Improving Adolescent Primary Care Through An Interactive Behavioral Health Module

通过互动行为健康模块改善青少年初级保健

• 批准号: 8229106
• 负责人: ELIZABETH M OZER
• 金额: $ 15.58万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8229106
• 关键词: Improving; Adolescent; Primary; Care; Through

DESCRIPTION (provided by applicant): Most adolescents visit a health care provider once a year, providing an ideal opportunity to integrate behavioral/emotional health screening into clinical care. Yet despite clinical guidelines, providers screen adolescents for risky health behaviors and depression at rates consistently lower than recommended. New strategies are needed to increase behavioral health screening in primary care. Health information technology, with clinical decision support (CDS) has tremendous potential to improve health care quality and subsequent behavioral health outcomes for adolescents. Although the majority of adolescent health problems are amenable to behavioral intervention, and most adolescents are comfortable using interactive computerized technology, few health information technology interventions have been integrated into adolescent care. The proposed project primarily addresses the research area of Health IT to improve health care decision-making, specifically the development and implementation of health information tools into the primary care setting. A secondary research area is focused on Health IT to support patient-centered care. The major goals of this exploratory project are 1) to develop a theoretically based interactive behavioral/emotional health module for adolescents that can be integrated into health care delivery, serving both as a risk assessment and an intervention tool to enhance adolescent behavior change; and 2) to pilot the implementation of the computerized module/screening system into adolescent primary care, assessing clinician, adolescent, and system outcomes. The study will be conducted within the San Francisco Bay Collaborative Research Network (CRN) through the University of California, S.F. (UCSF). From these ethnically and economically diverse clinics, a sample of adolescents, ages 12 to18 years, will be recruited to participate in all phases of the research. Phase 1 (Year 1) will focus on developing a computerized behavioral/emotional health module that is acceptable to teenagers and to health professionals who care for them in primary care settings. Phase 2 (Year 2) will focus on implementing the module into two primary care clinics serving large numbers of diverse adolescent patients. Multiple approaches and data sources will be utilized to conduct quantitative and qualitative analyses on each of the outcomes of interest. The exploratory R21 provides an ideal opportunity to understand how the proposed intervention addresses the diverse needs of teenagers, inform us about contextual factors that contribute to quality of implementation in varied clinic contexts, and inform strategies for adaptation and integration in larger scale IT implementation. PUBLIC HEALTH RELEVANCE: New strategies are needed to increase the screening of adolescents for risky health behaviors and depression when they visit their primary care provider. Health information technology, with clinical decision support (CDS) has tremendous potential to improve health care quality and subsequent behavioral health outcomes for adolescents. The major goals of this exploratory project are 1) to develop a theoretically based interactive behavioral/emotional health module for adolescents that can be integrated into health care delivery, serving both as a risk assessment and an intervention tool to enhance adolescent behavior change; and 2) to pilot the implementation of the computerized module/screening system into adolescent primary care, assessing clinician, adolescent, and system outcomes.

描述（由申请人提供）：大多数青少年每年访问一次医疗保健提供者，为将行为/情感健康筛查纳入临床护理提供了理想的机会。然而，尽管有临床指南，提供者仍会以危险的健康行为和抑郁症的筛查，而抑郁症的速度始终低于建议。需要采取新的策略来增加初级保健中的行为健康筛查。伴有临床决策支持（CD）的健康信息技术具有改善卫生保健质量和随后的青少年行为健康成果的巨大潜力。尽管大多数青少年健康问题都可以接受行为干预，并且大多数青少年使用交互式计算机化技术都很舒适，但很少有健康信息技术干预措施已纳入青少年护理。拟议的项目主要涉及健康研究领域，以改善医疗保健决策，特别是将健康信息工具的开发和实施到初级保健环境中。二级研究领域的重点是健康，以支持以患者为中心的护理。该探索性项目的主要目标是1）为青少年开发基于理论上的互动行为/情绪健康模块，这些模块可以融入医疗保健提供，既可以作为风险评估和干预工具来增强青少年行为的改变； 2）试用计算机模块/筛选系统将其实施到青少年初级保健中，评估临床医生，青少年和系统结果。该研究将在旧金山湾合作研究网络（CRN）中通过加利福尼亚大学S.F.进行。 （UCSF）。从这些种族和经济上多样化的诊所中，将招募12至18岁的青少年样本，以参与研究的所有阶段。第一阶段（第1年）将专注于开发一个计算机化的行为/情绪健康模块，该模块是青少年和在初级保健环境中关心他们的卫生专业人员都可以接受的。第2阶段（2年级）将重点介绍将模块实施到两个初级保健诊所，以服务大量的青少年患者。多种方法和数据源将用于对每个感兴趣结果进行定量和定性分析。探索性R21提供了一个理想的机会来了解拟议的干预措施如何满足青少年的各种需求，向我们告知上下文因素，这些因素有助于各种诊所环境中实施质量，并为较大规模的IT实施的适应和整合提供策略。 公共卫生相关性：需要新的策略来增加青少年在访问初级保健提供者时对健康行为和抑郁症的筛查。伴有临床决策支持（CD）的健康信息技术具有改善卫生保健质量和随后的青少年行为健康成果的巨大潜力。该探索性项目的主要目标是1）为青少年开发基于理论上的互动行为/情绪健康模块，这些模块可以融入医疗保健提供，既可以作为风险评估和干预工具来增强青少年行为的改变； 2）试用计算机模块/筛选系统将其实施到青少年初级保健中，评估临床医生，青少年和系统结果。