Partnerships Between Parents and Health Care Professionals to Improve Adolescent Health
Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. Journal of Adolescent Health
(Impact Factor: 3.61).
07/2011; 49(1):53-7. DOI: 10.1016/j.jadohealth.2010.10.004
Research on partnerships between parents and health care professionals (HCPs) to improve adolescent health is limited. In this study, we have developed an empirically derived framework to guide research in this particular area.
We conducted a qualitative study using focus groups and in-depth semi-structured interviews. A total of 85 participants (51 HCPs, 17 mothers of patients of ages 12-18 years, and 17 adolescents) were recruited from three free-standing adolescent health clinics and five school-based health centers across North Carolina. We independently explored the perceptions of HCPs and mothers regarding the roles of parents, HCPs, and parent-HCP partnerships in preventing and addressing adolescent health problems. We then elicited feedback of adolescents on mother and HCP perceptions. We identified common and informative themes during content analysis using ATLAS.ti, and triangulated perspectives of HCPs, mothers, and adolescents to develop a framework for building parent-HCP partnerships to improve adolescent health.
A general framework emerged that conceptualizes both direct and indirect strategies for building parent-HCP partnerships. Direct strategies involve strengthening relationships and/or communication between parents and HCPs in both practice and community settings. Indirect strategies involve opportunities for HCPs to influence parent-adolescent relationships and/or communication within the context of adolescent visits. For example, HCPs can discuss the importance of parental involvement and monitoring with adolescents, encourage and facilitate parent-adolescent communication, and deliver tailored parental guidance while also respecting adolescents' desires for confidential health care when appropriate.
Interventions that directly strengthen parent-HCP relationships and/or communication, and those that indirectly support parent-HCP partnerships within the context of adolescent health care, should be designed targeting health outcomes.
Available from: Kelly A Williams
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ABSTRACT: Using a representative national sample from the National Longitudinal Study of Adolescent Health (Add Health) survey (N = 18,924), this article explores sexual minority status (SMS) and child-parent connectedness in relation to the unmet needs for health or mental health care among adolescents. Through the use of logistic regression models, data were analyzed to determine whether SMS and child-parent connectedness predict unmet health and mental health need. In addition, models tested whether child-parent connectedness, sex or gender, and race or ethnicity interact with SMS to predict unmet need. Results show that both SMS and child-parent connectedness predict unmet health and mental health need. Being a sexual minority youth (SMY) significantly increases the odds of having an unmet need for health or mental health care; female SMY have the highest odds of an unmet mental health need. Child-parent connectedness is a predictor of unmet need regardless of SMS. Youth with lower levels of child-parent connectedness have significantly higher odds of an unmet health or mental health need. Findings call for service providers to address the unmet needs of SMY both in terms of outreach to youth and parents and to communicate the importance of the parental role in helping teens access care.
American Journal of Orthopsychiatry 10/2012; 82(4):473-81. DOI:10.1111/j.1939-0025.2012.01182.x · 1.36 Impact Factor
Available from: Liz Jones
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ABSTRACT: In this article, five papers that formed the Special Issue for the fourth International Association of Language and Social Psychology Taskforce on health communication are revisited. Our starting point is Gallois’s epilogue and the six themes she identified from those papers. These themes are invoked to explore where health communication is moving in the 21st century. Burgeoning work on intergroup communication in this context, patient voice, minority groups, and the role of the carer are highlighted.
Journal of Language and Social Psychology 12/2012; 31(4):415-436. DOI:10.1177/0261927X12446612 · 1.04 Impact Factor
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ABSTRACT: Historically, parents have demonstrated poor understanding of adolescent healthcare laws. This study assessed US parents' current knowledge and opinions about technology facilitated physician-adolescent communication and applicable laws to enhance transition to adult health care.
A brief survey in two low-income academic paediatric clinics asked parents about their knowledge of health care and laws, and their opinions about technology facilitated contact between physicians and adolescents.
Almost all parents (96.7%) have internet access at home, work or via a mobile device. Only 44.1% approved of having a physician directly contact their child about annual examinations, immunisations or to discuss issues of sexuality. Half (55.4%) were aware that adolescents could receive confidential sexuality information and treatment without parents' permission. Only one-third (32.2%) approved of a specific technology for direct communication.
Parents are divided about direct physician-adolescent contact. Future plans to engage adolescents to understand their health will require parental education and involvement on the value of physician-adolescent communication.
The Journal of Innovations in Health Informatics 12/2012; 20(1):69-74. DOI:10.14236/jhi.v20i1.49
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