Prevention Clinical Trial
Official title:
The SAFE TEEN Study: Family Physicians' Reports of Facilitators of and Barriers to Preventive Care for Adolescents.
The study examines (1)the incidence of preventive health services provided by family physicians to adolescent patients, and (2)barriers and facilitators of prevention discussions between family physicians and their adolescent patients.
This study used a card study design to allow volunteer physicians to record research data in
the context of providing clinical care. The method was brief, simple, and convenient for
busy practicing clinicians.
Volunteer resident physicians and faculty carried data collection checklists in their
pockets and completed one for every adolescent patient seen during a randomly selected two
week period. Physicians attempted to collect data on ten consecutive encounters with teen
patients aged 11-21 years. The checklist documented patient characteristics (age, gender and
ethnicity), reason for visit, parent presence, and types of prevention issues discussed
during the visit. Patient and visit information was collected to assess its influence on
physician prevention discussions. Finally, the checklist asked open-ended questions related
to barriers to and facilitators to teen prevention discussions.
The study involved five clinical sites comprising approximately 140 faculty and resident
family physicians. The investigators sought 10-15 volunteer physicians from each site (60-90
physicians), and asked them to complete data checklists on 10 consecutive adolescent
patients (600-900 visits). After a training session, each site randomly selected data
collection periods.
Physicians provided usual care for adolescent patients and recorded on the checklists any
prevention discussions during the visit.
;
Allocation: Random Sample, Primary Purpose: Screening, Time Perspective: Cross-Sectional
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