The Unmet Need for Discussions Between Health Care Providers and Adolescents and Young Adults

Santelli, John; Grilo, Stephanie A.; Klein, Jonathan D.; Liu, Yutao; Yan, Hanying; Li, Boxuan; Kaseeska, Kristen; Gorzkowski, Julie; Urquhart, Glenna J.; Catallozzi, Marina

doi:10.1016/j.jadohealth.2020.01.019

Cited by 17 publications

(8 citation statements)

References 16 publications

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“…In a primary care setting, discussion of sensitive topics resulted in increased YA involvement in treatment decision-making (38) regardless of treatment condition. Although increasing discussion of sensitive topics was not an intervention target, the content of conversations (e.g., sensitive topics), rather than the process of conversations (e.g., listening and reflecting), positively affected YA engagement in health care visits, aligning with other data showing that YAs prefer to discuss sensitive topics with their HCPs (72).…”

Section: Interventions Focused On Modifying Hcp Behaviorsupporting

confidence: 72%

Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers

et al. 2021

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Young adults with diabetes assume increasing responsibility for communicating with their health care providers, and engaging in high-quality health communication is an integral component of overall diabetes self-management. This article provides an overview of the main features of health communication, factors that may influence communication quality, interventions to promote communication skills, and practical strategies for clinicians working with young adults with diabetes. The review concludes with a comprehensive summary of future directions for health communication research.

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Section: Interventions Focused On Modifying Hcp Behaviorsupporting

confidence: 72%

Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers

et al. 2021

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“…Utilizing screening tools helps destigmatize mental health, engages youth in topics about their mental health, signals provider interest in these areas, and acts as a helpful prompt when discussing these topics. 40…”

Section: Screeningmentioning

confidence: 99%

Screening, Monitoring, and Referral to Treatment for Young Adolescents at an Urban School‐Based Health Center

Burke

Hoffman

Guy

et al. 2021

Journal of School Health

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BACKGROUND:This study describes the experience of implementing a screening, monitoring, and referral to treatment (SMARTT) initiative at an urban middle school school-based health center. METHODS:Retrospective data were collected for adolescents screened with the Pediatric Symptom Checklist-17-Y. At-risk adolescents having unmet health needs were offered a mental health referral, and those that declined a mental health referral were offered a primary care monitoring (PCM) visit with the medical provider. Chi-square analyses were used to evaluate differences in screening and outcomes by age, sex, and race/ethnicity. RESULTS:One out of four adolescents had a positive PSC-17-Y or negative screen with other identified concerns. Approximately half of these at-risk adolescents accepted a mental health referral, and 86% of those who declined agreed to the PCM visit. More than two-thirds of the PCM group did not need continued monitoring and support at follow-up, and 85.4% of youth who had a mental health assessment accepted mental health services. CONCLUSIONS:The SMARTT initiative successfully demonstrated that co-located and integrated mental health services can enhance access and connection to mental health services for at-risk youth. In addition, PCM visits were found to be an effective option for youth who declined mental health referrals.

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“…Similar gaps have been found with other potentially sensitive adolescent health topics. 27 Thus, although parents and adolescents think that provideradolescent conversations about SRH are important, providers frequently miss opportunities to engage around these topics.…”

Section: Discussionmentioning

confidence: 99%

Sexual and Reproductive Health Discussions During Preventive Visits

Sieving¹,

McRee²,

Mehus

et al. 2021

Pediatrics

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OBJECTIVES: To quantify adolescent-and parent-perceived importance of provider-adolescent discussions about sexual and reproductive health (SRH), describe prevalence of provider confidentiality practices and provider-adolescent discussions about SRH topics during preventive visits, and identify missed opportunities for such conversations. METHODS:We used data from a national Internet survey of 11-to 17-year-old adolescents and their parents. Data were weighted to represent the noninstitutionalized US adolescent population. Adolescents who had a preventive visit in the past 2 years and their parents reported on perceived importance of provider-adolescent discussions about SRH topics: puberty, safe dating, gender identity, sexual orientation, sexual decision-making, sexually transmitted infections and HIV, methods of birth control, and where to get SRH services. Adolescents and parents reported whether they had ever discussed confidentiality with the adolescent's provider. Adolescents reported experiences at their most recent preventive visit, including whether a provider spoke about specific SRH topics and whether they had time alone with a provider.RESULTS: A majority of adolescents and parents deemed provider-adolescent discussions about puberty, sexually transmitted infections and HIV, and birth control as important. However, fewer than one-third of adolescents reported discussions about SRH topics other than puberty at their most recent preventive visit. These discussions were particularly uncommon among younger adolescents. Within age groups, discussions about several topics varied by sex.CONCLUSIONS: Although most parents and adolescents value provider-adolescent discussions of selected SRH topics, these discussions do not occur routinely during preventive visits. Preventive visits represent a missed opportunity for adolescents to receive screening, education, and guidance related to SRH.

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The Unmet Need for Discussions Between Health Care Providers and Adolescents and Young Adults

Cited by 17 publications

References 16 publications

Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers

Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers

Screening, Monitoring, and Referral to Treatment for Young Adolescents at an Urban School‐Based Health Center

Sexual and Reproductive Health Discussions During Preventive Visits

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