The impact of SCHIP enrollment on adolescent-provider communication

Mulvihill, Beverly A.; Jackson, Anita J.; Mulvihill, Francis X.; Romaire, Melissa; Gyaben, Susan L.; Telfair, Joseph; Caldwell, Cathy

doi:10.1016/j.jadohealth.2005.01.011

Cited by 9 publications

(7 citation statements)

References 22 publications

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“…Young women who were interviewed during the study indicated that once they understood the "control of visit" construct, they felt that this was very important to them. A recent study by Mulvihill et al has shown that obtaining adequate health insurance greatly improved adolescent patient-provider communication [23]. These participants consistently reaffirmed that patient-provider communication and quality interactions were more important to them than systems or clinic-related issues.…”

Section: Discussionmentioning

confidence: 88%

Development of a new Adolescent Patient-Provider Interaction Scale (APPIS) for youth at risk for STDs/HIV

Woods

Klein

Wingood

et al. 2006

Journal of Adolescent Health

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Section: Discussionmentioning

confidence: 88%

Development of a new Adolescent Patient-Provider Interaction Scale (APPIS) for youth at risk for STDs/HIV

Woods

Klein

Wingood

et al. 2006

Journal of Adolescent Health

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“…As has been recommended for adolescents with cystic fibrosis (Frayman & Sawyer, 2014), parents of young people with SB need support in educating and empowering their children early and often on issues of condition-specific sexual health, so that they are appropriately prepared to discuss these issues as the child matures. Educating parents can allow them to serve a positive role in their adolescent’s developing sexual attitudes and behaviors (Klein et al 2005), as well as reduce parental apprehensions regarding their child’s future (Akre & Suris, 2014). …”

Section: Discussionmentioning

confidence: 99%

What young people with spina bifida want to know about sex and are not being told

Akré

Light

Sherman

et al. 2015

Child

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Objective To examine sexual knowledge, concerns, and needs of youth with spina bifida (SB) to inform the medical community on ways to better support their sexual health. Methods As part of the Video Intervention/Prevention Assessment (VIA) – Transitions, a prospective cohort study, 309 hours of video data were collected from 14 participants (13–28 years) with SB. Participants were loaned a video camcorder for 8–12 weeks to shoot visual narratives about any aspects of their lives. VIA visual narratives were analyzed with Grounded Theory using NVivo. Results Out of 14 participants, 11 (6 females) addressed issues surrounding romantic relationships and sexuality in their video clips. Analysis revealed shared concerns, questions, and challenges regarding sexuality gathered under 4 main themes: romantic relationships, sexuality, fertility and parenthood, and need for more talk on sexuality. Conclusions Youth with SB reported difficulties in finding answers to questions regarding their sexuality, romantic relationships, and fertility. This study revealed a need for help from the medical community to inform and empower youth with SB in the area of sexual health. Through sexual and reproductive health education with patients and parents starting at an early age, medical providers can further encourage healthy emotional and physical development in adolescents transitioning into adulthood.

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“…Utilizing supportive aids such as a comprehensive risk assessment tool acted as a bridge to initiate some sensitive health matters with youth in an explicit way (Martyn et al, 2013). In addition, improving external factors such as insurance coverage facilitated discussing health issues (Mulvihill et al, 2005).…”

Section: Challenges Of Addressing Sensitive and Intimate Aspects Of Ymentioning

confidence: 99%

How can health professionals enhance interpersonal communication with adolescents and young adults to improve health care outcomes?: systematic literature review

Kim

White

2017

International Journal of Adolescence and Youth

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Health care professionals' interpersonal communication skills with adolescents and young adults play a vital role in early identification of issues, provision of emotional support, effective illness management and health education. The aim of this systematic review of research was to examine the literature on different aspects of interpersonal communication with young clients in health care settings, in order to understand barriers and facilitating factors in their communication for better health care outcomes. Twentythree articles published between January 2004 and September 2014 were collected via CINAHL, Medline, PsycINFO and Sociological Abstracts. The findings revealed three major themes: (1) challenges of addressing sensitive and intimate aspects of young clients' lives; (2) trust and sense of emotional safety was a prerequisite for open and engaging communication; and (3) importance of having a sense of inclusion and autonomy. Recommendations arising from the review were: (1) overcome the barriers in discussing healthrelated concerns that are sensitive in nature by developing routine screening and clear intervention pathways; (2) routinely inform young clients about legal and professional obligations in treating their information; (3) develop resources and training opportunities for health professionals to build ethical reasoning skills, skills to assess young clients' cognitive competencies, and skills to assess situational contexts to better negotiate the dynamics between parents and a young client; and (4) increase awareness of the importance of humanistic engagements to promote open and engaging communication. HIGHLIGHTS • Young clients and health care providers experienced communication barriers when involving young clients' sensitive and personal aspects of life. Strategies and tools could moderate these barriers for better psychosocial care and preventative health. • Trust and emotional safety was a critical element in communicating with young clients during health care visits, and this promoted open and engaging communication. • It was important for young clients to feel included and autonomous during health communication. Health care providers required specific skills to balance these needs with the influence of parents.

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The impact of SCHIP enrollment on adolescent-provider communication

Cited by 9 publications

References 22 publications

Development of a new Adolescent Patient-Provider Interaction Scale (APPIS) for youth at risk for STDs/HIV

Development of a new Adolescent Patient-Provider Interaction Scale (APPIS) for youth at risk for STDs/HIV

What young people with spina bifida want to know about sex and are not being told

How can health professionals enhance interpersonal communication with adolescents and young adults to improve health care outcomes?: systematic literature review

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