224672 Providers' Perspectives of Counseling Parents of Adolescents about Adolescent Preventive Health

Monday, November 8, 2010 : 3:10 PM - 3:30 PM

Anne E. George, MPH , Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, PA
Penelope Morrison, PhD, MPH , Deparment of Medicine, RAND/University of Pittsburgh, Pittsburgh, PA
Cynthia Holland, MPH , Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, PA
Aletha Y. Akers, MD, MPH , Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, Pittsburgh, PA
Background: Most morbidity during adolescence is preventable. Despite national recommendations that providers counsel parents about adolescent preventive health, providers do so infrequently. Objective: To explore how providers' counsel parents about adolescent preventive health. Methods: Between June-October 2009, we conducted semi-structured interviews with physicians and nurse practitioners from pediatric and adolescent outpatient clinics at the University of Pittsburgh. Participants were recruited through departmental presentations, flyers, and email. Interviews lasted 1- 1.5 hours. Participants were compensated $100. Interview transcripts were analyzed using grounded theory and the constant comparison method. Results: Seven pediatric (86% female) and 6 adolescent (67% female) providers participated. All pediatric and 4 adolescent providers were physicians. General pediatrician and adolescent specialists struggled to counsel parents about adolescent preventive health topics during the brief time allotted for visits. Lack of patient-provider continuity and sporadic parental attendance at visits were described as additional barriers to counseling. Most providers reportedly select discussion topics based on prior knowledge about the family and visit type. General pediatricians were less comfortable providing reproductive health counseling compared to adolescent providers and preferred to refer these issues to adolescent providers. General pediatricians wanted additional training in counseling about sensitive issues and additional resources, like handouts and books, to send home with families. Conclusions: Requiring parental attendance at visits and encouraging continuity between individual providers and families should be a priority. Patient-provider familiarity will improve counseling delivery. Interventions should train pediatric providers in counseling adolescents about sensitive issues and educate all providers about resources available to families.

Learning Areas:
Communication and informatics
Diversity and culture
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss pediatric and adolescent medicine providersí current adolescent preventive health counseling practices for families. Describe the main barriers to adolescent preventive health counseling. Describe ways to overcome barriers to adolescent preventive health counseling.

Keywords: Adolescent Health, Counseling

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I designed study, obtained funidng, collected and analyzed the data and supervised the research team that assisted with these activities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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