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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Related Experiment Video

Updated: Mar 18, 2026

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Improving Adolescent Health Risk Assessment: A Multi-method Pilot Study.

Lindsay A Thompson1,2, Martin Wegman3, Keith Muller3

  • 1Department of Pediatrics, College of Medicine, University of Florida, 1699 SW 16th Ave, Gainesville, FL, 32608, USA. lathompson@peds.ufl.edu.

Maternal and Child Health Journal
|July 14, 2016
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Summary
This summary is machine-generated.

A health information technology (HIT)-enhanced health risk assessment (HRA) improved adolescent recall of confidential care and counseling. This intervention proved feasible across diverse primary care settings, enhancing perceived quality of care.

Keywords:
Adolescent health servicesCounseling/standardsHealth behaviorHealth care surveysHealth information technologyPatient-reported outcomesPractice-based research networkPreventive health servicesQuality improvement

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Area of Science:

  • Adolescent Health
  • Health Information Technology (HIT)
  • Primary Care

Background:

  • Low provider compliance with adolescent health risk assessments (HRAs) in primary care necessitates improved strategies.
  • Adolescent HRAs are crucial for identifying health risks and ensuring quality care during well-child visits.

Purpose of the Study:

  • To develop and assess the feasibility of a health information technology (HIT)-enhanced HRA to improve HRA frequency.
  • To evaluate the impact of the HIT-enhanced HRA on adolescents' recall of quality of care, focusing on privacy and counseling.

Main Methods:

  • Phase I: Focus groups and surveys with adolescents, clinic staff, and providers to design the HIT-enhanced HRA.
  • Phase II: Implementation of a tablet-based HRA intervention in a practice-based research network across 22 diverse clinical settings.
  • Phase III: Collection and analysis of patient-reported outcomes using post-visit quality surveys, comparing intervention and comparison groups.

Main Results:

  • The HIT-enhanced HRA was developed with critical stakeholder input, proving acceptable to users.
  • Recruitment of 609 diverse adolescents (14-18 years) across 22 practices demonstrated intervention feasibility.
  • Adolescents receiving the intervention reported significantly higher receipt of confidential care (0.42 vs 0.08, p < .01) and emotional/relationship counseling (0.85 vs 0.57, p < .001).

Conclusions:

  • Stakeholder engagement was vital for the acceptability and successful implementation of the HIT-enhanced HRA.
  • The intervention is feasible in various clinical settings and shows potential to improve adolescents' perception of high-quality care.
  • HIT-enhanced HRAs represent a promising approach to enhance adolescent well-being and care quality in primary care.