Parental report of receipt of adolescent preventive health counseling services from pediatric providers

Aletha Y. Akers; Esa M. Davis; Lovie J. Jackson Foster; Penelope Morrison; Gina Sucato; Elizabeth Miller; Min Jae Lee

doi:10.1016/j.pec.2013.10.003

Parental report of receipt of adolescent preventive health counseling services from pediatric providers

Aletha Y. Akers, Esa M. Davis, Lovie J. Jackson Foster, Penelope Morrison, Gina Sucato, Elizabeth Miller, Min Jae Lee

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Objective: Little is known about prevention-focused counseling health providers deliver to parents of adolescents. This study compared parental report of discussions with their adolescents' providers about a range of adolescent prevention topics. Methods: Between June and November 2009, a questionnaire was provided to parents accompanying adolescents aged 11-18 on outpatient clinic visits. Parents indicated, anonymously, which of 22 prevention topics they remembered discussing with their adolescent's provider. Hierarchical logistic regression models were used to identify correlates of parental recall. Results: Among the 358 participants, 83% reported discussing at least one prevention topic. More parents reported discussing general prevention topics than mental health or high-risk topics (e.g. sex). Adolescent gender, visit type, having a usual source of care, and parental beliefs about their adolescents' risk behaviors correlated with parental report of discussions about high-risk and mental health topics. Conclusion: Most parents recalled discussing one or more topics with their adolescent's health provider. However, parental report of discussions about topics linked to significant adolescent morbidity was low. Practice implications: Strategies to improve the frequency, timeliness and appropriateness of counseling services delivered to parents about adolescent preventive health are needed. Strategies that utilize decision support tools or patient education tools may be warranted.

Original language	English (US)
Pages (from-to)	269-275
Number of pages	7
Journal	Patient Education and Counseling
Volume	94
Issue number	2
DOIs	https://doi.org/10.1016/j.pec.2013.10.003
State	Published - Feb 2014
Externally published	Yes

Keywords

Adolescent
Communication
Counseling
Health services
Primary prevention

ASJC Scopus subject areas

General Medicine

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10.1016/j.pec.2013.10.003

Cite this

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title = "Parental report of receipt of adolescent preventive health counseling services from pediatric providers",

abstract = "Objective: Little is known about prevention-focused counseling health providers deliver to parents of adolescents. This study compared parental report of discussions with their adolescents' providers about a range of adolescent prevention topics. Methods: Between June and November 2009, a questionnaire was provided to parents accompanying adolescents aged 11-18 on outpatient clinic visits. Parents indicated, anonymously, which of 22 prevention topics they remembered discussing with their adolescent's provider. Hierarchical logistic regression models were used to identify correlates of parental recall. Results: Among the 358 participants, 83% reported discussing at least one prevention topic. More parents reported discussing general prevention topics than mental health or high-risk topics (e.g. sex). Adolescent gender, visit type, having a usual source of care, and parental beliefs about their adolescents' risk behaviors correlated with parental report of discussions about high-risk and mental health topics. Conclusion: Most parents recalled discussing one or more topics with their adolescent's health provider. However, parental report of discussions about topics linked to significant adolescent morbidity was low. Practice implications: Strategies to improve the frequency, timeliness and appropriateness of counseling services delivered to parents about adolescent preventive health are needed. Strategies that utilize decision support tools or patient education tools may be warranted.",

keywords = "Adolescent, Communication, Counseling, Health services, Primary prevention",

author = "Akers, {Aletha Y.} and Davis, {Esa M.} and {Jackson Foster}, {Lovie J.} and Penelope Morrison and Gina Sucato and Elizabeth Miller and Lee, {Min Jae}",

note = "Funding Information: The data in this manuscript was previously presented as a poster presentation at the Society for Adolescent Health and Medicine Annual Meeting on March 29, 2011, and was titled, “Are health providers meeting the perceived adolescent preventive health needs of parents of adolescents?” This publication was made possible, in part, by Grant Number KL2 RR024154-03 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and the NIH Roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH. Information on NCRR is available at www.ncrr.nih.gov . Information on Re-engineering the Clinical Research Enterprise can be obtained from http://nihroadmap.nih.gov/clinicalresearch/overview-translational.asp . This project was also funded by grants from the Robert Wood Johnson Foundation Amos Medical Faculty Development Program and the University of Pittsburgh School of Medicine's Competitive Medical Research Fund . The funding agencies had no oversight of the study design, data collection, data analysis, interpretation, or manuscript preparation and no role in the decision to submit this manuscript for publication.",

year = "2014",

month = feb,

doi = "10.1016/j.pec.2013.10.003",

language = "English (US)",

volume = "94",

pages = "269--275",

journal = "Patient Education and Counseling",

issn = "0738-3991",

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T1 - Parental report of receipt of adolescent preventive health counseling services from pediatric providers

