TY - JOUR
PY - 2022//
TI - Electronic screening for adolescent risk behaviors in the emergency department: a randomized controlled trial
JO - Western journal of emergency medicine
A1 - Thomas-Smith, Siobhan
A1 - Klein, Eileen J.
A1 - Strelitz, Bonnie
A1 - Jensen, Jennifer
A1 - Parker, Elizabeth
A1 - Richardson, Laura
A1 - McCarty, Carolyn A.
A1 - Shafii, Taraneh
SP - 931
EP - 938
VL - 23
IS - 6
N2 - 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).
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.
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).
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. Language: en
LA - en
SN - 1936-900X
UR - http://dx.doi.org/10.5811/westjem.2022.7.55755
ID - ref1
ER -