Using computer-assisted survey instruments instead of paper and pencil increased completeness of self-administered sexual behavior questionnaires

Spark, Simone; Lewis, Dyani; Vaisey, Alaina; Smyth, Eris; Wood, Anna; Temple-Smith, Meredith; Lorch, Rebecca; Guy, Rebecca; Hocking, Jane S

doi:10.1016/j.jclinepi.2014.09.011

Cited by 11 publications

(8 citation statements)

References 13 publications

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“…Regular screening of young people for a range of health and lifestyle issues is recommended by peak professional bodies [ 20 , 21 ] and, along with subsequent intervention, may improve health outcomes [ 22 ]. It is known that screening via technology increases disclosure when compared with paper [ 23 , 24 ] and face-to-face [ 25 , 26 ] formats. Furthermore, young people prefer initially disclosing health information via technology rather than face-to-face, even when they know the results will be reviewed by their practitioner [ 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

Improving Patient-Centered Care for Young People in General Practice With a Codesigned Screening App: Mixed Methods Study

Webb

Wadley

Sanci

2017

JMIR Mhealth Uhealth

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BackgroundDespite experiencing a high prevalence and co-occurrence of mental health disorders and health-compromising behaviors, young people tend not to seek professional help for these concerns. However, they do regularly attend primary care, making primary care providers ideally situated to identify and discuss mental health and lifestyle issues as part of young people’s routine health care.ObjectiveThe aim was to investigate whether using a codesigned health and lifestyle-screening app, Check Up GP, in general practice influenced young people’s assessment of the quality of their care (measures of patient-centered care and youth friendliness), and their disclosure of sensitive issues. In addition, this study aimed to explore young people’s acceptance and experience of using a screening app during regular health care.MethodsThis was a mixed methods implementation study of Check Up GP with young people aged 14 to 25 years attending a general practice clinic in urban Melbourne, Australia. A 1-month treatment-as-usual group was compared to a 2-month intervention group in which young people and their general practitioners (GPs) used Check Up GP. Young people in both groups completed an exit survey immediately after their consultation about disclosure, patient-centered and youth-friendly care, and judgment. In addition, participants in the intervention group were surveyed about app acceptability and usability and their willingness to use it again. Semistructured interviews with participants in the intervention group expanded on themes covered in the survey.ResultsThe exit survey was completed by 30 young people in the treatment-as-usual group and 85 young people in the intervention group. Young people using Check Up GP reported greater disclosure of health issues (P<.001), and rated their GP higher in patient-centered care: communication and partnership (P=.01), personal relationship (P=.01), health promotion (P=.03), and interest in effect on life (P<.001). No differences were found on core indicators of youth-friendly care: trust, level of comfort, expectations met, and time to ask questions. In all, 86% (73/85) of young people felt the app was a “good idea” and only 1% (1/85) thought it a “bad idea.” Thematic analysis of qualitative interviews with 14 participants found that Check Up GP created scope to address unmet health needs and increased sense of preparedness, with use moderated by honesty, motivation, app content and functionality, and app administration.ConclusionsIntegrating a health and lifestyle-screening app into face-to-face care can enrich young people’s experience of seeing their GP, create scope to identify and address unmet health needs, and increase patient-centered care. Further research is needed to investigate the effect of using a health and lifestyle-screening app in a diverse range of clinic types and settings, and with a diverse range of GPs and youth.

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Section: Introductionmentioning

confidence: 99%

Improving Patient-Centered Care for Young People in General Practice With a Codesigned Screening App: Mixed Methods Study

Webb

Wadley

Sanci

2017

JMIR Mhealth Uhealth

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“…Nonetheless, adolescents have been shown to prefer the electronic format, 26,27 particularly for sensitive topics such as sexual health. 28,29 Although at 53% uptake of services was not universal in this sample, it would not be reasonable to expect 100% because patient experiences and readiness differ. Still, the sexual health module led to a larger uptake of services than the percentage who reported a desire for more sexual health resources (37% of adolescent girls) in Guss et al's 14 study and certainly more than expected without any vehicle to promote sexual health questions.…”

