@article{ref1,
title="Electronic screening for adolescent risk behaviors in the emergency department: a randomized controlled trial",
journal="Western journal of emergency medicine",
year="2022",
author="Thomas-Smith, Siobhan and Klein, Eileen J. and Strelitz, Bonnie and Jensen, Jennifer and Parker, Elizabeth and Richardson, Laura and McCarty, Carolyn A. and Shafii, Taraneh",
volume="23",
number="6",
pages="931-938",
abstract="INTRODUCTION: In this study we aimed to assess the impact of an electronic health assessment with individualized feedback for risk behaviors in adolescents seeking care in a pediatric emergency department (ED). <br><br>METHODS: We conducted a randomized control trial using a tablet-based screening program with a study population of adolescents in a busy pediatric ED. The intervention group received the screening program with individualized feedback. The control group received the screening program without feedback. All participants received one-day and three-month follow-up surveys to assess behaviors and attitudes toward health behaviors. <br><br>RESULTS: A total of 296 subjects were enrolled and randomized. There was no difference in changes in risky behaviors between the control and experimental groups. A higher proportion of participants in the intervention groups reported that the screener changed the way they thought about their health at one-day follow-up (27.0%, 36/133) compared to the control group (15.5%, 20/129, P =.02). <br><br>CONCLUSION: This study successfully tested a multivariable electronic health screener in a real-world setting of a busy pediatric ED. The tool did not significantly change risky health behaviors in the adolescent population screened. However, our finding that the intervention changed adolescents' perceptions of their health opens a door to the continued development of electronic interventions to screen for and target risk behaviors in adolescents in the ED setting.<p /> <p>Language: en</p>",
language="en",
issn="1936-900X",
doi="10.5811/westjem.2022.7.55755",
url="http://dx.doi.org/10.5811/westjem.2022.7.55755"
}