Marianne Webb
Greg Wadley
ABSTRACT
Adolescence is an important developmental period for physical, cognitive, social and emotional development when a wide range of health problems and risky health-related behaviours may emerge and co-occur. General Practitioners (GPs) are ideally positioned to deliver preventive health and early intervention as part of young people's routine health care. A quick and effective way for GPs to identify areas of concern is through technology-based health screening tools, which are acceptable to young people and facilitate self-disclosure about sensitive topics. Despite these advantages, the rate of using this technology remains low. This is the first study that involves all end users and stakeholders in the design of a health screening technology for young people in general practice settings. Our rich findings on the design needs and concerns of young people, GPs, practice staff and parents regarding technologies for health communication will be useful to any researchers and practitioners designing health technologies in a general practice setting.
- Andrad, Laura, J. J. Caraveo-Anduaga, Patricia Berglund, R. Bijl, R. C. Kessler, Olga Demler, Ellen Walters, et al. 2000. "Cross-National Comparisons of the Prevalences and Correlates of Mental Disorders." Bulletin of the World Health Organization 78 (4): 413--426.Google Scholar
- Australian Bureau of Statistics. 2013. "Australian Health Survey: Health Service Usage and Health Related Actions, 2011--12." Canberra. http://www.abs.gov.au/AUSSTATS/[email protected]/Lookup/4364.0.55.002Main+Features12011-12?OpenDocument.Google Scholar
- Bélanger, Emmanuelle, Gillian Bartlett, Martin Dawes, Charo Rodríguez, and Ifat Hasson-Gidoni. 2012. "Examining the Evidence of the Impact of Health Information Technology in Primary Care: An Argument for Participatory Research with Health Professionals and Patients." International Journal of Medical Informatics 81 (10) (October): 654--61. doi:10.1016/j.ijmedinf.2012.07.008. http://www.ncbi.nlm.nih.gov/pubmed/22910233.Google ScholarCross Ref
- Borca, Gabriella, Manuela Bina, Peggy S. Keller, Lauren R. Gilbert, and Tatiana Begotti. 2015. "Internet Use and Developmental Tasks: Adolescents' Point of View." Computers in Human Behavior 52 (November): 49--58. doi:10.1016/j.chb.2015.05.029. http://linkinghub.elsevier.com/retrieve/pii/S0747563215004008. Google ScholarDigital Library
- Braun, V, and V Clarke. 2006. "Using Thematic Analysis in Psychology." Qualitative Research in Psychology 3 (2): 77--101.Google ScholarCross Ref
- Brener, Nancy D, and Janet L Collins. 1998. "Co-Occurrence of Health-Risk Behaviors among Adolescents in the United States." Journal of Adolescent Health 22 (3): 209--213.Google ScholarCross Ref
- Burnett-Zeigler, Inger, Maureen A Walton, Mark Ilgen, Kristen L Barry, Stephen T Chermack, Robert A Zucker, Marc A Zimmerman, Brenda M Booth, and Frederic C Blow. 2012. "Prevalence and Correlates of Mental Health Problems and Treatment among Adolescents Seen in Primary Care." Journal of Adolescent Health 50 (6) (June): 559--564. doi:10.1016/j.jadohealth.2011.10.005. http://www.ncbi.nlm.nih.gov/pubmed/22626481.Google ScholarCross Ref
- Clark, K, W Bardwell, T Arsenault, R DeTeresa, and M Loscalzo. 2009. "Implementing Touch-Screen Technology to Enhance Recognition of Distress." Psycho-Oncology 18 (8) (August): 822--30. doi:10.1002/pon.1509. http://www.ncbi.nlm.nih.gov/pubmed/19085974.Google ScholarCross Ref
