TY - JOUR
T1 - Integrating mental health into adolescent annual visits
T2 - Impact of previsit comprehensive screening on within-visit processes
AU - Gadomski, Anne M.
AU - Fothergill, Kate E.
AU - Larson, Susan
AU - Wissow, Lawrence S.
AU - Winegrad, Heather
AU - Nagykaldi, Zsolt J.
AU - Olson, Ardis L.
AU - Roter, Debra L.
N1 - Publisher Copyright:
© 2015 Society for Adolescent Health and Medicine.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Purpose To evaluate how a comprehensive, computerized, self-administered adolescent screener, the DartScreen, affects within-visit patient-doctor interactions such as data gathering, advice giving, counseling, and discussion of mental health issues. Methods Patient-doctor interaction was compared between visits without screening and those with the DartScreen completed before the visit. Teens, aged 15-19 years scheduled for an annual visit, were recruited at one urban and one rural pediatric primary care clinic. The doctor acted as his/her own control, first using his/her usual routine for five to six adolescent annual visits. Then, the DartScreen was introduced for five visits where at the beginning of the visit, the doctor received a summary report of the screening results. All visits were audio recorded and analyzed using the Roter interaction analysis system. Doctor and teen dialogue and topics discussed were compared between the two groups. Results Seven midcareer doctors and 72 adolescents participated; 37 visits without DartScreen and 35 with DartScreen were audio recorded. The Roter interaction analysis system defined medically related data gathering (mean, 36.8 vs. 32.7 statements; p =.03) and counseling (mean, 36.8 vs. 32.7 statements; p =.01) decreased with DartScreen; however, doctor responsiveness and engagement improved with DartScreen (mean, 4.8 vs. 5.1 statements; p =.00). Teens completing the DartScreen offered more psychosocial information (mean, 18.5 vs. 10.6 statements; p =.01), and mental health was discussed more after the DartScreen (mean, 93.7 vs. 43.5 statements; p =.03). Discussion of somatic and substance abuse topics did not change. Doctors reported that screening improved visit organization and efficiency. Conclusions Use of the screener increased discussion of mental health but not at the expense of other adolescent health topics.
AB - Purpose To evaluate how a comprehensive, computerized, self-administered adolescent screener, the DartScreen, affects within-visit patient-doctor interactions such as data gathering, advice giving, counseling, and discussion of mental health issues. Methods Patient-doctor interaction was compared between visits without screening and those with the DartScreen completed before the visit. Teens, aged 15-19 years scheduled for an annual visit, were recruited at one urban and one rural pediatric primary care clinic. The doctor acted as his/her own control, first using his/her usual routine for five to six adolescent annual visits. Then, the DartScreen was introduced for five visits where at the beginning of the visit, the doctor received a summary report of the screening results. All visits were audio recorded and analyzed using the Roter interaction analysis system. Doctor and teen dialogue and topics discussed were compared between the two groups. Results Seven midcareer doctors and 72 adolescents participated; 37 visits without DartScreen and 35 with DartScreen were audio recorded. The Roter interaction analysis system defined medically related data gathering (mean, 36.8 vs. 32.7 statements; p =.03) and counseling (mean, 36.8 vs. 32.7 statements; p =.01) decreased with DartScreen; however, doctor responsiveness and engagement improved with DartScreen (mean, 4.8 vs. 5.1 statements; p =.00). Teens completing the DartScreen offered more psychosocial information (mean, 18.5 vs. 10.6 statements; p =.01), and mental health was discussed more after the DartScreen (mean, 93.7 vs. 43.5 statements; p =.03). Discussion of somatic and substance abuse topics did not change. Doctors reported that screening improved visit organization and efficiency. Conclusions Use of the screener increased discussion of mental health but not at the expense of other adolescent health topics.
KW - Adolescent Previsit computerized screening Patient-doctor interactions Mental health screening
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U2 - 10.1016/j.jadohealth.2014.11.011
DO - 10.1016/j.jadohealth.2014.11.011
M3 - Article
C2 - 25586231
AN - SCOPUS:84924028864
VL - 56
SP - 267
EP - 273
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
SN - 1054-139X
IS - 3
ER -