Adolescents' preference for technology-based emergency department behavioral interventions: Does it depend on risky behaviors?

Megan L. Ranney, Esther Choo, Anthony Spirito, Michael J. Mello

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

OBJECTIVES: This study aimed to (1) determine the prevalence of technology use and interest in technology-based interventions among adolescent emergency department patients and (2) examine the association between interest in an intervention and self-reported risky behaviors. METHODS: Adolescents (age, 13-17 years) presenting to an urban pediatric emergency department completed a survey regarding baseline technology use, risky behaviors, and interest in and preferred format for behavioral health interventions. Questions were drawn from validated measures when possible. Descriptive statistics and χ tests were calculated to identify whether self-reported risky behaviors were differentially associated with intervention preference. RESULTS: Two hundred thirty-four patients (81.8% of eligible) consented to participate. Almost all used technology, including computers (98.7%), social networking (84.9%), and text messaging (95.1%). Adolescents reported high prevalence of risky behaviors as follows: unintentional injury (93.2%), peer violence exposure (29.3%), dating violence victimization (23.0%), depression or anxiety (30.0%), alcohol use (22.8%), drug use (36.1%), cigarette use (16.4%), and risky sexual behaviors (15.1%). Most were interested in receiving behavioral interventions (ranging from 93.6% interest in unintentional injury prevention, to 73.1% in smoking cessation); 45% to 93% preferred technology-based (vs in person, telephone call, or paper) interventions for each topic. Proportion interested in a specific topic and proportion preferring a technology-based intervention did not significantly differ by self-reported risky behaviors. CONCLUSIONS: Among this sample of adolescent emergency department patients, high rates of multiple risky behaviors are reported. Patients endorsed interest in receiving interventions for these behaviors, regardless of whether they reported the behavior. Most used multiple forms of technology, and approximately 50% preferred a technology-based intervention format.

Original languageEnglish (US)
Pages (from-to)475-481
Number of pages7
JournalPediatric Emergency Care
Volume29
Issue number4
DOIs
StatePublished - Apr 2013
Externally publishedYes

Fingerprint

Hospital Emergency Service
Technology
Social Networking
Text Messaging
Crime Victims
Wounds and Injuries
Smoking Cessation
Telephone
Tobacco Products
Sexual Behavior
Anxiety
Alcohols
Depression
Pediatrics
Health
Pharmaceutical Preparations

Keywords

  • adolescent health
  • behavioral intervention
  • injury prevention
  • technology

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Adolescents' preference for technology-based emergency department behavioral interventions : Does it depend on risky behaviors? / Ranney, Megan L.; Choo, Esther; Spirito, Anthony; Mello, Michael J.

In: Pediatric Emergency Care, Vol. 29, No. 4, 04.2013, p. 475-481.

Research output: Contribution to journalArticle

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abstract = "OBJECTIVES: This study aimed to (1) determine the prevalence of technology use and interest in technology-based interventions among adolescent emergency department patients and (2) examine the association between interest in an intervention and self-reported risky behaviors. METHODS: Adolescents (age, 13-17 years) presenting to an urban pediatric emergency department completed a survey regarding baseline technology use, risky behaviors, and interest in and preferred format for behavioral health interventions. Questions were drawn from validated measures when possible. Descriptive statistics and χ tests were calculated to identify whether self-reported risky behaviors were differentially associated with intervention preference. RESULTS: Two hundred thirty-four patients (81.8{\%} of eligible) consented to participate. Almost all used technology, including computers (98.7{\%}), social networking (84.9{\%}), and text messaging (95.1{\%}). Adolescents reported high prevalence of risky behaviors as follows: unintentional injury (93.2{\%}), peer violence exposure (29.3{\%}), dating violence victimization (23.0{\%}), depression or anxiety (30.0{\%}), alcohol use (22.8{\%}), drug use (36.1{\%}), cigarette use (16.4{\%}), and risky sexual behaviors (15.1{\%}). Most were interested in receiving behavioral interventions (ranging from 93.6{\%} interest in unintentional injury prevention, to 73.1{\%} in smoking cessation); 45{\%} to 93{\%} preferred technology-based (vs in person, telephone call, or paper) interventions for each topic. Proportion interested in a specific topic and proportion preferring a technology-based intervention did not significantly differ by self-reported risky behaviors. CONCLUSIONS: Among this sample of adolescent emergency department patients, high rates of multiple risky behaviors are reported. Patients endorsed interest in receiving interventions for these behaviors, regardless of whether they reported the behavior. Most used multiple forms of technology, and approximately 50{\%} preferred a technology-based intervention format.",
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