Electronic Pre-visit Questionnaire to Prompt Discussions of Youth Violence in Primary Care

NCT02041182 | Completed

• 1 other identifier: APA-YIA-2013
• Study Type: interventional
• Target: 183
• Locations: 1 country
• Sites: 1

Brief Summary

Pediatricians are supposed to talk about youth violence at all heath supervision visits, however these types of conversations rarely occur. There have been no studies assessing tools to prompt these discussions. The goal of this study is to see if electronic pre-visit questionnaires (PVQs) prompt patient-provider discussion of youth violence (YV) in the primary care setting. Additionally, patient-provider characteristics are explored as mediators to youth violence discussions, as well as feasibility and acceptability of the PVQ by patients and providers. Adolescents ages 13 to 21 who come to the Hasbro Primary Care Clinics for annual physicals will be recruited. A baseline phase was conducted to look at how often providers ask about health-related teen behaviors, assessed by exit survey. The experimental period will involve adolescents completing health-related behavior PVQ, given to their doctor prior to the visit. Exit survey will assess topics discussed. Experimental group will differ from control group based on PVQ containing extra questions about youth violence.

Conditions

Exposure to Violent Event; Bullying

Keywords

youth violence; doctor-patient communication; health risk behaviors; pre-visit questionnaires

Outcome Measures

Primary Outcomes (1)

• Number of patient-reported patient-provider discussions about youth violence

  The intervention is implemented immediately prior to the primary care visit; the outcome is measured directly following the visit by exit survey

  One time point (single day)

Study Arms (2)

Intervention Pre-visit Questionnaire

EXPERIMENTAL

Adolescents receive PVQ that includes questions about youth violence/bullying

Behavioral: Pre-Visit Questionnaire

Control Pre-visit Questionnaire

ACTIVE COMPARATOR

Adolescents received PVQ without youth violence/bullying items

Behavioral: Pre-Visit Questionnaire

Interventions

Pre-Visit Questionnaire BEHAVIORAL

Control Pre-visit Questionnaire; Intervention Pre-visit Questionnaire

Eligibility Criteria

• Age: 13 Years - 21 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• adolescents ages 13-21
• presenting for annual physical exam
• provider is general pediatrician (micro-practice 1-8)
• parent present for consent (if under 18 years old)

You may not qualify if:

• non-English speaking
• developmental/neurologic delay
• no parent (if under 18 years old)
• presenting for sick visit or specialty clinic

Sponsors & Collaborators

• Rhode Island Hospital: lead
• Centers for Disease Control and Prevention: collaborator
• HRSA/Maternal and Child Health Bureau: collaborator

Study Sites (1)

Hasbro Primary Care Clinics

Providence, Rhode Island, 02903, United States

Location

MeSH Terms

Conditions

Bullying; Health Risk Behaviors

Condition Hierarchy (Ancestors)

Aggression; Behavioral Symptoms; Behavior; Harassment, Non-Sexual; Social Behavior; Health Behavior

Study Officials

• Megan Ranney, MD MPH

  Rhode Island Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 15, 2014
• First Posted: January 20, 2014
• Study Start: October 1, 2013
• Primary Completion: February 1, 2014
• Study Completion: February 1, 2014
• Last Updated: August 20, 2014

Record last verified: 2014-01

Locations

US (1)