Direct observation of health-habit counseling of adolescents

Meredith A. Goodwill, Sue Flocke, Elaine A. Borawski, Stephen J. Zyzanski, Kurt C. Stange

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objectives: To determine the rate of health-habit counseling of adolescents seeing community family physicians and to identify the factors associated with the delivery of recommended preventive counseling services. Design: Cross-sectional multimethod study emphasizing direct observation of patient visits. Setting: Community family practices in northeast Ohio. Patients or Other Participants: Adolescents (n=445) aged 11 to 21 years who were being seen for outpatient visits to community family physicians (n = 119) during 2 days of observation by trained research nurses. Main Outcome Measure: Direct observation of the delivery of clinical preventive counseling services recommended by the Guidelines for Adolescent Preventive Services. Results: During the 445 visits made by adolescents, the most frequently delivered counseling service was exercise advice (13%). At least 1 health- habit counseling service was delivered during 38% of visits. In multivariable analyses, older patient age was strongly associated with increased service delivery. Visits for well care, longer visits, and new patient visits were also associated with the provision of counseling. Visits including preventive counseling services were on average 2.5 minutes longer than visits without preventive counseling. Conclusions: The rates of delivery of preventive counseling services in clinical practice were low, raising concern about the feasibility of current recommendations. The practical implementation of prevention guidelines may require a greater use of well-care visits and longer patient visits than are currently used in community family practice.

Original languageEnglish (US)
Pages (from-to)367-373
Number of pages7
JournalArchives of Pediatrics and Adolescent Medicine
Volume153
Issue number4
StatePublished - Apr 1 1999
Externally publishedYes

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Habits
Counseling
Observation
Health
Family Practice
Family Physicians
Guidelines
Outpatients
Cross-Sectional Studies
Nurses
Outcome Assessment (Health Care)
Exercise
Research

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Goodwill, M. A., Flocke, S., Borawski, E. A., Zyzanski, S. J., & Stange, K. C. (1999). Direct observation of health-habit counseling of adolescents. Archives of Pediatrics and Adolescent Medicine, 153(4), 367-373.

Direct observation of health-habit counseling of adolescents. / Goodwill, Meredith A.; Flocke, Sue; Borawski, Elaine A.; Zyzanski, Stephen J.; Stange, Kurt C.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 153, No. 4, 01.04.1999, p. 367-373.

Research output: Contribution to journalArticle

Goodwill, MA, Flocke, S, Borawski, EA, Zyzanski, SJ & Stange, KC 1999, 'Direct observation of health-habit counseling of adolescents', Archives of Pediatrics and Adolescent Medicine, vol. 153, no. 4, pp. 367-373.
Goodwill MA, Flocke S, Borawski EA, Zyzanski SJ, Stange KC. Direct observation of health-habit counseling of adolescents. Archives of Pediatrics and Adolescent Medicine. 1999 Apr 1;153(4):367-373.
Goodwill, Meredith A. ; Flocke, Sue ; Borawski, Elaine A. ; Zyzanski, Stephen J. ; Stange, Kurt C. / Direct observation of health-habit counseling of adolescents. In: Archives of Pediatrics and Adolescent Medicine. 1999 ; Vol. 153, No. 4. pp. 367-373.
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