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Electronic Screening for Adolescent Risk Behaviors in the Emergency Department: A Randomized Controlled Trial.

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An electronic health screener did not change adolescent risk behaviors in emergency departments. However, the intervention improved how teens perceived their health, suggesting potential for future electronic health tools.

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Area of Science:

  • Adolescent Health
  • Digital Health Interventions
  • Emergency Medicine

Background:

  • Assessing the impact of electronic health assessments on adolescent risk behaviors.
  • Focus on adolescents seeking care in pediatric emergency departments (EDs).

Purpose of the Study:

  • Evaluate an electronic health assessment with individualized feedback for adolescent risk behaviors.
  • Determine if the intervention impacts health behaviors and attitudes.

Main Methods:

  • Randomized controlled trial in a pediatric ED.
  • Tablet-based screening program with intervention (feedback) and control (no feedback) groups.
  • One-day and three-month follow-up surveys.

Main Results:

  • 296 adolescents enrolled; no significant difference in risky behavior changes between groups.
  • Intervention group showed a higher proportion reporting changed health perceptions at one-day follow-up (27.0% vs. 15.5%, P = .02).

Conclusions:

  • Successfully tested an electronic health screener in a pediatric ED setting.
  • The tool did not significantly alter risky health behaviors in adolescents.
  • Findings support continued development of electronic interventions to address adolescent risk behaviors.