AU - Akers, Aletha Y.

AU - Davis, Esa M.

AU - Jackson Foster, Lovie J.

AU - Morrison, Penelope

AU - Sucato, Gina

AU - Miller, Elizabeth

AU - Lee, Min Jae

N1 - Funding Information: The data in this manuscript was previously presented as a poster presentation at the Society for Adolescent Health and Medicine Annual Meeting on March 29, 2011, and was titled, “Are health providers meeting the perceived adolescent preventive health needs of parents of adolescents?” This publication was made possible, in part, by Grant Number KL2 RR024154-03 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and the NIH Roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH. Information on NCRR is available at www.ncrr.nih.gov . Information on Re-engineering the Clinical Research Enterprise can be obtained from http://nihroadmap.nih.gov/clinicalresearch/overview-translational.asp . This project was also funded by grants from the Robert Wood Johnson Foundation Amos Medical Faculty Development Program and the University of Pittsburgh School of Medicine's Competitive Medical Research Fund . The funding agencies had no oversight of the study design, data collection, data analysis, interpretation, or manuscript preparation and no role in the decision to submit this manuscript for publication.

PY - 2014/2

Y1 - 2014/2

N2 - Objective: Little is known about prevention-focused counseling health providers deliver to parents of adolescents. This study compared parental report of discussions with their adolescents' providers about a range of adolescent prevention topics. Methods: Between June and November 2009, a questionnaire was provided to parents accompanying adolescents aged 11-18 on outpatient clinic visits. Parents indicated, anonymously, which of 22 prevention topics they remembered discussing with their adolescent's provider. Hierarchical logistic regression models were used to identify correlates of parental recall. Results: Among the 358 participants, 83% reported discussing at least one prevention topic. More parents reported discussing general prevention topics than mental health or high-risk topics (e.g. sex). Adolescent gender, visit type, having a usual source of care, and parental beliefs about their adolescents' risk behaviors correlated with parental report of discussions about high-risk and mental health topics. Conclusion: Most parents recalled discussing one or more topics with their adolescent's health provider. However, parental report of discussions about topics linked to significant adolescent morbidity was low. Practice implications: Strategies to improve the frequency, timeliness and appropriateness of counseling services delivered to parents about adolescent preventive health are needed. Strategies that utilize decision support tools or patient education tools may be warranted.

AB - Objective: Little is known about prevention-focused counseling health providers deliver to parents of adolescents. This study compared parental report of discussions with their adolescents' providers about a range of adolescent prevention topics. Methods: Between June and November 2009, a questionnaire was provided to parents accompanying adolescents aged 11-18 on outpatient clinic visits. Parents indicated, anonymously, which of 22 prevention topics they remembered discussing with their adolescent's provider. Hierarchical logistic regression models were used to identify correlates of parental recall. Results: Among the 358 participants, 83% reported discussing at least one prevention topic. More parents reported discussing general prevention topics than mental health or high-risk topics (e.g. sex). Adolescent gender, visit type, having a usual source of care, and parental beliefs about their adolescents' risk behaviors correlated with parental report of discussions about high-risk and mental health topics. Conclusion: Most parents recalled discussing one or more topics with their adolescent's health provider. However, parental report of discussions about topics linked to significant adolescent morbidity was low. Practice implications: Strategies to improve the frequency, timeliness and appropriateness of counseling services delivered to parents about adolescent preventive health are needed. Strategies that utilize decision support tools or patient education tools may be warranted.

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KW - Communication

KW - Counseling

KW - Health services

KW - Primary prevention

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Parental report of receipt of adolescent preventive health counseling services from pediatric providers

Abstract

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