Parental report of receipt of adolescent preventive health counseling services from pediatric providers

Abstract

Objectives Little is known about prevention-focused counseling health providers deliver to parents of adolescents. This study compared parental report of discussions with their adolescents’ providers about a range of adolescent prevention topics. Methods Between June and November 2009, a questionnaire was provided to parents accompanying adolescents aged 11-18 on outpatient clinic visits. Parents indicated, anonymouslym which of 22 prevention topics they remembered discussing with their adolescent's provider. Hierarchical logistic regression models were used to identify correlates of parental recall. Results Among the 358 participants, 83% reported discussing at least one prevention topic. More parents reported discussing general prevention topics than mental health or high-risk topics (e.g. sex). Adolescent gender, visit type, having a usual source of care, and parental beliefs about their adolescents’ risk behaviors correlated with parental report of discussions about high-risk and mental health topics. Conclusion Most parents recalled discussing one or more topics with their adolescent's health provider. However, parental report of discussions about topics linked to significant adolescent morbidity was low. Practice implications Strategies to improve the frequency, timeliness and appropriateness of counseling services delivered to parents about adolescent preventive health are needed. Strategies that utilize decision support tools or patient education tools may be warranted.

Counseling About Skin Cancer Prevention Among Adolescents: What Do Parents Receive From Health Care Providers?

“…[4, 5] SCP counseling was somewhat more prevalent among parents whose children had sun-reactive skin or who had a family history of skin cancer. Nevertheless, more than 2 out of 5 of these parents did not recall discussing any of the assessed topics with their child’s provider, indicating missed opportunities for counseling those at higher risk.…”

“…[4, 5] However, few studies have examined SCP counseling, with existing research focusing primarily on studies with healthcare providers. [6, 7] Despite being key decision-makers about their children’s health, the experiences of parents are largely absent.…”

The Essential Elements of Adolescent-Friendly Care in School-Based Health Centers: A Mixed Methods Study of the Perspectives of Nurse Practitioners and Adolescents

“…Hispanic teens although most likely to receive counseling in all six areas (13.9; White 9.8%, Black, 10.3%) were also least likely to spend time alone with their doctor (23.6%; White 42.8%, Black 38.9%). Those from low income families (<200 federal poverty level) were less likely compared to those from higher income (27.6% versus 47%) families to have spent time alone with their clinician at their most recent visit (Irwin et al, 2009 (Akers et al, 2014). The results revealed that overall parents reported discussion of all health prevention topics was low.…”

“…The results revealed that overall parents reported discussion of all health prevention topics was low. Topics considered more sensitive, for example sexual orientation (16%), pregnancy (20%), condom use/safe sex (20%) were discussed least often in comparison to more general topics including nutrition (50%), exercise/sports (47%) and seat belt/helmet safety (40%) that were reported most often by parents (Akers et al, 2014).…”

Preventive Counseling: A Religious Development Program at Boarding School in Yogyakarta

“…Religious guiding activities related to fostering piety towards God Almighty and fostering noble character in Islamicbased educational institutions was a model of preventive counseling (Akers et al, 2014). It was programmatic so that students can develop their potential of religious fitrah optimally, by internalizing Islam values that contains in the holy book of the Al-Qur'an and the sunnah of the Prophet Muhammad.…”