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Appointment-keeping behavior in adolescents

C E Irwin, S G Millstein, M A Shafer

    The Journal of Pediatrics
    |November 1, 1981
    PubMed
    Summary
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    Parental involvement in scheduling pediatric appointments significantly impacts adolescent appointment-keeping behavior. Parents making appointments for adolescents, regardless of age, leads to higher compliance rates, highlighting the importance of this engagement.

    Area of Science:

    • Pediatric Healthcare
    • Adolescent Medicine
    • Healthcare Management

    Background:

    • Adolescent appointment-keeping is crucial for continuity of care in pediatric ambulatory settings.
    • Factors influencing appointment compliance in adolescents require further investigation to optimize healthcare delivery.
    • Understanding the role of scheduling autonomy versus parental involvement is key to improving attendance rates.

    Purpose of the Study:

    • To prospectively investigate adolescent appointment-keeping behavior.
    • To determine if older adolescents exhibit different compliance rates based on who schedules their appointments (self vs. parent).
    • To identify key predictors of appointment compliance among adolescents.

    Main Methods:

    • Prospective study of 245 first-scheduled appointments in a general youth clinic.

    Related Experiment Videos

  • Data collected on appointment source (adolescent or parent), adolescent age, and sex.
  • Multiple regression analysis employed to identify significant predictors of appointment compliance.
  • Main Results:

    • Appointment source was the most significant factor predicting compliance.
    • Highest compliance rates observed in younger males (under 15) whose parents scheduled appointments.
    • Lowest compliance rates observed in older females (over 15) who scheduled their own appointments.

    Conclusions:

    • Parental involvement in scheduling pediatric appointments is a critical predictor of adolescent compliance.
    • The study underscores the importance of parental engagement in ensuring adolescents attend their medical appointments.
    • Healthcare providers should consider strategies that encourage parental participation in appointment scheduling.