Computer-assisted health counselor visits : A low-cost model for comprehensive adolescent preventive services.
To evaluate a low-cost strategy for providing preventive health services to adolescents using computerized health assessments with individualized educational videos, trained health counselors, and nurses.
Feasibility study, cost analysis, and comparative evaluation of health problems identified, guidance delivered, and patient satisfaction.
Eleven sessions at nontraditional sites including schools, universities, shopping malls, and after-hours clinics on Oahu, Hawaii.
Participants and Intervention
Adolescents (N=258, mean age 17 years) completed confidential computerized health assessments, received individualized feedback, and viewed automatically selected educational videos on a laptop computer.
The computer additionally printed a prioritized problems list for the graduate student-level health counselor to review with the adolescent.
The counselor subsequently reviewed each encounter with a nurse-educator who performed further counseling and physical examinations when indicated.
Visit length averaged 44 minutes.
Subjects spent an average of 21 minutes completing the automated health assessment and viewing interactive multimedia and 15 minutes with the health counselor. (...)
Mots-clés Pascal : Assistance ordinateur, Service santé, Prévention, Education santé, Analyse coût, Adolescent, Homme
Mots-clés Pascal anglais : Computer aid, Health service, Prevention, Health education, Cost analysis, Adolescent, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0108445
Code Inist : 002B30A03B. Création : 16/11/1999.