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- Title
Electronic Screening for Adolescent Risk Behaviors in the Emergency Department: A Randomized Controlled Trial.
- Authors
Thomas-Smith, Siobhan; Klein, Eileen J.; Strelitz, Bonnie; Jensen, Jennifer; Parker, Elizabeth; Richardson, Laura; McCarty, Carolyn A.; Shafii, Taraneh
- Abstract
Introduction: In this study we aimed to assess the impact of an electronic health assessment with individualized feedback for risk behaviors in adolescents seeking care in a pediatric emergency department (ED). Methods: We conducted a randomized control trial using a tablet-based screening program with a study population of adolescents in a busy pediatric ED. The intervention group received the screening program with individualized feedback. The control group received the screening program without feedback. All participants received one-day and three-month follow-up surveys to assess behaviors and attitudes toward health behaviors. Results: A total of 296 subjects were enrolled and randomized. There was no difference in changes in risky behaviors between the control and experimental groups. A higher proportion of participants in the intervention groups reported that the screener changed the way they thought about their health at one-day follow-up (27.0%, 36/133) compared to the control group (15.5%, 20/129, P = .02). Conclusion: This study successfully tested a multivariable electronic health screener in a real-world setting of a busy pediatric ED. The tool did not significantly change risky health behaviors in the adolescent population screened. However, our finding that the intervention changed adolescents' perceptions of their health opens a door to the continued development of electronic interventions to screen for and target risk behaviors in adolescents in the ED setting.
- Subjects
MEDICAL screening evaluation; RISK-taking behavior; HOSPITAL emergency services; SAMPLE size (Statistics); SUBSTANCE abuse; HUMAN sexuality; MEDICAL screening; HEALTH outcome assessment; RANDOMIZED controlled trials; COMPARATIVE studies; TEENAGERS' conduct of life; MENTAL depression; SEX customs; DESCRIPTIVE statistics; STATISTICAL sampling; STATISTICAL correlation; DATA analysis software; ADOLESCENCE
- Publication
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 2022, Vol 23, Issue 6, p931
- ISSN
1936-900X
- Publication type
Article
- DOI
10.5811/westjem.2022.7.55755