Adolescent Behavior Clinical Trial
Official title:
CheckED Yourself: Using Emergency Department Screening to Impact Adolescent Risk Behavior
During adolescence, the most common causes of morbidity and mortality are related to risky behaviors. The American Academy of Pediatrics recommends that adolescents be screened for these behaviors during primary care visits, but many adolescents do not receive the recommended risk behavior screening and counseling, in part because they are infrequently seen in primary care. The objective of this study is to evaluate if the electronic health screening tool, which includes an electronic health assessment with integrated personalized feedback, reduces risk behaviors in adolescents seen in the Emergency Department (ED).
Adolescents and their parents (if participant is under the age of 18 years) will be
approached and invited to participate in the study during their Emergency Department (ED)
visit. Following consent, adolescents will be randomized to the intervention or control
group. A tablet computer will be provided to the participants for use during their baseline
assessment in the ED. The CheckED Yourself App will be pre-loaded on the tablet. The CheckED
Yourself App (eHA-IPF) is an innovative electronic health screening tool with integrated
personalized feedback about risk behaviors. The CheckED Yourself App (eHA-IPF) will be
divided into an assessment about risk behaviors and a personalized feedback portion.
Participants will be randomized to a control or intervention group at the time of consent.
Those in the intervention group will receive both parts of the CheckED Yourself App, while
the control group will receive only the assessment with no feedback.
Those in the Intervention arm will complete the health risk behavior assessment and receive
integrated personalized feedback from the CheckED Yourself App (eHA-IPF), and those in the
control group will complete the health risk behavior assessment only. Participants will
complete the questionnaire at some point during their ED visit and prior to discharge.
Follow-up assessments will be completed at 1-day and 3 months post ED visit via an online
survey. Reminders for the 1-day and 3-month follow-ups will be sent via email or text
message. The 1-day assessment will focus on adolescent-reported motivation to make a health
behavior change, the content of the ED visit including what, if any, risk behaviors their ED
provider discussed with the participant, and satisfaction with care in the ED. The 3-month
assessment will include a re-assessment of risk behaviors.
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