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

基本信息

批准号：
8323058
负责人：
ELIZABETH M OZER
金额：
$ 14.42万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-01 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8323058
关键词：
Improving Adolescent Primary Care Through

项目摘要

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.

描述（由申请人提供）：大多数青少年每年拜访一次医疗保健提供者，这提供了将行为/情绪健康筛查纳入临床护理的理想机会。然而，尽管有临床指南，医疗服务提供者对青少年进行危险健康行为和抑郁症的筛查率始终低于建议的水平。需要新的策略来增加初级保健中的行为健康筛查。具有临床决策支持 (CDS) 的健康信息技术在改善青少年的医疗保健质量和随后的行为健康结果方面具有巨大的潜力。尽管大多数青少年健康问题都可以通过行为干预来解决，而且大多数青少年都习惯使用交互式计算机技术，但很少有健康信息技术干预措施被纳入青少年护理中。拟议的项目主要涉及健康信息技术的研究领域，以改善医疗保健决策，特别是在初级保健环境中开发和实施健康信息工具。第二个研究领域侧重于健康 IT，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) 为青少年开发一个基于理论的交互式行为/情绪健康模块，该模块可以整合到医疗保健服务中，作为风险评估和干预工具，以促进青少年行为改变； 2) 在青少年初级保健中试点实施计算机化模块/筛查系统，评估临床医生、青少年和系统结果。该研究将通过加州大学旧金山分校在旧金山湾合作研究网络 (CRN) 内进行。（加州大学旧金山分校）。从这些种族和经济多样化的诊所中，将招募 12 至 18 岁的青少年样本来参与研究的所有阶段。第一阶段（第一年）将重点开发一个计算机化的行为/情绪健康模块，该模块可以为青少年和在初级保健机构中照顾他们的卫生专业人员所接受。第二阶段（第二年）将重点将该模块实施到两个初级保健诊所，为大量不同的青少年患者提供服务。将利用多种方法和数据源对每个感兴趣的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，让我们了解拟议的干预措施如何满足青少年的多样化需求，让我们了解有助于在不同诊所环境中实施质量的背景因素，并为更大规模 IT 实施中的适应和整合策略提供信息。