Division of Adolescent Medicine, Children's Hospital of Philadelphia, Buerger Building, Room 12-219, 3500 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Center for Parent and Teen Communication, Children's Hospital of Philadelphia, 2716 South Street, Philadelphia, PA, 19146, USA.
J Prim Prev. 2021 Apr;42(2):163-181. doi: 10.1007/s10935-021-00626-3. Epub 2021 Mar 12.
Strength-based approaches to youth development have been tested in community settings and are related to improvements in social, health, and academic realms. However, little is known about similar approaches to enhance parent-teen communication (PTC) in pediatric primary care. The goal of this study was to test the feasibility and acceptability of an intervention to facilitate parent-teen communication about teen strengths. Intervention materials were developed based on a literature review, expert consultation, and feedback from stakeholders. The final intervention was a parent-directed booklet and a parent-teen discussion activity. At the well-adolescent visit (WAV), dyads received an orientation to the materials and were instructed to complete the discussion activity within 2 weeks of the WAV. Health Care Providers verbally endorsed the materials and instructed parents to read the booklet and complete the discussion activity with their teens. Acceptability was assessed at 2-week and 2-month follow-ups. Parent-adolescent dyads from an urban, pediatric primary care practice were enrolled with half assigned to the treatment group. Those in the treatment group (60 dyads) are the focus of this paper. Youth were 13-15 years old, 55% female, and 66% Black. Most participating parents (97%) were female. Fidelity was ≥ 88% for delivery of each of the intervention components. Fifty-four of the 60 parents in the intervention group completed the 2-week call. Of those 54 parents, 96% read the booklet and 62% found the booklet either extremely or very helpful. The majority of parents (67%) and teens (72%) reported that the discussion activity was excellent or very good. Analysis of qualitative data also provided rich insight into the participants' experiences with the intervention materials. Overall results suggest that an intervention to promote PTC about teen strengths is feasible and acceptable to parents and teens within primary care.
以力量为基础的青少年发展方法在社区环境中进行了测试，与社会、健康和学术领域的改善有关。然而，对于类似的方法来增强儿科初级保健中的父母与青少年的沟通（PTC）知之甚少。本研究的目的是测试促进父母与青少年关于青少年优势的沟通的干预措施的可行性和可接受性。干预材料是基于文献综述、专家咨询和利益相关者的反馈开发的。最终的干预措施是面向父母的小册子和父母与青少年的讨论活动。在青少年健康访问（WAV）期间，对子接受了对材料的介绍，并被指示在 WAV 后两周内完成讨论活动。医疗保健提供者口头认可了这些材料，并指示父母阅读小册子并与他们的青少年完成讨论活动。在 2 周和 2 个月的随访中评估可接受性。从一个城市的儿科初级保健实践中招募了父母与青少年的对子，其中一半被分配到治疗组。本研究的重点是治疗组（60 对）。青少年年龄在 13-15 岁之间，女性占 55%，黑人占 66%。大多数参与的父母（97%）是女性。每个干预组成部分的交付都有≥88%的保真度。治疗组的 60 对父母中的 54 对完成了 2 周的电话随访。在这 54 位父母中，96%阅读了小册子，62%认为小册子非常有帮助或非常有帮助。大多数父母（67%）和青少年（72%）报告说讨论活动非常好或非常好。对定性数据的分析也为参与者对干预材料的体验提供了丰富的见解。总体结果表明，在初级保健中，促进关于青少年优势的 PTC 的干预措施对父母和青少年来说是可行且可接受的。
