I-ACT With Check Yourself
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 13 - 18 |
| Updated: | 4/17/2018 |
| Start Date: | October 2016 |
| End Date: | November 2018 |
Delivering Patient-Centered Adolescent Preventative Care With Training and Technology
Adolescents have some of the highest rates of risk behaviors of all age groups and health
behaviors developed in adolescence can persist into adulthood. These behaviors carry
significant risks for subsequent disease, disability, and healthcare burden. Despite these
risks, health risk screening in primary care is infrequently performed and results are rarely
followed by targeted intervention. In response to the need for screening-linked
interventions, our study team has developed a web-based, electronic Personalized Motivational
Feedback tool which we refer to as "Check Yourself." Based on motivational interviewing, a
technique to mobilize personal change, Check Yourself is designed to promote healthy choices
for the multiple behaviors relevant to adolescents as well as to provide information to
providers to promote discussions around health behaviors between providers and adolescents.
Building on electronic health interventions, primary care providers can play an essential
role in helping adolescents to make healthy behavior choices. Emerging evidence suggests that
the consistency of preventive counseling can be increased through provider training and the
provision of screening tools; yet, we know very little about the quality of such counseling,
and if it impacts outcomes that are important to adolescent patients themselves.
This study is a stepped-wedge, controlled trial comparing the effectiveness of an interactive
adolescent-centered training for primary care providers (I-ACT) and Check Yourself to usual
care. This study will take place in six pediatric practices. The purpose of this study is to
determine whether this system of interventions (i.e., I-ACT, Check Yourself, and the summary
report) is more effective than usual care in reducing health risk behaviors, improving
adolescent motivation for health, and improving quality of care among adolescents receiving
primary health care services.
behaviors developed in adolescence can persist into adulthood. These behaviors carry
significant risks for subsequent disease, disability, and healthcare burden. Despite these
risks, health risk screening in primary care is infrequently performed and results are rarely
followed by targeted intervention. In response to the need for screening-linked
interventions, our study team has developed a web-based, electronic Personalized Motivational
Feedback tool which we refer to as "Check Yourself." Based on motivational interviewing, a
technique to mobilize personal change, Check Yourself is designed to promote healthy choices
for the multiple behaviors relevant to adolescents as well as to provide information to
providers to promote discussions around health behaviors between providers and adolescents.
Building on electronic health interventions, primary care providers can play an essential
role in helping adolescents to make healthy behavior choices. Emerging evidence suggests that
the consistency of preventive counseling can be increased through provider training and the
provision of screening tools; yet, we know very little about the quality of such counseling,
and if it impacts outcomes that are important to adolescent patients themselves.
This study is a stepped-wedge, controlled trial comparing the effectiveness of an interactive
adolescent-centered training for primary care providers (I-ACT) and Check Yourself to usual
care. This study will take place in six pediatric practices. The purpose of this study is to
determine whether this system of interventions (i.e., I-ACT, Check Yourself, and the summary
report) is more effective than usual care in reducing health risk behaviors, improving
adolescent motivation for health, and improving quality of care among adolescents receiving
primary health care services.
Inclusion Criteria:
- Eligible adolescent participants will be 13-18 years of age and caregiver participants
will be 18 years of age or older and able to understand English. Eligible participants
will have an appointment (or have a child with an appointment) with a participating
medical practice.
Exclusion Criteria:
- Adolescents will be excluded from the study if they do not meet age requirements, do
not have an appointment with a participating provider at a PSPRN clinic, lack the
means to complete follow-up interviews (i.e., have neither telephone nor internet
access), have a sibling who has been/is being enrolled in the study or have previously
participated in our previous trial comparing Check Yourself to usual care, and/or are
not able to understand English.
- Caregivers will be excluded from the study if they do not speak English; or if their
child is not eligible or declines to participate in the study .
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Univ of Washington Founded in 1861 by a private gift of 10 acres in what...
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