Darling-Fisher Cynthia S, Salerno Jennifer, Dahlem Chin Hwa Y, Martyn Kristy K
J Pediatr Health Care. 2014 May-Jun;28(3):217-26. doi: 10.1016/j.pedhc.2013.03.003. Epub 2013 Apr 25.
The purpose of this study was to evaluate health providers' use of the Rapid Assessment for Adolescent Preventive Services (RAAPS) screening tool to identify adolescent high-risk behaviors, its ease of use and efficiency, and its impact on provider/patient discussions of sensitive risk behaviors.
This mixed methods descriptive study used an online survey to assess providers' use of the RAAPS and their perspectives on its implementation and effect on adolescent-provider communication. The survey was completed by providers from a variety of settings across the United States (N = 201).
Quantitative and qualitative analyses indicated that the RAAPS facilitated identification of risk behaviors and risk discussions and provided efficient and consistent assessments; 86% of providers believed that the RAAPS positively influenced their practice.
Adoption of the RAAPS in practice settings could lead to more effective adolescent preventive services by giving providers a tool to systematically assess and identify adolescents at risk. Implementation of RAAPS offers health providers an efficient, consistent, and "adolescent friendly" way to identify risky behaviors and open the discussion needed to tailor interventions to meet their needs.
本研究的目的是评估医疗服务提供者对青少年预防服务快速评估(RAAPS)筛查工具的使用情况,以识别青少年的高危行为、其易用性和效率,以及其对医疗服务提供者/患者关于敏感风险行为讨论的影响。
这项混合方法描述性研究使用在线调查来评估医疗服务提供者对RAAPS的使用情况,以及他们对其实施情况和对青少年与医疗服务提供者沟通的影响的看法。该调查由来自美国各地不同机构的医疗服务提供者完成(N = 201)。
定量和定性分析表明,RAAPS有助于识别风险行为和进行风险讨论,并提供了高效且一致的评估;86%的医疗服务提供者认为RAAPS对他们的工作有积极影响。
在实际环境中采用RAAPS可以通过为医疗服务提供者提供一种系统评估和识别高危青少年的工具,从而带来更有效的青少年预防服务。实施RAAPS为医疗服务提供者提供了一种高效、一致且“青少年友好型”的方式来识别风险行为,并开启针对青少年需求定制干预措施所需的讨论。