Section: Discussionmentioning

confidence: 80%

An Electronic Sexual Health Module for Hospitalized Adolescent Girls

Riese

Houck²,

Abdullahi

et al. 2019

Hospital Pediatrics

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To evaluate the acceptability and feasibility of an electronic sexual health module for inpatient adolescent girls and assess the preliminary effect on uptake of sexual health services. METHODS: We recruited girls 14 to 18 years old admitted to the hospitalist service of 1 academic children's hospital from January 2016 to October 2016. Participants completed an electronic sexual health module that included a sexual health assessment, tailored feedback (randomized for half of the participants only), and a questionnaire to request sexual health services. Participation and completion rates, along with effects of tailored feedback, risk perception, age group, and sexual activity on uptake of services, were examined. RESULTS: Seventy-seven percent of eligible participants who were approached enrolled in the study (n 5 66 of 86). The completion rate was 100%. Fifty-three percent (n 5 35) requested some form of sexual health service; of these, 83% (n 5 29) requested to watch a contraception video. There was no statistically significant difference in the frequency of requests for those who received tailored feedback and for those who did not (57% vs 48%; P 5 .48). Younger teens and those without sexual experience made requests similar to older and sexually experienced girls except regarding sexually transmitted infection testing, which was significantly higher in the latter populations. CONCLUSIONS: This pilot study demonstrated reasonable feasibility and acceptability of a standardized sexual health module for adolescent girls admitted to the general pediatric wards. Videos focused on adolescent health were of particular interest to this population. Further study should examine the impact of such a module on long-term sexual health behaviors.

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“…A second possibility was to register it as ‘personal notes’. The third option reported by some interviewees, was to give the code ‘at risk of STI’ (International Classification of Primary Care code: ‘Fear of HIV’) (Wonca International Classification Committee, 2012). According to the participants, none of these possibilities sufficiently captured the (sensitive) sexual health information.…”

Section: Resultsmentioning

confidence: 99%

“…Currently, there are no accurate and detailed classification systems to store sensitive contextual information in a coded form in the GPs’ EMR. The International Classification of Primary Care, second edition only provides the following codes; P09: sexual preference concern, P29: psychological symptoms/complaints, Y08: sexual function symptoms/complaints and Y24: fear of sexual dysfunction (Wonca International Classification Committee, 2012). These codes offer non-specific information and, according to our participants, do not cover the yielded information after a discussion about specific sexual risks with a patient.…”

Section: Discussionmentioning

confidence: 99%

Collecting and registering sexual health information in the context of HIV risk in the electronic medical record of general practitioners: a qualitative exploration of the preference of general practitioners in urban communities in Flanders (Belgium)

Vos

Pype

Deblonde

et al. 2015

Prim Health Care Res Dev

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Background and aim: Current health-care delivery requires increasingly proactive and inter-professional work. Therefore, collecting patient information and knowledge management is of paramount importance. General practitioners (GPs) are well placed to lead these evolving models of care delivery. However, it is unclear how they are handling these changes. To gain an insight into this matter, the HIV epidemic was chosen as a test case. Methods: Data were collected and analysed from 13 semi-structured interviews with GPs, working in urban communities in Flanders. Findings: GPs use various types of patient information to estimate patients' risk of HIV. The way in which sexual health information is collected and registered, depends on the type of information under discussion. General patient information and medical history data are often automatically collected and registered. Proactively collecting sexual health information is uncommon. Moreover, the registration of the latter is not obvious, mostly owing to insufficient space in the electronic medical record (EMR). Conclusions: GPs seem willing to systematically collect and register sexual health information, in particular about HIV-risk factors. They expressed a need for guidance together with practical adjustments of the EMR to adequately capture and share this information.

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Using computer-assisted survey instruments instead of paper and pencil increased completeness of self-administered sexual behavior questionnaires

Cited by 11 publications

References 13 publications

Improving Patient-Centered Care for Young People in General Practice With a Codesigned Screening App: Mixed Methods Study

Improving Patient-Centered Care for Young People in General Practice With a Codesigned Screening App: Mixed Methods Study

An Electronic Sexual Health Module for Hospitalized Adolescent Girls

Collecting and registering sexual health information in the context of HIV risk in the electronic medical record of general practitioners: a qualitative exploration of the preference of general practitioners in urban communities in Flanders (Belgium)

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