- Clemensen, Jane, Simon B Larsen, Morten Kyng, and Marit Kirkevold. 2007. "Participatory Design in Health Sciences: Using Cooperative Experimental Methods in Developing Health Services and Computer Technology." Qualitative Health Research 17 (1): 122--130.Google ScholarCross Ref
- Cresswell, Kathrin, and Aziz Sheikh. 2013. "Organizational Issues in the Implementation and Adoption of Health Information Technology Innovations: An Interpretative Review." International Journal of Medical Informatics 82 (5) (May): e73--86. doi:10.1016/j.ijmedinf.2012.10.007. http://www.ncbi.nlm.nih.gov/pubmed/23146626.Google ScholarCross Ref
- Duncan, Rony E, Moya Vandeleur, Anouk Derks, and Susan Sawyer. 2011. "Confidentiality with Adolescents in the Medical Setting: What Do Parents Think?" The Journal of Adolescent Health 49 (4) (October): 428--30. doi:10.1016/j.jadohealth.2011.02.006. http://www.ncbi.nlm.nih.gov/pubmed/21939875.Google ScholarCross Ref
- Fairbrother, Gerry, Roberta Scheinmann, Beth Osthimer, Melinda J Dutton, Kerry-Ann Newell, Jennifer Fuld, and Jonathan D Klein. 2005. "Factors That Influence Adolescent Reports of Counseling by Physicians on Risky Behavior." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine 37 (6) (December): 467--76. doi:10.1016/j.jadohealth.2004.11.001. http://www.ncbi.nlm.nih.gov/pubmed/16310124.Google ScholarCross Ref
- Fitton, Daniel, and Beth Bell. 2014. "Working with Teenagers within HCI Research: Understanding Teen-Computer Interaction." In Proceedings of HCI 2014, 201--206. Southport, UK. Google ScholarDigital Library
- Forjuoh, Samuel N, Marcia G Ory, Suojin Wang, Jude Ka des Bordes, and Yan Hong. 2014. "Using the iPod Touch for Patient Health Behavior Assessment and Health Promotion in Primary Care." JMIR Mhealth and Uhealth 2 (1) (March 21): e14. doi:10.2196/mhealth.2927. http://mhealth.jmir.org/2014/1/e14/.Google Scholar
- Fothergill, Kate E, Anne Gadomski, Barry S Solomon, Ardis L Olson, Cecelia A Gaffney, Susan DosReis, and Lawrence S Wissow. 2013. "Assessing the Impact of a Web-Based Comprehensive Somatic and Mental Health Screening Tool in Pediatric Primary Care." Academic Pediatrics 13 (4): 340--347. doi:10.1016/j.acap.2013.04.005. http://www.ncbi.nlm.nih.gov/pubmed/23830020.Google ScholarCross Ref
- Hagen, Penny, Philippa Collin, Atari Metcalf, Mariesa Nicholas, Kitty Rahilly, and Nathalie Swainston. 2012. "Participatory Design of Evidence-Based Online Youth Mental Health Promotion, Intervention and Treatment." Melbourne.Google Scholar
- Haller, Dagmar M, Lena A Sanci, Susan M Sawyer, and George C Patton. 2009. "The Identification of Young People's Emotional Distress: A Study in Primary Care." British Journal of General Practice 56 (560): 61--70. doi:10.3399/bjgp09X419510.Conclusion.Google Scholar
- Henry-Reid, Lisa M, Karen G O'Connor, Jonathan D Klein, Ellen Cooper, Pat Flynn, and Donna C Futterman. 2010. "Current Pediatrician Practices in Identifying High-Risk Behaviors of Adolescents." Pediatrics 125 (4) (April): e741--7. doi:10.1542/peds.2009-0271. http://www.ncbi.nlm.nih.gov/pubmed/20308220.Google ScholarCross Ref
- Kessler, Ronald C, Patricia Berglund, Olga Demler, Robert Jin, Kathleen R Merikangas, and Ellen E Walters. 2005. "Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication." Arch Gen Psychiatry 62: 593--602.Google ScholarCross Ref
- Klein, David, John Goldenring, and William Adelman. 2014. "Heeadsss 3.0." Contemporary Pediatrics 31 (1): 16--28.Google Scholar
