Improving Teen Health With Health Information Technology
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Adolescent Behavior
- Sponsor
- Carolyn McCarty
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- Physical Activity
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Health risk screening in adolescent primary care is infrequently performed and results are rarely followed by targeted intervention. In response to the need for screening-linked interventions, the study team has developed and optimized a web-based, electronic Personalized Motivational Feedback tool referred to as "Check Yourself v2.0" Based on motivational interviewing, a technique to mobilize personal change, Check Yourself is designed to promote healthy choices for the multiple behaviors relevant to adolescents.
Detailed Description
The proposed study is a randomized controlled trial that compares the effectiveness of Check Yourself v2.0 to usual care. The purpose of this study is to determine the impact of Check Yourself on reducing health risk behaviors and improving quality of care among adolescents receiving primary health care services relative to usual care.
Investigators
Carolyn McCarty
Research Associate Professor of Pediatrics, University of Washington and Investigator, Seattle Children's Research Institute
Seattle Children's Hospital
Eligibility Criteria
Inclusion Criteria
- •Eligible adolescent participants will be13-18 years of age
- •Able to understand English.
- •Will have an appointment (or have a child with an appointment) with a participating medical practice.
Exclusion Criteria
- •Adolescents will be excluded from the study
- •Participants do not meet age requirements
- •Do not have an appointment with a participating provider at a PSPRN clinic,
- •Lack the means to complete follow-up interviews (i.e., have neither telephone nor internet access)
- •Have a sibling who has been/is being enrolled in the study or have previously participated in our previous trial comparing Check Yourself to usual care
- •Not able to understand English.
Outcomes
Primary Outcomes
Physical Activity
Time Frame: 3 month
Adolescent self-reported days with \>60 minutes of physical activity in an average week in past 3 months. The physical activity scale includes 8 values: 0 (min) to 7 (max). Higher scores mean a better outcome.
Alcohol Consumption (frequency)
Time Frame: 3 month
Adolescent self-reported number of days of alcohol consumption and number of drinks during a typical drinking episode in the prior month
Seat belt Use
Time Frame: 3 month
Adolescent self-reported frequency of seat belt use in a car in past 3 months. . The seatbelt use scale includes 4 values: 1=never (min), 2=sometimes, 3=usually, or 4=always (max). Higher scores mean a better outcome.
Condom Use and/or Birth Control Use
Time Frame: 3 month
Adolescent self-reported condom use with sexual intercourse in past 3 months and/or use of birth control with last sexual intercourse. Two questions were used for this category. These questions were asked only to sexually active youth. The condom use scale includes 4 values: 1=always (min), 2=often, 3=sometimes, 4=never (max). Higher scores mean a worse outcome. The birth control scale includes 2 values: 0=no (min), 1=yes (max). Higher scores mean a better outcome.
Number of Health risk behaviors
Time Frame: 3 months
The risk behavior scale includes 22 values: 0 (min) to 21 (max). Higher scores indicate a worse outcome. Endorsement of any of the following counts as 1 (moderate risk) or 2 (high risk) on the scale depending on response and participant: ≥2 sugar-sweetened beverages consumed during typical day; ≤3 servings fruits/vegetables consumed during typical day; ≤3 days with 60+ minutes exercise during typical week; texting while driving in past 3 months; ≤7 hrs of sleep during typical night; not "always" using seatbelt; not "always" using helmet when bicycling; having driven under the influence of substances; tobacco use; days alcohol consumption in last 30 days (risk based on age) and/or number of drinks per drinking episode (risk based on age \& sex); days marijuana consumption in last 30 days (risk based on age) and/or other drug use in past 3 months; not using birth control during last sexual intercourse and/or not "always" using a condom; \& score of ≥10 on PHQ-9 depression.
Sweetened Beverage Consumption
Time Frame: 3 months
Adolescent self-reported sweetened beverages consumed in a typical day in past 3 months. The sweetened beverages scale includes 4 values: 0 (min), 1, 2, or 3+ (max) sweetened beverages per day. Higher scores mean a worse outcome.
Helmet Use
Time Frame: 3 month
Adolescent self-reported frequency of helmet use while bicycling in past 3 months. The helmet use scale includes 4 values: 1=never (min), 2=sometimes, 3=usually, or 4=always (max). Higher scores mean a better outcome.
Sleep
Time Frame: 3 month
Adolescent self-reported hours of sleep on a typical night in past 3 months. . The sleep scale includes 13 values: 0 (min) to 12+ (max) hours of sleep per night. Higher scores mean a better outcome.
Marijuana and/or Other Drug Consumption
Time Frame: 3 month
Adolescent self-reported number of days using marijuana in the past month and/or other drugs used in past 3 months. Two questions were used for this category. The marijuana frequency scale includes 31 values: 0 (min) to 30 (max) days in the past month. Higher scores mean a worse outcome. Adolescent self-reported use of other drugs in the past 3 months. The other drug score includes 2 values: 0=no (min) and 1=yes (max). Higher scores mean a worse outcome.
Depression
Time Frame: 3 month
Adolescent self-reported depression as measured on the nine item Patient Health Questionnaire in past 2 weeks. The PHQ-9 depression scale includes 28 values: 0 (min) to 27 (max). Higher scores mean a worse outcome.
Texting while driving
Time Frame: 3 month
Adolescent self-reported endorsement of texting while driving in past 3 months. This question is only asked among adolescents who drive a car. The texting while driving scale includes 4 values: 1=never (min), 2=sometimes, 3=usually, or 4=always (max). Higher scores mean a worse outcome.
Driving with Impairment
Time Frame: 3 month
Adolescent self-reported driving under the influence of a substance in past 3 months. This question was asked only of adolescents who drive a car. The driving with impairment scale includes 2 values: 0=no (min) and 1=yes (max). Higher scores mean a worse outcome
Fruit and Vegetable Consumption
Time Frame: 3 month
Adolescent self-reported fruits and vegetables consumed in a typical day in past 3 months. The fruits and vegetables scale includes 6 values: 0 (min), 1, 2, 3, 4, or 5+ (max). Higher scores mean a better outcome.
Percent of risk behaviors counseled on during primary care appointment
Time Frame: 1 day
Percent of adolescent-reported health risk behaviors discussed with the healthcare provider during the primary care visit adjusted for the total number of health risk behaviors reported at baseline.
Adolescent Satisfaction with Care
Time Frame: 1 day
Adolescent satisfaction with care will be assessed using 1 item adapted from the consumer Assessment Of healthcare Providers and Systems (CAHPS) measure at 1 day follow up. The CAHPS scale includes 10 values: 1 (min) to 10 (max). Higher scores mean a better outcome.
Tobacco Use
Time Frame: 3 month
Adolescent self-reported endorsement of tobacco use in past 3 months. The tobacco use scale includes 2 values: 0=no (min) or 1=yes (max). Higher scores mean a worse outcome.
Secondary Outcomes
- Adolescent Health Self -Efficacy(1 day)
- Sleep(6 month)
- Depression(6 month)
- Fruit and Vegetable Consumption(6 month)
- Number of Health risk behaviors(6 months)
- Sweetened Beverage Consumption(6 month)
- Physical Activity(6 month)
- Alcohol Consumption(6 month)
- Seat-belt Use(6 month)
- Condom Use and or Birth Control Use(6 month)
- Driving with Alcohol Impairment(6 month)
- Tobacco Use(6 month)
- Marijuana and/or Other Drug Consumption(6 month)
- Helmet Use(6 month)
- Readiness to Change Ruler(6 months)
- Interval Receipt of Care(6 months)
- Texting while driving(6 month)