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, MinJae Lee

Research output: Contribution to journalArticle

6 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)269-275
Number of pages7
JournalPatient Education and Counseling
Volume94
Issue number2
DOIs
StatePublished - Feb 2014
Externally publishedYes

Fingerprint

Adolescent Health Services
Preventive Health Services
Counseling
Pediatrics
Parents
Mental Health
Logistic Models
Adolescent Behavior
Patient Education
Ambulatory Care
Risk-Taking
Ambulatory Care Facilities
Morbidity
Health

Keywords

  • Adolescent
  • Communication
  • Counseling
  • Health services
  • Primary prevention

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Akers, A. Y., Davis, E. M., Jackson Foster, L. J., Morrison, P., Sucato, G., Miller, E., & Lee, M. (2014). Parental report of receipt of adolescent preventive health counseling services from pediatric providers. Patient Education and Counseling, 94(2), 269-275. https://doi.org/10.1016/j.pec.2013.10.003

Parental report of receipt of adolescent preventive health counseling services from pediatric providers. / Akers, Aletha Y.; Davis, Esa M.; Jackson Foster, Lovie J.; Morrison, Penelope; Sucato, Gina; Miller, Elizabeth; Lee, MinJae.

In: Patient Education and Counseling, Vol. 94, No. 2, 02.2014, p. 269-275.

Research output: Contribution to journalArticle

Akers, AY, Davis, EM, Jackson Foster, LJ, Morrison, P, Sucato, G, Miller, E & Lee, M 2014, 'Parental report of receipt of adolescent preventive health counseling services from pediatric providers', Patient Education and Counseling, vol. 94, no. 2, pp. 269-275. https://doi.org/10.1016/j.pec.2013.10.003
Akers, Aletha Y. ; Davis, Esa M. ; Jackson Foster, Lovie J. ; Morrison, Penelope ; Sucato, Gina ; Miller, Elizabeth ; Lee, MinJae. / Parental report of receipt of adolescent preventive health counseling services from pediatric providers. In: Patient Education and Counseling. 2014 ; Vol. 94, No. 2. pp. 269-275.
@article{e2369113e19644d1bbdd24f727531f46,
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 MinJae Lee",
year = "2014",
month = "2",
doi = "10.1016/j.pec.2013.10.003",
language = "English (US)",
volume = "94",
pages = "269--275",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

TY - JOUR

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, MinJae

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.

KW - Adolescent

KW - Communication

KW - Counseling

KW - Health services

KW - Primary prevention

UR - http://www.scopus.com/inward/record.url?scp=84892830391&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892830391&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2013.10.003

DO - 10.1016/j.pec.2013.10.003

M3 - Article

VL - 94

SP - 269

EP - 275

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 2

ER -