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Related Experiment Videos

Can it be done? Implementing adolescent clinical preventive services.

E M Ozer1, S H Adams, J L Lustig

  • 1Department of Pediatrics, Division of Adolescent Medicine, School of Medicine, University of California, San Francisco, CA 94143-0503, USA.

Health Services Research
|September 9, 2005
PubMed
Summary
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Implementing training, tools, and health educators significantly increased adolescent preventive screening and counseling for risky behaviors in primary care. This intervention improved health outcomes for adolescents during routine visits.

Area of Science:

  • Adolescent Health
  • Preventive Medicine
  • Healthcare Management

Background:

  • Adolescent preventive services are crucial for addressing health risks like substance use and safety behaviors.
  • Managed care organizations play a key role in delivering these essential services.

Purpose of the Study:

  • To assess the effectiveness of an intervention designed to enhance the delivery of adolescent preventive services.
  • The intervention targeted key health areas including tobacco and alcohol use, sexual behavior, and safety practices.

Main Methods:

  • A pre-post study design was employed within a managed care setting.
  • The intervention involved clinician training, integrated screening and charting tools, and a dedicated health educator.
  • Adolescent self-report surveys were used for data collection pre- and post-intervention.

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Main Results:

  • Screening rates for adolescent preventive services increased from 47% to 94% post-intervention.
  • Counseling rates also saw a significant rise, from 39% to 91%.
  • Slight decreases in screening were observed during the 18-month follow-up period.

Conclusions:

  • The study demonstrates the efficacy of a multi-component intervention (training, tools, resources) in boosting adolescent preventive care.
  • This approach effectively increased screening and counseling for multiple risky health behaviors during routine visits.