Date of Award

2018

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College

College of Nursing

First Advisor

Shannon Phillips

Second Advisor

Elaine Amella

Third Advisor

Martina Mueller

Fourth Advisor

Mary Dooley

Fifth Advisor

Francis Rushton

Abstract

The purpose of this dissertation was to explore adolescent risk screening in the primary care center. The Donabedian Framework of structure, process, outcome was used throughout this dissertation to evaluate the various aspects of adolescent risk screening in the primary care setting. To begin this investigation, an integrative review was completed to determine which adolescent risk screening instruments are available for use in the primary care setting. Next, an integrative review was completed to evaluate the validity and reliability of a commonly used verbal screening instrument called HEEADSSS for use as an adolescent risk screen in the primary care setting. Lastly, a feasibility study was conducted to assess whether the Pediatric Symptom Checklist--Youth (PSC-Y) and the Issues Checklist (IC) administered via a computer tablet could be added to an adolescent office visit to complement the HEEADSSS interview. Provider and adolescent interest, acceptability and participation were examined. Additionally, screening outcomes and the level of agreement between HEEADSSS psychological interview and the PSC-Y and IC instruments were assessed.

Rights

All rights reserved. Copyright is held by the author.

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