- McInnes, D, D Saltman, and M Kidd. 2006. "General Practitioners' Use of Computers for Prescribing and Electronic Health Records: Results from a National Survey." Medical Journal of Australia 185 (2): 88--91.Google ScholarCross Ref
- National Mental Health Commission. 2014. "The National Review of Mental Health Programmes and Services." Sydney.Google Scholar
- Olson, Ardis L, Cecelia A Gaffney, Viking A Hedberg, and Gwendolyn R Gladstone. 2009. "Use of Inexpensive Technology to Enhance Adolescent Health Screening and Counseling." Archives of Pediatrics & Adolescent Medicine 163 (2) (February): 172--7. doi:10.1001/archpediatrics.2008.533. http://www.ncbi.nlm.nih.gov/pubmed/19188650.Google ScholarCross Ref
- Pappas, Yannis, C Anandan, Joseph Liu, J Car, A Sheikh, and A Majeed. 2011. "Computer-Assisted History-Taking Systems (CAHTS) in Health Care: Benefits, Risks and Potential for Further Development." Informatics in Primary Care 19: 155--161.Google Scholar
- Patton, Michael Quinn. 2002. Qualitative Research & Evaluation Methods. 3rd ed. Thousand Oaks, California: Sage Publications.Google Scholar
- Paul, Christine, Sze Lin Yoong, Rob Sanson-Fisher, Mariko Carey, Grant Russell, and Meredith Makeham. 2014. "Under the Radar: A Cross-Sectional Study of the Challenge of Identifying at-Risk Alcohol Consumption in the General Practice Setting." BMC Family Practice 15 (74) (January): 1--7. doi:10.1186/1471-2296-15-74. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4004529&tool=pmcentrez&rendertype=abstract.Google Scholar
- Poole, Erika S. 2013. "HCI and Mobile Health Interventions: How Human-Computer Interaction Can Contribute to Successful Mobile Health Interventions." Translational Behavioral Medicine 3 (4) (December): 402--5. doi:10.1007/s13142-013-0214-3. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3830022&tool=pmcentrez&rendertype=abstract.Google ScholarCross Ref
- Postel-Vinay, Nicolas, Guillaume Bobrie, Olivier Steichen, Philippe Sosner, Jean-Philippe Baguet, Philippe Gosse, and Pierre-François Plouin. 2014. "HY-Quest, Standardized Patient Questionnaire to Be Completed at Home before a First Visit for Hypertension: A Validation Study in Specialized Centres in France." Journal of Hypertension 32 (3) (March): 693--8. doi:10.1097/HJH.0000000000000050. http://www.ncbi.nlm.nih.gov/pubmed/24284496.Google ScholarCross Ref
- Rickwood, Debra, Frank P Deane, and Coralie J Wilson. 2007. "When and How Do Young People Seek Professional Help for Mental Health Problems?" Medical Journal of Australia 187 (7): 35--39.Google Scholar
- Sanci, Lena, Patty Chondros, Susan Sawyer, Jane Pirkis, Elizabeth Ozer, Kelsey Hegarty, Fan Yang, et al. 2015. "Responding to Young People's Health Risks in Primary Care: A Cluster Randomised Trial of Training Clinicians in Screening and Motivational Interviewing." Plos One 10 (9): e0137581. doi:10.1371/journal.pone.0137581. http://dx.plos.org/10.1371/journal.pone.0137581.Google Scholar
- Sasse, Rosemary a, Rosalie a Aroni, Susan M Sawyer, and Rony E Duncan. 2013. "Confidential Consultations with Adolescents: An Exploration of Australian Parents' Perspectives." Journal of Adolescent Health 52 (6) (June): 786--91. doi:10.1016/j.jadohealth.2012.11.019. http://www.ncbi.nlm.nih.gov/pubmed/23415756.Google ScholarCross Ref
- Sawyer, Susan M, Rima A Afifi, Linda H Bearinger, Sarah-Jayne Blakemore, Bruce Dick, Alex C Ezeh, and George C Patton. 2012. "Adolescence: A Foundation for Future Health." Lancet 379 (9826) (April 28): 1630--1640. doi:10.1016/S0140-6736(12)60072-5. http://www.ncbi.nlm.nih.gov/pubmed/22538178.Google Scholar
