Parents and Health Care Professionals Working Together to Improve Adolescent Health: The Perspectives of Parents
One proposed strategy to improve adolescent health and health care is to create working partnerships among adolescent health care professionals (HCPs) and families. In this pilot qualitative study we interviewed 17 mothers to explore their perceptions of the role of parents, HCPs, and parent-HCP partnerships in addressing adolescent health issues.
[Show abstract] [Hide abstract] ABSTRACT: The present study examined the role of parenting styles and basic psychological needs in the adoption of goals and aspirations of learners, as well as for their psychological wellbeing (positive versus negative affect) for a South African sample of learners. A cross-sectional design was used to conduct this study with a sample of 853 learners at public schools in the Western Cape, South Africa (females =57%. Mean age 16.96 years, SD = 1.12). Data were collected using the Parenting Style and Dimensions Questionnaire (PSDQ), Psychological Needs Scale, Aspiration Index and the PANAS. The results suggest that authoritative and authoritarian paternal parenting styles influence the adoption of life goals and psychological wellbeing of adolescents with fathers’ negative parenting possibly reducing on adolescent wellbeing. Extrinsic life goals was a significant predictor of positive affect, while need frustration was a significant predictor for negative affect. These findings add to the current debates within literature by examining the role of parenting styles and basic psychological needs in the adoption of goals and aspirations as well as psychological wellbeing of learners in a developing country context. The study also contributes to the role that the parental environment plays in psychological wellbeing of adolescents specifically the important role of fathers in parent-child relationships.
- "Introduction Parenting is the mechanism through which a child learns appropriate and inappropriate behaviour, experience right and wrong choices in decision-making, acquire skills; understand roles and norms of a community (Carr & Springer, 2010; Ford et al ., 2009; Pérez & Cumsille, 2012) . It plays a major part in child socialisation, providing an early understanding of the self (Baumrind, 1966; 1967; 1971; 1978; Lamborn, Mounts, Steinberg, & Dornbusch, 1991; Maccoby & Martin, 1983; Rudy & Grusec, 2006; Milevsky, Schlechter, Netter, & Keehn, 2007; Soenens et al ., 2007; Latouf & Dunn, 2010) . "
[Show abstract] [Hide abstract] ABSTRACT: To examine the perspectives of publicly insured adolescents and their parents on ways to encourage adolescent utilization of preventive health services. We conducted eight focus groups with 77 adolescents enrolled in a large Medicaid managed care plan in Los Angeles County, California, and two focus groups with 21 of their parents. Discussions were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis. Adolescents and parents reported that the most effective way to encourage preventive care utilization among teens was to directly address provider-level barriers related to the timeliness, privacy, confidentiality, comprehensiveness, and continuity of their preventive care. They reported that incentives (e.g., cash, movie tickets, gift cards) might also be an effective way to increase preventive care utilization. To improve adolescent receipt of surveillance and guidance on sensitive health-related topics, most adolescents suggested that the best way to encourage clinician-adolescent discussion was to increase private face-to-face discussions with a clinician with whom they had a continuous and confidential relationship. Adolescents reported that the use of text messaging, e-mail, and Internet for providing information and counseling on various sensitive health-related topics would also encourage adolescent utilization of preventive health services. Parents, however, more often preferred that their teen receive these services through in-office discussions and clinician-provided brochures. State agencies, health plans, clinics, and individual providers may consider focusing their efforts to improve adolescents' utilization of preventive services on basic structural and quality of care issues related to the clinician-patient relationship, access to services, and confidentiality.
- "Child and parent perspectives are an important part of developing strategies to improve both preventive and general health services. These perspectives have been elicited and used for health care services for the general pediatric age range, and for younger children specifically [13,29,31323334, as well as for health service evaluation tools, and development of primary care interventions and systems of care353637383940. Although our study focused on the perspectives of adolescents, we were able to augment our data with perspectives from parents. "
- [Show abstract] [Hide abstract] ABSTRACT: Clinician time alone with an adolescent has a major impact on disclosure of risk behavior. This study sought to describe primary care clinicians' patterns of delivering time alone, decision making about introducing time alone to adolescents and their parents, and experiences delivering confidential services. We undertook qualitative interviews with 18 primary care clinicians in urban health centers staffed by specialists in pediatrics, family medicine, and adolescent medicine. The annual preventive care visit is the primary context for provision of time alone with adolescents; clinicians consider the parent-child dynamic and the nature of the chief complaint for including time alone during visits for other than preventive care. Time constraints are a major barrier to offering time alone more frequently. Clinicians perceive that parental discomfort with time alone is rare. Many clinicians wrestle with internal conflict about providing confidential services to adolescents with serious health threats and regard their role as facilitating adolescent-parent communication. Health systems factors can interfere with delivery of confidential services, such as inconsistent procedures for determining whether unaccompanied youth would be seen. Despite competing time demands, clinicians report commitment to offering time alone during preventive care visits and infrequently offer it at other times. Experienced clinicians can gain skills in the art of managing complex relationships between adolescents and their parents. Office systems should be developed that enhance the consistency of delivery of confidential services.