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  1. Direct observation of health-habit counseling of Adolescents.

    Article - En anglais

    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 1 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 ofcurrent recommendations. (...)

    Mots-clés Pascal : Comportement, Santé, Recommandation, Médecin généraliste, Pratique professionnelle, Evaluation, Adolescent, Homme, Prévention, Ohio, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire

    Mots-clés Pascal anglais : Behavior, Health, Recommendation, General practitioner, Professional practice, Evaluation, Adolescent, Human, Prevention, Ohio, United States, North America, America, Health staff

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0226892

    Code Inist : 002B30A03B. Création : 16/11/1999.