235851 Creating a program to promote adolescent and provider communication: “Keeping it real in more ways than one”

Tuesday, November 1, 2011: 12:30 PM

Maranda C. Ward, MPH , Division of Adolescent & Young Adult Medicine, Children's National Medical Center (CNMC), Washington, DC
Lawrence D'Angelo, MD, MPH , Division of Adolescent & Young Adult Medicine, Children's National Medical Center (CNMC), Washington, DC
Background. Recent studies have shown that in traditional primary care settings, adolescent visits don't frequently include appropriate preventive care, especially as it relates to sexuality, sexual behavior, birth control and sexually transmitted infections. This is particularly true among males when compared to females. In those instances when providers do offer these services, adolescents often report feelings of discomfort and/or mistrust that sexual health information may be disclosed to parents or guardians. This makes them less likely to access prevention services, or remain honest when they do. Methods. Nine national sites were funded to replicate the Adolescent Health Care Communication Program (AHCCP), with Children's National Medical Center in Washington, DC being one of these sites. Fifteen adolescent peer educators were trained in the curriculum to implement workshops for adolescent patients and their health care providers. These highly interactive sixty minute workshops simulate the best practices for provider-adolescent patient communication recommended by the Society for Adolescent Health and Medicine (SAHM). An advisory board was created and the curriculum was field tested. Results. Reaching 100 providers and 50 patients was established. Provider post tests report an increased comfort talking with adolescents and improved interviewing proficiency in the standardized patient experience. Patient post tests reveal increase confidence with asking questions to providers and improved knowledge on patient rights as minors. Conclusions. Improving trust between adolescents and health care providers as well as comfort discussing sensitive topics will enhance access to routine medical services and screenings and ultimately improved experiences with the health care system.

Learning Areas:
Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
1. Identify the reported barriers to effective adolescent patient and provider communication in primary care settings; 2. Describe best practices that health care providers can use to reassure the confidentiality and privacy of the adolescent clinical interview; and 3. Explain the utility of using teen peer educators to train adolescent providers in effective and non judgmental communication with adolescent patients.

Keywords: Adolescent Health, Communication

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 wrote and secured funding to implement the program model I am sharing, as well as trained and implemented the program amongst DC area adolescent peer educators, patients and providers.
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.