and Identification of Barriers to Successful Implementation

Bradford

Rickwood

2014

Journal of Technology in Human Services

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Information Communication Technologies (ICT) have resulted in positive outcomes in a range of clinical studies, however, most have not had widespread subsequent uptake, partly because they were not developed with all stakeholder requirements in mind. In the current study, we engaged stakeholders in the concept development stage of a project to transform a psychosocial assessment into an ICT-enabled format. By engaging the stakeholders in this early process we were able to identify a range of software functionalities that are likely to improve the applicability for users, as well as identify possible barriers to implementation. KEYWORDS concept development, electronic assessment, healthcare, implementation barriers, information communication technologiesInformation Communication Technologies (ICT) are increasingly being used within healthcare settings with the aim of more efficiently and effectively meeting the needs of both patients and health care providers. The youth demographic has been a group of particular interest based on the assumption

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Clinical Uses of an Adolescent Intake Questionnaire: Adquest as a Bridge to Engagement

Cited by 4 publications

References 1 publication

Young People’s Views on Electronic Mental Health Assessment: Prefer to Type than Talk?

Young People’s Views on Electronic Mental Health Assessment: Prefer to Type than Talk?

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

Electronic Psychosocial Assessment Tool: Concept Development and Identification of Barriers to Successful Implementation

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