Parent and Adolescent Interest in Receiving Adolescent Health Communication Information From Primary Care Clinicians

Patient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and parent interest in receiving information about health topics and parent-teen communication from clinicians. Ninety-one parent-adolescent dyads in one practice com...

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Published in:	Journal of adolescent health Vol. 59; no. 2; pp. 154 - 161
Main Authors:	Ford, Carol A., Cheek, Courtney, Culhane, Jennifer, Fishman, Jessica, Mathew, Leny, Salek, Elyse C., Webb, David, Jaccard, James
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01.08.2016
Subjects:	Adolescent Adolescent Health Adolescent health services Adolescent medicine Adult Age Factors Child Female Health behavior Health communication Health Communication - methods Health education Humans Interviews as Topic Male Middle Aged Parent-child relations Parents Patient Education as Topic Patient-Centered Care Pediatrics Physician-Patient Relations Primary Health Care Sex Factors Adolescent Health behavior Parent-child relations Adolescent medicine Health education Adolescent health services Health communication
ISSN:	1054-139X, 1879-1972
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Abstract	Patient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and parent interest in receiving information about health topics and parent-teen communication from clinicians. Ninety-one parent-adolescent dyads in one practice completed individual interviews. Items assessed levels of interest in receiving health and health communication information from the adolescent's doctor about 18 topics, including routine, mental health, sexual health, substance use, and injury prevention issues. Analyses tested differences between parents and adolescents, within-dyad correlations, and associations with adolescent gender and age. Most parents were female (84%). Adolescents were evenly divided by gender; 36 were aged 12–13 years, 35 were aged 14–15 years, and 20 were aged 16–17 years. Adolescent race reflected the practice population (60% black; 35% white). The vast majority of parents and adolescents reported moderate or high levels of interest in receiving information about all 18 health issues and information to increase parent-teen communication about these topics. Parents' interest in receiving information varied by adolescent age when the expected salience of topics varied by age (e.g., acne, driving safety), whereas adolescents reported similar interest regardless of age. Adolescent gender influenced parent and adolescent interest. Level of interest in receiving information from doctors within adolescent-parent pairs was not significantly correlated for one-half of topics. Parents and adolescents want health care professionals to help them learn and talk about a wide range of adolescent health topics. Feasible primary care interventions that effectively improve parent-teen health communication, and specific adolescent health outcomes are needed.
AbstractList	Patient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and parent interest in receiving information about health topics and parent-teen communication from clinicians. Ninety-one parent-adolescent dyads in one practice completed individual interviews. Items assessed levels of interest in receiving health and health communication information from the adolescent's doctor about 18 topics, including routine, mental health, sexual health, substance use, and injury prevention issues. Analyses tested differences between parents and adolescents, within-dyad correlations, and associations with adolescent gender and age. Most parents were female (84%). Adolescents were evenly divided by gender; 36 were aged 12-13 years, 35 were aged 14-15 years, and 20 were aged 16-17 years. Adolescent race reflected the practice population (60% black; 35% white). The vast majority of parents and adolescents reported moderate or high levels of interest in receiving information about all 18 health issues and information to increase parent-teen communication about these topics. Parents' interest in receiving information varied by adolescent age when the expected salience of topics varied by age (e.g., acne, driving safety), whereas adolescents reported similar interest regardless of age. Adolescent gender influenced parent and adolescent interest. Level of interest in receiving information from doctors within adolescent-parent pairs was not significantly correlated for one-half of topics. Parents and adolescents want health care professionals to help them learn and talk about a wide range of adolescent health topics. Feasible primary care interventions that effectively improve parent-teen health communication, and specific adolescent health outcomes are needed. PURPOSEPatient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and parent interest in receiving information about health topics and parent-teen communication from clinicians.METHODSNinety-one parent-adolescent dyads in one practice completed individual interviews. Items assessed levels of interest in receiving health and health communication information from the adolescent's doctor about 18 topics, including routine, mental health, sexual health, substance use, and injury prevention issues. Analyses tested