- Slack, Warner V, Hollis B Kowaloff, Roger B Davis, Tom Delbanco, Steven E Locke, Charles Safran, and Howard L Bleich. 2012. "Evaluation of Computer-Based Medical Histories Taken by Patients at Home." Journal of the American Medical Informatics Association : JAMIA 19 (4): 545--8. doi:10.1136/amiajnl-2011-000580. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3384115&tool=pmcentrez&rendertype=abstract.Google ScholarCross Ref
- Spring, Bonnie, Arlen C Moller, and Michael J Coons. 2012. "Multiple Health Behaviours: Overview and Implications." Journal of Public Health 34 (S1) (March): i3--i10. doi:10.1093/pubmed/fdr111.Google Scholar
- Tylee, Andre, Dagmar M Haller, Tanya Graham, Rachel Churchill, and Lena Sanci. 2007. "Youth-Friendly Primary-Care Services: How Are We Doing and What More Needs to Be Done?" Lancet 369 (9572) (May 5): 1565--1573. doi:10.1016/S0140-6736(07)60371-7. http://www.ncbi.nlm.nih.gov/pubmed/17482988.Google Scholar
- Whitehouse, Sandy R, Pei-Yoong Lam, Ellen Balka, Shelagh McLellan, Mariana Deevska, Daniel Penn, Robert Issenman, and Mary Paone. 2013. "Co-Creation With TickiT: Designing and Evaluating a Clinical eHealth Platform for Youth." JMIR Research Protocols 2 (2) (January). doi:10.2196/resprot.2865. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3806391&tool=pmcentrez&rendertype=abstract.Google Scholar
- Wissow, Lawrence S, Jonathan Brown, Kate E Fothergill, Anne Gadomski, Karen Hacker, Peter Salmon, and Rachel Zelkowitz. 2013. "Universal Mental Health Screening in Pediatric Primary Care: A Systematic Review." Journal of the American Academy of Child and Adolescent Psychiatry 52 (11) (November): 1134--1147. doi:10.1016/j.jaac.2013.08.013. http://www.ncbi.nlm.nih.gov/pubmed/24157388.Google ScholarCross Ref
- Yarnall, Kimberly S H, Kathryn I Pollak, Truls Østbye, Katrina M Krause, and J Lloyd Michener. 2003. "Primary Care: Is There Enough Time for Prevention?" American Journal of Public Health 93 (4) (April): 635--41. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1447803&tool=pmcentrez&rendertype=abstract.Google ScholarCross Ref
Index Terms
- Designing a health screening tool to help young people communicate with their general practitioner
Recommendations
Towards a Youth Mental Health Screening Analytics Tool
ACSW '19: Proceedings of the Australasian Computer Science Week MulticonferenceRisky health behaviours and mental health problems in adolescents constitute a global concern, and are relatively common in New Zealand. A self-administered screening tool, YouthCHAT, has been developed and validated for general practices and school ...
Adolescents' disease- and fitness-related online health information seeking behaviors: The roles of perceived trust in online health information, eHealth literacy, and parental factors
AbstractOnline health information seeking (OHIS) behaviors are prevalent among adolescents, which might guide their behaviors in the health domain, and therefore substantially impact their overall health. This study examined adolescent and ...
Highlights- Adolescent and parental factors are associated with adolescents' online health information seeking behaviors (OHIS).
Information management and quality of palliative care in general practices: Secondary analysis of a UK study
Palliative care seeks to improve quality of life for patients with terminal, chronic or life-long, illnesses. In the UK, most palliative care occurs in primary care, for example, through general practices. A recent national UK survey of palliative care ...
Comments