Adolescent Risk Screening Instruments for Primary Care: An Integrative Review Utilizing the Donabedian Framework.

Adolescent risk-taking behavior choices can affect future health outcomes. The purpose of this integrative literature review is to evaluate adolescent risk screening instruments available to primary care providers in the United States using the Donabedian Framework of structure, process, and outcome...

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Publicado en:Comprehensive Child & Adolescent Nursing Vol. 41; no. 4; pp. 255 - 276
Autores principales: Hiott, Deanna B., Phillips, Shannon, Amella, Elaine
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2018
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      pub: Taylor & Francis Ltd
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        10.1080/24694193.2017.1330372
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        atl: Adolescent Risk Screening Instruments for Primary Care: An Integrative Review Utilizing the Donabedian Framework.
      aug:
        au:
          Hiott, Deanna B.
          Phillips, Shannon
          Amella, Elaine
        affil: School of Nursing, Anderson University, Anderson, South Carolina
      sug:
        subj:
          Risk Assessment In Adolescence
          Clinical Assessment Tools
          Primary Health Care
          Human
          Systematic Review
          Conceptual Framework
          United States
          Adolescence
          CINAHL Database
          Medline
          Psycinfo
          PubMed
          Adolescent: 13-18 years
      ab: Adolescent risk-taking behavior choices can affect future health outcomes. The purpose of this integrative literature review is to evaluate adolescent risk screening instruments available to primary care providers in the United States using the Donabedian Framework of structure, process, and outcome. To examine the literature concerning multidimensional adolescent risk screening instruments available in the United States for use in the primary care setting, library searches, ancestry searches, and Internet searches were conducted. Library searches included a systematic search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Academic Search Premier, Health Source Nursing Academic Ed, Medline, PsycINFO, the Psychology and Behavioral Sciences Collection, and PubMed databases with CINAHL headings using the following Boolean search terms: "primary care" and screening and pediatric. Criteria for inclusion consisted of studies conducted in the United States that involved broad multidimensional adolescent risk screening instruments for use in the pediatric primary care setting. Instruments that focused solely on one unhealthy behavior were excluded, as were developmental screens and screens not validated or designed for all ages of adolescents. In all 25 manuscripts reviewed, 16 screens met the inclusion criteria and were included in the study. These 16 screens were examined for factors associated with the Donabedian structure-process-outcome model. This review revealed that many screens contain structural issues related to cost and length that inhibit provider implementation in the primary care setting. Process limitations regarding the report method and administration format were also identified. The Pediatric Symptom Checklist was identified as a free, short tool that is valid and reliable.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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