Focus on the concerns of young people on good visits

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Taking into account the strengths, values, and dreams of adolescents through a prior questionnaire was acceptable to them and may promote discussions with providers, based on data from 91 adolescents.

The American Academy of Pediatrics ‘Bright Futures initiative recommends the use of a strength-based approach to adolescent well visits, but broad inventories of positive psychology to identify adolescents’ strengths and values. are not practical for the clinical visit, wrote Yidan Cao, MPH, of child development through primary care at the University of Michigan, Ann Arbor, and colleagues. However, 76% of young people participating in focus groups responded that “using a confidential questionnaire about a teen’s strengths and goals before review visits would be a good complement to the health care of young people. adolescents, ”the researchers said.

In a study presented at a poster session (# 515) at the annual meeting of the Academic Societies of Pediatrics, researchers recruited 91 young people from the community to participate in 13 adolescent-related discussion groups depression and substance use. The age of the focus group participants ranged from 12 to 18 years, with an average of 15 years, 61.5% were women, and 1.1% identified as transgender. The racial breakdown was 51.6% white, 27.5% African American, 8.8% Asian, 2.2% Native American, 3.3% biracial, and 6.6% unknown.

Participants provided information on potential questionnaire items for an online forecasting detection for well visits to assess strengths and identify values, goals, dream work, and life desires.

Participant suggestions reported changes to the questionnaire, which included five categories: personal / social goals, goals for academics / training, strengths, values, and dream jobs.

13.1% of participants chose the most endorsed personal goal of “being happy”. The main academic goal was to “get good grades” (45.5%). The strongest strength was “fitness / coordination / sports / physical activity” (22.9%), while the maximum value was care and kindness (25.8%), and the main work category of dreams was that of health / medicine (30.8%).

Key comments made by young participants to improve the previous questionnaire included adding an option for “I can’t decide” and allowing multiple responses to avoid feeling trapped or judged, the researchers noted.

The researchers highlighted a teenage comment: “While I understand the purpose of limiting participants to two answers, it’s incredibly difficult to choose just two. Limiting yourself to two greatly restricts your understanding of our values. For example, I would have also liked to select “to do well in school” and “to change the difference,” but “to be happy” and “to be in love with everyone around me” had to have precedents “.

The researchers noted that the study was limited to not being fully generalizable to all adolescents, as other adolescents may have opinions and beliefs that differ from those of the focus group participants.

However, the findings support the value of a predicted strength-based questionnaire for teens, they said.

“Structured forecast data could facilitate relationship building and be actionable to allocate resilience and resilience building resources,” they noted. “A final questionnaire on strengths and objectives is being piloted in a computerized way that helps support the decision of suggested telepromptors and associated resource options,” and future research may show the value of this data. planned to improve the clinical process and the results of visits to young people’s wells. he concluded.

Recognize the uncertainty of adolescence

“Adolescents are at a crossroads of identities, trying to figure out who they are, their goals and values,” said Kelly A. Curran, MD, of the University of Oklahoma Health Sciences Center at Oklahoma City, in an interview. “Adolescence is also a critical time when adolescents have more control and choices over behaviors that affect their health, such as diet, exercise, substance use, and sexual activity. In this critical period. , doctors can intervene on health-related behaviors and manner.the trajectory of a teenager’s life.However, to promote adolescent health, pediatricians need to have the trust of their patients, who can be difficult to achieve, ”he stressed.

“In my practice, I’ve found that teens often just want to be seen and heard,” Curran said. “Teenagers tend to have a lot of adults in their lives who focus on what not to do (don’t use drugs, don’t have sex, for example) and few praise healthy behaviors or strengths or seek to understand what is important Listening to teens and understanding what is important to them, we can use motivational interviewing techniques to help create meaningful changes in health-related behaviors.However, it requires time and investment, which often conflict. with the pressures modern medical system.

“This study is useful because it examined the acceptability of a positive psychology questionnaire that would be used in good visits when reviewed by young people, which could be used to streamline this important process,” Curran said.

“For my practice, I know it’s important to understand a teen’s goals, values, and strengths (we do this on a daily basis in our practice when we work with patients), but it was exciting to see that young people found it acceptable to do “It is through a prior survey, which can streamline visits well,” he said.

The questionnaire is being developed as a pilot program, but more research is needed to determine the direct clinical impact, Curran said. “It will be important to see in the future whether the implementation of this questionnaire can be helpful in integrating this information into motivational interviews and building relationships to help improve adolescent health outcomes.”

The study was supported in part by the National Institute of Drug abuse and the National Institute of Mental Health. Two co-authors have a financial interest in the CHADIS online reporting program used in the study. Curran had no financial conflict to reveal.

This story originally appeared on MDedge.com, which is part of the Medscape professional network.





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