An approach to interviewing adolescents

Sacks, Diane; Westwood, Michael

doi:10.1093/pch/8.9.554

Cited by 36 publications

(28 citation statements)

References 4 publications

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“…The findings also corroborates previous work suggesting that particular skills are required to work with your people, including emphasise on confidentiality, enabling young people to feel their concerns are heard and seeing young people without a parent. (30) Furthermore, while ecological analysis has often considered the role of family and school as protective domains, more recently a sense of belonging to local neighbourhood or community has been demonstrated to constitute a significant protective health asset. (31) How primary health care services might function as a component of a positive community effect has been less thoroughly explored and warrants further examination.…”

Section: Discussionmentioning

confidence: 99%

Experience of Primary Care Services Among Early Adolescents in England and Association With Health Outcomes

Yassaee¹,

Hargreaves²,

Chester

et al. 2017

Journal of Adolescent Health

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(250 words):Purpose: To investigate adolescents' (11-15 years) experience of their general practitioner (GP), whether poor reported GP experience was associated with worse physical and mental health measures and whether poor previous GP experience was linked to lower utilisation of these services. Methods:We used logistic regression to analyse data from the 2014 Health Behaviour in Schoolaged Children study. Four aspects of recent care experience were studied: feeling at ease, feeling treated with respect, satisfaction with doctor's explanation, and feeling able to discuss personal matters. Five dichotomised measures of health status were used: ever self-harmed; fair or poor selfreported health; frequent (at least weekly) low mood, sleeping problems or headaches.Results: 4149/5335 students reported having visiting their GP within the past year. Of these 91.8% felt treated with respect, 78.7% felt at ease, 85.7% were satisfied with explanation and 53.9% felt able to discuss personal matters. After adjusting for ethnicity, age, gender and family affluence score, poor experience on any indicator was strongly associated with increased risk of self-harm (Adjusted Odds Ratio (AOR) range 2.01-2·70 all p<0·001); feeling low (1·53-2·11, all p<0·001) and sleeping problems (AOR range 1.49-1.91, all p<=0.001). Poor experience on all indicators, except discussing personal matters, was associated with worse self-reported health. Conclusions:Nearly half of this large, national study of adolescents did not feel able to discuss personal matters with their doctor. There was a consistent, strong association between reported lack of good GP experience and poor health measures. Implications and Contribution (50 words):These findings show a strong association between poor healthcare experience and poor health.Adolescents with the greatest need report poorer experience of care, which may further exacerbate their health problems. Further research is needed to investigate the extent to which higher quality services can address these disparities and improve outcomes. Main manuscript:Adolescence is a key stage of the life course when lifelong health behaviours and attitudes to health care can be established.(1) Meeting the distinct healthcare needs of this age group is an important public health investment. (2) Unmet healthcare need in adolescence is linked to a range of increased health risks, and longitudinal data show that it is an independent predictor of poor mental and physical health outcomes as well as on-going unmet healthcare need in adulthood. (3) Compared to many other countries, English adolescents have potentially good access to general practice services (English GPs are similar to family physicians, having responsibility for primary care needs of their patients), as the English National Health Service (NHS) offers comprehensive health services, free at the point of use. However, concerns have been raised about the quality of NHS care provided for adolescents and in particular about the responsiveness of services t...

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Section: Discussionmentioning

confidence: 99%

Experience of Primary Care Services Among Early Adolescents in England and Association With Health Outcomes

Yassaee¹,

Hargreaves²,

Chester

et al. 2017

Journal of Adolescent Health

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“…32,33 Specifically, verbal and written consent information presented with excessive technical jargon and at a level that is not cognitively appropriate for adolescents may deter participation in clinical trials. 38 This finding may be especially true for adolescents and their guardians with low health literacy. Language barriers, including recruitment information and consent forms not available in the native language of the adolescent, are also problematic and serve as barriers to effective communication during the consenting process.…”

Section: Issues Concerning Clinical Trial Consenting Processmentioning

confidence: 99%

Psychosocial Barriers and Facilitators to Clinical Trial Enrollment and Adherence for Adolescents With Cancer

et al. 2014

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have not experienced the same survival gains as children and older adults diagnosed with cancer. Poor clinical trial enrollment and adherence rates among adolescents may account for some of this disparity. Although biological, regulatory, systemic, and practice-related challenges to clinical trial enrollment and adherence have been examined, studies of psychosocial factors, which can serve as barriers or facilitators to enrollment and adherence, are limited. To bring attention to these psychological factors, we reviewed existing literature on psychosocial barriers and facilitators that can affect an adolescent' s decision to enroll and adhere to a clinical trial. We also provide potential strategies to address psychosocial factors affecting clinical trial accrual and adherence. Pediatrics

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“…The perceived negative impact of parents on AYA management in adult EDs has not been reported in literature. This situation may arise from the admixture of differing perspectives where paediatricians expect parents to be present, adult clinicians expect patient autonomy and adolescent healthcare professionals recommend at least part of the medical history is taken without parents present, 5 and neatly summarises one of the challenges neuro-behavioural development brings in the second decade. Specific training to improve communication skills with AYAs and their parents might prove useful to staff.…”

Section: Transition Care and The Emergency Departmentmentioning

confidence: 99%