Trotman Gylynthia E, Mackey Eleanor, Tefera Eshetu, Gomez-Lobo Veronica
Children's National Health Services, Pediatric and Adolescent Gynecology, Washington, DC; Medstar Washington Hospital Center, Department of Obstetrics and Gynecology, Washington, DC.
Children's National Health Services, Department of Psychology and Behavioral Health, Washington, DC.
J Pediatr Adolesc Gynecol. 2018 Oct;31(5):516-521. doi: 10.1016/j.jpag.2018.03.006. Epub 2018 Mar 23.
To explore parental and adolescent views on the confidential interview in the gynecologic setting and compare adolescent reported risk-taking behaviors with parental perception.
Anonymous surveys were administered separately to parents/guardians and adolescents between the ages of 11 and 17 years. Information pertaining to the patient's Tanner stage and reason for visit was obtained from the provider. This first phase served as the usual care group. In the second phase of the study, surveys were again distributed after a brief educational intervention. Linear regression analysis, Wilcoxon rank sum test, and Fisher exact test were used where appropriate.
Pediatric and adolescent gynecology clinics in 2 tertiary hospitals.
Brief educational handout on key concepts of the confidential interview.
Parental perception of the confidential interview and adolescent risk-taking behaviors.
A total of 248 surveys were included in the final analysis, which accounts for 62 adolescent and parent/guardian pairs in each group. Most parents and adolescents reported perceived benefit to the confidential interview. However, parents were less likely to rate benefits of private time specifically for their own adolescent and less than half of the parents believed that adolescents should have access to private time in the gynecologic setting. Parents/guardians as well as adolescents feared that the confidential interview would limit the parent's ability to take part in decision-making. The low support for confidential time for their adolescent was not different in the usual care group compared with the intervention group, although there was a trend toward parental acceptance with increased adolescent age. Adolescents were consistently more likely to report more risk-taking behaviors than their parents perceived.
There is a discord between parental perception and adolescent reports of risk-taking behaviors. This is coupled with a lack of understanding or comfort regarding the benefits of the confidential interview among parents and adolescents who present for gynecologic care. A short educational intervention had only a modest effect on parental perceptions regarding the confidential interview.
探讨父母和青少年对妇科环境中保密访谈的看法，并比较青少年报告的冒险行为与父母的认知。
对11至17岁的父母/监护人和青少年分别进行匿名调查。从医疗服务提供者处获取与患者坦纳分期和就诊原因相关的信息。第一阶段作为常规护理组。在研究的第二阶段，经过简短的教育干预后再次发放调查问卷。在适当情况下使用线性回归分析、威尔科克森秩和检验和费舍尔精确检验。
两家三级医院的儿科和青少年妇科诊所。
关于保密访谈关键概念的简短教育手册。
父母对保密访谈的认知以及青少年的冒险行为。
最终分析共纳入248份调查问卷，每组有62对青少年与父母/监护人。大多数父母和青少年报告称保密访谈有好处。然而，父母不太可能认为有专门为自己孩子提供的私密时间有好处，并且不到一半的父母认为青少年在妇科环境中应有私密时间。父母/监护人和青少年都担心保密访谈会限制父母参与决策的能力。常规护理组与干预组相比，对孩子私密时间的支持率较低，不过随着青少年年龄增长，父母有接受的趋势。青少年始终比父母认为的更有可能报告更多冒险行为。
父母对冒险行为的认知与青少年的报告存在不一致。同时，前来接受妇科护理的父母和青少年对保密访谈的好处缺乏理解或认同感。简短的教育干预对父母对保密访谈的认知影响不大。
