Electronic Pre-visit Questionnaire to Prompt Discussions of Youth Violence in Primary Care

Study Overview
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Brief Summary
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Pediatricians are supposed to talk about youth violence at all heath supervision visits, however these types of conversations rarely occur. There have been no studies assessing tools to prompt these discussions. The goal of this study is to see if electronic pre-visit questionnaires (PVQs) prompt patient-provider discussion of youth violence (YV) in the primary care setting. Additionally, patient-provider characteristics are explored as mediators to youth violence discussions, as well as feasibility and acceptability of the PVQ by patients and providers. Adolescents ages 13 to 21 who come to the Hasbro Primary Care Clinics for annual physicals will be recruited. A baseline phase was conducted to look at how often providers ask about health-related teen behaviors, assessed by exit survey. The experimental period will involve adolescents completing health-related behavior PVQ, given to their doctor prior to the visit. Exit survey will assess topics discussed. Experimental group will differ from control group based on PVQ containing extra questions about youth violence.

Official Title
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Use of an Electronic Pre-visit Questionnaire and Effect on Patient-provider Discussions of Youth Violence in Primary Care

Conditions
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Exposure to Violent Event, Bullying

Intervention / Treatment
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* Behavioral: Pre-Visit Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adolescents ages 13-21 presenting for annual physical exam provider is general pediatrician (micro-practice 1-8) parent present for consent (if under 18 years old) Exclusion Criteria: non-English speaking developmental/neurologic delay no parent (if under 18 years old) presenting for sick visit or specialty clinic

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Pre-visit Questionnaire<br>Adolescents receive PVQ that includes questions about youth violence/bullying | Behavioral: Pre-Visit Questionnaire<br> <br> |
| Active Comparator: Control Pre-visit Questionnaire<br>Adolescents received PVQ without youth violence/bullying items | Behavioral: Pre-Visit Questionnaire<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patient-reported patient-provider discussions about youth violence | The intervention is implemented immediately prior to the primary care visit; the outcome is measured directly following the visit by exit survey | One time point (single day) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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youth violence, doctor-patient communication, health risk behaviors, pre-visit questionnaires