Abstract

It is estimated that more than 70% of illnesses, disabilities, and deaths among the adolescent population are related to adolescent high-risk behaviors. Adolescent high-risk behaviors include those that contribute to unintentional injuries and violence, sexual behaviors related to unintended pregnancies and sexually transmitted infections, alcohol and other drug use, tobacco use, unhealthy dietary behavior, and inadequate physical activity. Despite national recommendations, many providers remain reluctant to implement standardized screening tools that have been created to prevent and identify these behaviors. Studies have shown that a comprehensive preventative risk assessment, such as the Rapid Assessment of Adolescent Preventive Services (RAAPS) used routinely, provides a consistent opening and opportunity to address these behaviors. The Theory of Planned Behavior was utilized to facilitate pediatric health care providers discussing these behaviors at annual preventive (wellness) visits. The Adolescent Patient-Provider Interaction Scale (APPIS) was developed to measure the style of the exchange of information and balance of power during a health care visit. The purpose of this evidence-based project was to improve the style of the exchange of information and balance of power when discussing adolescent high-risk behaviors through implementing RAAPS, with adolescents, ages 13-18, during their annual preventive (wellness) visits.

Brandi Snyder

Author Details

Brandi Snyder, DNP, BSN, RN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Pilot/Exploratory Study

Keywords:

High Risk Behaviors, Patient-Provider Interaction, Adolescent Preventive Services, Screening Tools, Pediatric Primary Care, Rapid Assessment for Adolescent Preventive Services, RAAPS

Advisor

Robert Topp

Second Advisor

Tonya Schmitt

Third Advisor

Holly Myers

Degree

DNP

Degree Grantor

The University of Toledo

Degree Year

2020

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2020-05-18

Full Text of Presentation

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