Interviewing techniques with adolescents in primary care

Purcell, Joan S.; Hergenroeder, Albert C.; Kozinetz, Claudia A.; Smith, E O; Hill, Reba M.

doi:10.1016/s1054-139x(96)00284-4

Cited by 22 publications

(14 citation statements)

References 11 publications

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“…147 Private, confidential interviewing techniques are crucial if young patients are to feel comfortable in discussing and seeking advice from their clinicians regarding their smoking behaviors. 148 Results from smoking interventions with healthy adolescents indicate that skill-building, counseling about the social influences of smoking, identifying healthier sources of reward, and provision of didactic materials have been effective in the prevention of adolescent tobacco use. 149,150 These intervention components may also be relevant for youngsters with chronic illness, particularly in light of the demonstrated similarities in selected psychosocial risk factors between healthy adolescents and those with cancer and asthma.…”

Section: Implications For Clinician-delivered Smoking Interventionsmentioning

confidence: 99%

Smoking Rates and the State of Smoking Interventions for Children and Adolescents With Chronic Illness

Tyc

Throckmorton-Belzer

2006

Pediatrics

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Engaging in smoking is particularly risky for children and adolescents with chronic illness whose health status is already compromised because of disease- and treatment-related complications. Yet, some of these youngsters smoke at rates at least comparable to those of their healthy peers. To date, few randomized smoking-prevention and cessation trials have been conducted in children with chronic medical problems. In this review we report on the smoking rates among youngsters with chronic illness, identify specific disease- and treatment-related complications that can be exacerbated by smoking, examine risk factors associated with tobacco use among medically compromised youngsters, and review smoking interventions that have been conducted to date with pediatric populations in the health care setting. The following chronic illnesses are included in this review: asthma, cystic fibrosis, cancer, sickle cell disease, juvenile-onset diabetes, and juvenile rheumatoid arthritis. Objectives for a tobacco-control agenda and recommendations for future tobacco studies in chronically ill pediatric populations are provided. Finally, tobacco counseling strategies are suggested for clinicians who treat these youngsters in their practices.

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Section: Implications For Clinician-delivered Smoking Interventionsmentioning

confidence: 99%

Smoking Rates and the State of Smoking Interventions for Children and Adolescents With Chronic Illness

Tyc

Throckmorton-Belzer

2006

Pediatrics

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“…Literature is available to help the adolescent health care provider determine appropriate sexual and STD care, including techniques to help with risk assessment. 28,29,36,37 Internal medicine providers and physician assistants were less likely to report taking a sexual history. This may indicate an underemphasis on STD prevention training for these groups.…”

Section: Assessing Risk and Taking Sexual Historiesmentioning

confidence: 99%

Testing for Chlamydia and Sexual History Taking in Adolescent Females: Results From a Statewide Survey of Colorado Primary Care Providers

et al. 2000

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ABSTRACT. Objectives. Little is known about the practice patterns of primary care providers as they relate to assessing risk of and screening for chlamydial infections, an important cause of preventable reproductive morbidity in young women in the United States. The present cross-sectional study was undertaken to assess levels of chlamydia testing, sexual history taking, and prevention practices by Colorado primary care physicians, nurse practitioners, and physician assistants who provide gynecologic care to adolescent females (13-19 years old).Methods. Between July 1998 and October 1998, an anonymous, self-administered questionnaire was mailed to a 25% random sample (n ‫؍‬ 1265) of Colorado physicians (family practitioners, internal medicine specialists, obstetrician-gynecologists, and pediatricians), nurse practitioners, and physician assistants. Practitioners were identified through professional organization membership, state-licensing bodies, and listings in the yellow pages.Results. After estimating the eligibility rate among nonrespondents, the adjusted response rate was 71.5%. Only 53.8% of providers reported regularly testing sexually active female adolescents for chlamydia; 71.8% of providers regularly took a sexual history. Female providers reported significantly higher levels of regularly taking a sexual history (87.2% vs 60.6% of males), feeling comfortable discussing sex (94.4% vs 77.8%), discussing sexually transmitted disease (STD) prevention (81.5% vs 71.3%), and testing for chlamydia (64.4% vs 38.6%). Among provider types, obstetrician-gynecologists, nurse practitioners, and pediatricians were most likely to report regularly taking a sexual history (90.1%, 88.6%, and 76.0%, respectively). Internal medicine specialists were the least likely to report taking a sexual history (43.9%). Pediatricians and nurse practitioners were the most likely to report testing sexually active adolescent females for chlamydia (74.1% and 70.1%, respectively), whereas physician assistants and internal medicine specialists were the least likely (46.0% and 38.5%, respectively).In multivariate analysis, variables independently associated with regularly taking a sexual history included female provider gender (odds ratio [OR]: 5.5; 95% confidence interval [CI]: 2.9 -10.9), obstetrics/gynecology specialty (OR: 4.0; 95% CI: 1.7-10.3; referent group: family practitioners), and provider comfort level in discussing sex (OR: 4.9; 95% CI: 2.3-11

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“…C onsistently screening for risk-taking behaviors among youths during clinical encounters has been incorporated into the American Academy of Pediatrics, Society of Adolescent Medicine, and the American Medical Association guidelines for optimal adolescent health care provision. [1][2][3][4] To practice these guidelines, providers should strive to integrate questions about potential risk-taking behaviors into each encounter. This can be accomplished briefly with either questionnaires or interview techniques such as the Home Education Activities Drugs Sex Suicide mnemonic.…”

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confidence: 99%

Changing Parental Opinions About Teen Privacy Through Education

Hutchinson

Stafford

2005

Pediatrics

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This study identifies that almost one third of the parents who presented to these adolescent medicine clinics had negative opinions about some privacy practices. The 2 main issues were teens' seeing a provider alone and providers' keeping information confidential. Education was effective in teaching parents about privacy issues and produced a significant improvement in parental opinion about confidentiality. Simultaneously, an overwhelming majority of parents support the idea that teens should speak with a provider alone if the teen so desires, suggesting that parents acknowledge a need for independence. Providing confidential services is an essential part of adolescent health care that works best with the alliance of parents. This study supports the continued need to assess parental attitudes about privacy issues and to provide parents with education.

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Interviewing techniques with adolescents in primary care

Cited by 22 publications

References 11 publications

Smoking Rates and the State of Smoking Interventions for Children and Adolescents With Chronic Illness

Smoking Rates and the State of Smoking Interventions for Children and Adolescents With Chronic Illness

Testing for Chlamydia and Sexual History Taking in Adolescent Females: Results From a Statewide Survey of Colorado Primary Care Providers

Changing Parental Opinions About Teen Privacy Through Education

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