Screening Adolescents for Sensitive Health Topics in Primary Care: A Scoping Review.

We sought to aggregate common barriers and facilitators to screening adolescents for sensitive health topics (e.g., depression, chlamydia) in primary care, as well as those that are unique to a given health topic. We conducted a literature search of three databases (PsycInfo, MEDLINE, and CINAHL) an...

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Bibliographic Details
Published in:Journal of Adolescent Health Vol. 70; no. 5; pp. 706 - 714
Main Authors: Davis, Molly, Hoskins, Katelin, Phan, Mary, Hoffacker, Carlin, Reilly, Megan, Fugo, Perrin B., Young, Jami F., Beidas, Rinad S.
Format: research systematic review Journal Article
Published: Elsevier B.V. May2022
Online Access:View this record in EBSCOhost
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      dt: May2022
      vid: 70
      iid: 5
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      pub: Elsevier B.V.
      place: New York, New York
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        156155715
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        10.1016/j.jadohealth.2021.10.028
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        atl: Screening Adolescents for Sensitive Health Topics in Primary Care: A Scoping Review.
      aug:
        au:
          Davis, Molly
          Hoskins, Katelin
          Phan, Mary
          Hoffacker, Carlin
          Reilly, Megan
          Fugo, Perrin B.
          Young, Jami F.
          Beidas, Rinad S.
        affil: Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
      sug:
        subj:
          Health Screening In Adolescence
          Health Information
          Information Needs In Adolescence
          Primary Health Care
          Human
          Systematic Review
          Psycinfo
          Medline
          CINAHL Database
          Literature Searching
          Scoping Review
          Bibliography and References
          Adolescence
          Child
          Implementation Science
          Conceptual Framework
          Depression
          Confidentiality (Research)
          Suicide
          Substance Abuse
          Human Immunodeficiency Virus
          Chlamydia
          Practice Guidelines Standards
          Adolescent: 13-18 years
          Child: 6-12 years
      ab: We sought to aggregate common barriers and facilitators to screening adolescents for sensitive health topics (e.g., depression, chlamydia) in primary care, as well as those that are unique to a given health topic. We conducted a literature search of three databases (PsycInfo, MEDLINE, and CINAHL) and reference lists of included articles. Studies focused on barriers and facilitators to screening adolescents (ages 12–17 years) for sensitive health topics in primary care that are recommended by national guidelines. Articles were peer-reviewed, presented empirical data, and were published in English in 2006–2021. We coded barriers and facilitators using the Consolidated Framework for Implementation Research, a well-established framework within implementation science. In total, 39 studies met inclusion criteria and spanned several health topics: depression, suicide, substance use, HIV, and chlamydia. We found common barriers and facilitators to screening across health topics, with most relating to characteristics of the primary care clinics (e.g., time constraints). Other factors relevant to screening implementation ranged from confidentiality concerns to clinician knowledge. Barriers and facilitators specific to certain health topics, such as the availability of on-site laboratories for HIV screening, were also noted. Findings can guide refinements to screening implementation.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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