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Related Experiment Videos

Guidelines for Adolescent Preventive Services: the GAPS in practice.

Anne Gadomski1, Shannon Bennett, Margaret Young

  • 1Bassett Research Institute, Bassett Healthcare, Cooperstown, NY 13326, USA. gadomski@usa.net

Archives of Pediatrics & Adolescent Medicine
|May 14, 2003
PubMed
Summary
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The Guidelines for Adolescent Preventive Services (GAPS) model significantly improved adolescent risk behavior detection and discussion in a rural pediatric clinic. This preventive care approach enhanced clinician awareness and documentation of adolescent health concerns.

Area of Science:

  • Adolescent Medicine
  • Preventive Healthcare
  • Clinical Practice Improvement

Background:

  • Adolescent preventive services are crucial for identifying and addressing health risks.
  • The Guidelines for Adolescent Preventive Services (GAPS) model provides a framework for comprehensive adolescent care.
  • Effective implementation of preventive services requires clinician training and standardized tools.

Purpose of the Study:

  • To evaluate the impact of the Guidelines for Adolescent Preventive Services (GAPS) model on the detection and discussion of risk behaviors in adolescents.
  • To compare pre- and post-intervention outcomes in a rural hospital-based pediatric clinic.
  • To assess changes in the documentation of risk behaviors and health concerns following GAPS implementation.

Main Methods:

Related Experiment Videos

  • A pre- and post-intervention study design using chart audits.
  • Involved a random sample of 441 adolescent medical records from a rural pediatric clinic.
  • Training on the GAPS model and questionnaire use was provided to clinicians.

    • Main Results:

    • Risk behavior detection increased from 19% at baseline to 87-95% post-GAPS implementation.
    • The most prevalent risk factor identified was the presence of firearms in the home.
    • Discussion of psychosocial topics increased, though with significant clinician variation; referral rates remained unchanged.

    Conclusions:

    • The GAPS model effectively enhances clinicians' ability to detect and discuss adolescent risk behaviors.
    • Implementation of standardized preventive service guidelines can improve the quality of adolescent care.
    • Further research is needed to optimize GAPS components and address clinician variability.