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Adolescent Risk Screening Instruments for Primary Care: An Integrative Review Utilizing the Donabedian Framework
Deanna B Hiott1, Shannon Phillips2, Elaine Amella2
1a School of Nursing, Anderson University , Anderson South Carolina.
Comprehensive Child and Adolescent Nursing
|August 1, 2017
Summary
This review evaluated adolescent risk screening tools for primary care providers. The Pediatric Symptom Checklist is a recommended free, valid, and reliable option for assessing adolescent risk behaviors.
Area of Science:
- Adolescent Health
- Primary Care
- Health Services Research
Background:
- Adolescent risk-taking behaviors significantly impact long-term health.
- Primary care settings are crucial for early identification and intervention.
- Effective screening tools are needed for providers to address these risks.
Purpose of the Study:
- To evaluate multidimensional adolescent risk screening instruments for U.S. primary care providers.
- To assess available tools using the Donabedian Framework (structure, process, outcome).
Main Methods:
- An integrative literature review was conducted using multiple databases (CINAHL, PubMed, PsycINFO, etc.).
- Searches focused on multidimensional adolescent risk screening instruments in U.S. primary care.
- Sixteen instruments meeting inclusion criteria were analyzed against the Donabedian Framework.
Main Results:
- Many reviewed screens exhibited structural issues (cost, length) hindering primary care implementation.
- Process limitations (reporting, administration) were also identified.
- The Pediatric Symptom Checklist emerged as a free, short, valid, and reliable tool.
Conclusions:
- Current adolescent risk screening instruments in primary care face significant implementation barriers.
- The Pediatric Symptom Checklist offers a practical and effective solution for providers.
- Further development and adoption of user-friendly tools are essential for adolescent health.
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