Original articleDoes Delivering Preventive Services in Primary Care Reduce Adolescent Risky Behavior?
Section snippets
Methods
All procedures were approved by the university and the managed care organization internal review boards.
Results
Descriptive statistics for the intervention and comparison samples are presented in Table 1. Although there are some differences in the percentage of adolescents in each race/ethnic group across the samples, the patterns of proportions are, for the most part, similar between samples. In three of four of the data sets, about half the respondents were white adolescents, whereas the Pediatric Comparison Safety sample was more evenly divided between white (30%), Hispanic (26%), black (20%), and
Discussion
This is the first study to integrate a broad range of clinical services into primary care practice and then follow adolescent patients longitudinally to assess the behavior of adolescents receiving clinical preventive services. The intervention—involving screening and brief counseling from a primary care clinician, followed by reinforcement and goal setting with a health educator—had mixed outcomes across the range of risk areas.
The intervention had the strongest effect in the area of helmet
Acknowledgments
The authors thank John Santelli, M.D., M.P.H., our former project officer at the CDC, for his support and guidance; Arthur Elster, M.D., Patricia Levenberg, Ph.D., and Missy Fleming, Ph.D., at the AMA for their collaboration in the early phases of this research program; project officer Gary Nelson, Ph.D., at the California Wellness Foundation; Robert Bonar, M.D., and Daniel Fuster, M.D., for their collaboration on the training; Carol Bandura Cowley for assistance with the health educator
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