differences between parents and adolescents, within-dyad correlations, and associations with adolescent gender and age.RESULTSMost parents were female (84%). Adolescents were evenly divided by gender; 36 were aged 12-13 years, 35 were aged 14-15 years, and 20 were aged 16-17 years. Adolescent race reflected the practice population (60% black; 35% white). The vast majority of parents and adolescents reported moderate or high levels of interest in receiving information about all 18 health issues and information to increase parent-teen communication about these topics. Parents' interest in receiving information varied by adolescent age when the expected salience of topics varied by age (e.g., acne, driving safety), whereas adolescents reported similar interest regardless of age. Adolescent gender influenced parent and adolescent interest. Level of interest in receiving information from doctors within adolescent-parent pairs was not significantly correlated for one-half of topics.CONCLUSIONSParents and adolescents want health care professionals to help them learn and talk about a wide range of adolescent health topics. Feasible primary care interventions that effectively improve parent-teen health communication, and specific adolescent health outcomes are needed. Abstract Purpose Patient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and parent interest in receiving information about health topics and parent-teen communication from clinicians. Methods Ninety-one parent-adolescent dyads in one practice completed individual interviews. Items assessed levels of interest in receiving health and health communication information from the adolescent's doctor about 18 topics, including routine, mental health, sexual health, substance use, and injury prevention issues. Analyses tested differences between parents and adolescents, within-dyad correlations, and associations with adolescent gender and age. Results Most parents were female (84%). Adolescents were evenly divided by gender; 36 were aged 12–13 years, 35 were aged 14–15 years, and 20 were aged 16–17 years. Adolescent race reflected the practice population (60% black; 35% white). The vast majority of parents and adolescents reported moderate or high levels of interest in receiving information about all 18 health issues and information to increase parent-teen communication about these topics. Parents' interest in receiving information varied by adolescent age when the expected salience of topics varied by age (e.g., acne, driving safety), whereas adolescents reported similar interest regardless of age. Adolescent gender influenced parent and adolescent interest. Level of interest in receiving information from doctors within adolescent-parent pairs was not significantly correlated for one-half of topics. Conclusions Parents and adolescents want health care professionals to help them learn and talk about a wide range of adolescent health topics. Feasible primary care interventions that effectively improve parent-teen health communication, and specific adolescent health outcomes are needed.
Author	Mathew, Leny Salek, Elyse C. Jaccard, James Webb, David Fishman, Jessica Cheek, Courtney Ford, Carol A. Culhane, Jennifer
Author_xml	– sequence: 1 givenname: Carol A. surname: Ford fullname: Ford, Carol A. email: fordc@email.chop.edu organization: Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 2 givenname: Courtney surname: Cheek fullname: Cheek, Courtney organization: Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 3 givenname: Jennifer surname: Culhane fullname: Culhane, Jennifer organization: Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 4 givenname: Jessica surname: Fishman fullname: Fishman, Jessica organization: Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 5 givenname: Leny surname: Mathew fullname: Mathew, Leny organization: Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 6 givenname: Elyse C. surname: Salek fullname: Salek, Elyse C. organization: Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 7 givenname: David surname: Webb fullname: Webb, David organization: Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 8 givenname: James surname: Jaccard fullname: Jaccard, James organization: Center for Latino Adolescent and Family Health, School of Social Work, New York University, New York City, New York
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Snippet	Patient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and parent interest in... Abstract Purpose Patient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and... PURPOSEPatient-centered health care recognizes that adolescents and parents are stakeholders in adolescent health. We investigate adolescent and parent...
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SubjectTerms	Adolescent Adolescent Health Adolescent health services Adolescent medicine Adult Age Factors Child Female Health behavior Health communication Health Communication - methods Health education Humans Interviews as Topic Male Middle Aged Parent-child relations Parents Patient Education as Topic Patient-Centered Care Pediatrics Physician-Patient Relations Primary Health Care Sex Factors
Title	Parent and Adolescent Interest in Receiving Adolescent Health Communication Information From Primary Care Clinicians
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