Adolescent Health Literacy: Improving Use of Preventive Health Services

青少年健康素养：改善预防性健康服务的使用

基本信息

批准号：
7559463
负责人：
DEBORAH C GLIK
金额：
$ 64.56万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-20 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7559463
关键词：
17 year old Accident and Emergency department Acute Address Adolescence Adolescent Age Alcohols Anxiety Area Attitude Attitude to Health Audience Research Authorization documentation Baseline Surveys California Caring Characteristics Chronic Client Clinical Cognitive Collection Communicable Diseases Comprehensive Health Insurances Computers Confidentiality Consultations Control Groups Counseling Data Data Analyses Data Collection Databases Demographic Factors Development Devices Disadvantaged Disease Drug usage Educational Intervention Educational process of instructing Effectiveness Emergency Care Emergency Situation Emergency medical service Emotional Enabling Factors Ethnic Origin Family Gender Generations Goals Grant Health Health Insurance Health Planning Health Promotion Health Services Accessibility Health Status Health Surveys Health behavior Healthcare Healthcare Systems Immunization Incentives Infection Information Resources Injury Insurance Insurance Benefits Interactive Communication Internet Intervention Knowledge Laws Learning Life Link Low income Mails Measures Media Intervention Mediating Medicaid Medical Methods Minor Minority Monitor Online Systems Outcome Outpatients Parents Participant Patient Self-Report Patients Pattern Perception Pharmacy facility Physicians Platelet Factor 4 Population Preventive Preventive Health Services Primary Health Care Printed Media Printing Production Provider Public Health Randomized Randomized Controlled Trials Recruitment Activity Reproductive Rights Research Research Design Rights Risk Risk Reduction Behavior Sample Size Sampling Screening procedure Services Sexually Transmitted Diseases Smoking Social Conditions Social Network Specialist State Children&apos s Health Insurance Program Surveys Target Populations Technology Teenagers Testing Time TimeLine Training Training Programs Unplanned pregnancy Upper Respiratory Infections Upper arm Vaccines Violence Visit Youth administrative database aged base behavioral health beneficiary care systems clinical practice computerized data processing depression diet and exercise digital empowered experience follow-up good diet group intervention health care service utilization health literacy health record improved information seeking behavior innovation interest medical specialties next generation outreach prevent programs response skills social treatment as usual urinary volunteer

项目摘要

Adolescence is characterized by social, physical, cognitive and emotional transitions. Developmental goals for teens include their becoming responsible and independent. While adolescents have many health issues and programs addressing them, one area of that is of growing interest is how adolescents interface with the medical care system. Most adolescents have access to healthcare and healthcare insurance (88% of teens are insured), however, they may have little experience or skill using healthcare effectively, especially those from disadvantaged backgrounds. Preventing disease and promoting health are integral part of current clinical primary care practice. In the proposed study we will partner with Health Net of California, a large health insurance corporation, to develop, implement, and assess an intervention to increase their adolescent patients’ utilization of preventive care and decrease emergency services use. We will engage beneficiaries of public health insurance namely Medicaid (Medi-cal) and SCHIP (Healthy Families) clients whose health care is managed by Health Net. Our goal is to develop a health literacy training intervention to encourage adolescents aged 12 – 17 to utilize their health care plan more effectively, specifically to increase the rate at which they receive an annual Adolescent Well Care Visit. Additionally we will attempt to increase their level of engagement in their health care and their own health. We will use a randomized controlled trial to test the effectiveness of two different interventions, one a web based social media intervention and one that could be called ‘usual care’. We will recruit an initial volunteer sample of 8000 Health Net patients out of 155,000 Medi-cal and Healthy Families teens they serve. We will conduct a 2 wave repeated measures survey to assess intervention impact on utilization patterns, health care system knowledge, positive encounters with their primary care provider, health information seeking, attitudes towards health care, and health behaviors. Data will also be collected from Health Net administrative data bases. Based on response rates and attrition we anticipate a final sample of 3478 participants distributed across the two study conditions (n= 1739 each) which are the treatment condition (social media) and control condition (usual care). Our goal is to enhance adolescent health literacy, increasing teens’ capacity to access and use their insurance and the current health care system, so they can become empowered health consumers as they transition into adulthood.

青春期的特点是社交、身体、认知和情感的转变。青少年的发展目标包括变得负责任和独立。青少年有许多健康问题和解决这些问题的方案，其中一个领域是人们越来越关注青少年如何与医疗保健系统互动。可以获得医疗保健和医疗保险（88% 的青少年有保险），但是，他们可能缺乏有效使用医疗保健的经验或技能，尤其是来自预防疾病和促进健康是弱势群体的重要组成部分。在拟议的研究中，我们将与 Health Net 合作。加利福尼亚州一家大型健康保险公司，制定、实施和评估干预措施以增加青少年患者对预防性护理的利用并减少我们将让公共健康保险的受益人参与紧急服务的使用。医疗补助 (Medi-cal) 和 SCHIP (健康家庭) 客户的医疗保健由健康网。我们的目标是制定健康素养培训干预措施，以鼓励 12 – 17 岁青少年更有效地利用他们的医疗保健计划，特别是提高他们每年接受青少年健康护理就诊的比率。将尝试提高他们对医疗保健和自身健康的参与程度。将使用随机对照试验来测试两种不同干预措施的有效性，其中一种我们将招募一种基于网络的社交媒体干预措施，一种可以称为“常规护理”的干预措施。从 155,000 名医疗和健康人士中抽取 8000 名健康网患者作为初始志愿者样本我们将进行 2 波重复措施调查来评估他们所服务的家庭青少年。干预对利用模式、医疗保健系统知识、积极接触的影响与他们的初级保健提供者、健康信息寻求、对医疗保健的态度以及健康行为数据也将从基于健康网的管理数据库中收集。关于回复率和流失，我们预计最终样本将分配给 3478 名参与者两个研究条件（n= 1739）的治疗条件（社交媒体）和控制病情（日常护理）。我们的目标是提高青少年的健康素养，提高青少年获得和使用保险和当前医疗保健的能力系统，以便他们在成年后能够成为有权的健康消费者。