Feasibility and Acceptability of a Novel Primary Care-Based Intervention to Promote Parent-Teen Communication About Teen Strengths.

IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Primary Prevention Pub Date : 2021-04-01 Epub Date: 2021-03-12 DOI:10.1007/s10935-021-00626-3
Elizabeth Friedrich, Reyneris Robles, Karol Silva, Megan Fisher Thiel, Carol A Ford, Victoria A Miller
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Abstract

Strength-based approaches to youth development have been tested in community settings and are related to improvements in social, health, and academic realms. However, little is known about similar approaches to enhance parent-teen communication (PTC) in pediatric primary care. The goal of this study was to test the feasibility and acceptability of an intervention to facilitate parent-teen communication about teen strengths. Intervention materials were developed based on a literature review, expert consultation, and feedback from stakeholders. The final intervention was a parent-directed booklet and a parent-teen discussion activity. At the well-adolescent visit (WAV), dyads received an orientation to the materials and were instructed to complete the discussion activity within 2 weeks of the WAV. Health Care Providers verbally endorsed the materials and instructed parents to read the booklet and complete the discussion activity with their teens. Acceptability was assessed at 2-week and 2-month follow-ups. Parent-adolescent dyads from an urban, pediatric primary care practice were enrolled with half assigned to the treatment group. Those in the treatment group (60 dyads) are the focus of this paper. Youth were 13-15 years old, 55% female, and 66% Black. Most participating parents (97%) were female. Fidelity was ≥ 88% for delivery of each of the intervention components. Fifty-four of the 60 parents in the intervention group completed the 2-week call. Of those 54 parents, 96% read the booklet and 62% found the booklet either extremely or very helpful. The majority of parents (67%) and teens (72%) reported that the discussion activity was excellent or very good. Analysis of qualitative data also provided rich insight into the participants' experiences with the intervention materials. Overall results suggest that an intervention to promote PTC about teen strengths is feasible and acceptable to parents and teens within primary care.

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一种以初级保健为基础的新型干预措施促进青少年优势的亲子沟通的可行性与可接受性。
以力量为基础的青年发展方法已在社区环境中进行了测试,并与社会、健康和学术领域的改善有关。然而,很少有人知道类似的方法,以提高家长-青少年沟通(PTC)在儿科初级保健。本研究的目的是检验一种干预措施促进父母与青少年就青少年优势进行沟通的可行性和可接受性。干预材料是在文献综述、专家咨询和利益相关者反馈的基础上制定的。最后的干预是家长指导的小册子和亲子讨论活动。在青少年健康访问(WAV)中,二人组接受了材料的介绍,并被指示在WAV的两周内完成讨论活动。卫生保健提供者口头认可了这些材料,并指示父母阅读小册子并与他们的青少年完成讨论活动。在2周和2个月的随访中评估可接受性。来自城市儿科初级保健实践的父母-青少年二人组被纳入,其中一半被分配到治疗组。治疗组(60对)是本文研究的重点。青少年为13-15岁,55%为女性,66%为黑人。大多数参与调查的家长(97%)是女性。每个干预成分的递送保真度≥88%。干预组的60位家长中有54位完成了为期两周的电话访谈。在这54位家长中,96%的人阅读了这本小册子,62%的人认为这本小册子非常或非常有帮助。大多数家长(67%)和青少年(72%)认为讨论活动非常好或非常好。定性数据的分析也为参与者对干预材料的体验提供了丰富的见解。总体结果表明,在初级保健中,促进青少年优势的PTC干预是可行的,并且为家长和青少年所接受。
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来源期刊
Journal of Primary Prevention
Journal of Primary Prevention PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.80
自引率
0.00%
发文量
1
期刊介绍: The Journal of Prevention is a multidisciplinary journal that publishes manuscripts aimed at reducing negative social and health outcomes and promoting human health and well-being. It publishes high-quality research that discusses evidence-based interventions, policies, and practices. The editions cover a wide range of prevention science themes and value diverse populations, age groups, and methodologies. Our target audiences are prevention scientists, practitioners, and policymakers from diverse geographic locations. Specific types of papers published in the journal include Original Research, Research Methods, Practitioner Narrative, Debate, Brief Reports, Letter to the Editor, Policy, and Reviews. The selection of articles for publication is based on their innovation, contribution to the field of prevention, and quality. The Journal of Prevention differs from other similar journals in the field by offering a more culturally and geographically diverse team of editors, a broader range of subjects and methodologies, and the intention to attract the readership of prevention practitioners and other stakeholders (alongside scientists).
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