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Related Experiment Videos

Interviewing techniques with adolescents in primary care

J S Purcell1, A C Hergenroeder, C Kozinetz

  • 1Baylor College of Medicine, Department of Pediatrics, Houston, Texas, USA.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|April 1, 1997
PubMed
Summary

Many doctors do not interview adolescents alone, hindering confidential health discussions. Improving physician training on private interviews is crucial for teen healthcare access and privacy.

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Area of Science:

  • Adolescent Health
  • Medical Practice
  • Patient Privacy

Background:

  • Adolescents require privacy for lifestyle and behavior choices.
  • Lack of confidential health services creates barriers to adolescent healthcare access.

Purpose of the Study:

  • To describe primary care physicians' practices regarding private interviews with adolescents.
  • To identify factors associated with physicians inviting parents to leave the room for adolescent interviews.

Main Methods:

  • A cross-sectional random survey of 1,630 physicians (pediatricians, internists, family practitioners) was conducted.
  • A confidential mailed questionnaire was used to collect data.

Main Results:

  • 49% of physicians "almost always" or "always" interviewed teens alone.

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  • Female physicians, those board-certified, and those completing residency from 1974-94 were more likely to conduct private interviews.
  • Logistic regression showed only gender and board certification significantly related to this practice.

    • Conclusions:

    • A significant proportion of physicians do not provide private interview opportunities for adolescents.
    • This lack of privacy impedes confidential health discussions.
    • Future research should focus on developing methods to teach physicians effective private interviewing skills for adolescents.