scholarly journals Optimizing Adolescent Health Behavior Programs

2020 ◽  
Vol 15 (3) ◽  
pp. 74-85
Author(s):  
Nicole F. Kahn
Keyword(s):  
Systematic Review ◽  
Health Behavior ◽  
Health Behaviors ◽  
Adolescent Health ◽  
21St Century ◽  
Final Section ◽  
The Core ◽  
Core Components ◽  
Adolescent Health Behaviors

This article summarizes the key messages and recommendations from the recent National Academies report, Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. The first section outlines important definitions and frameworks that guided the committee’s process. Next, the article describes the results of the committee’s systematic review, which aimed to identify the core components of programs and interventions that are effective across a variety of adolescent health behaviors and outcomes. The final section of this article presents a subset of the committee’s recommendations and promising approaches that can be useful to the diverse readership of this journal.

scholarly journals Parental Perspectives on Financial Incentives for Adolescents: Findings From Qualitative Interviews

2019 ◽  
Vol 6 ◽  
pp. 2333794X1984592
Author(s):  
Kera M. Beskin ◽  
Rachel Caskey
Keyword(s):  
Health Care ◽  
Health Behavior ◽  
Health Behaviors ◽  
Adolescent Health ◽  
Financial Incentives ◽  
Financial Incentive ◽  
Economic Incentives ◽  
Future Health ◽  
Human Papillomavirus Vaccination ◽  
Adolescent Health Behaviors

Background. Financial incentives are becoming more common to promote health behaviors; however, little is known about the acceptability of incentivizing adolescent health behaviors. Design. Qualitative semistructured phone interviews were conducted with 26 parents who had participated in a research study involving incentivizing a recommended, preventive adolescent health behavior (human papillomavirus vaccination). Data were coded and analyzed to identify themes. Interview domains included the following: preferred incentive distribution, ideal financial incentive amount, and general reactions to economic incentives for preventative services. Results. Parents held positive perceptions about incentives and most parents felt that the incentive could be provided directly to their adolescent child, rather than to the parent. Parents stated several benefits from incentivizing adolescent health behavior including creating an opportunity to teach their child about money, reimbursing families for time and effort, and motivating the adolescent to complete the health behavior. Topics for consideration when providing cash incentives to adolescents included the adolescent’s maturity level, parents’ desire to monitor adolescent’s spending, and parents’ want to remain involved in health care and financial decisions for their adolescent. Conclusions. This study demonstrates the potential for parental acceptance of financial incentives for adolescent health behaviors and explores areas of parental concern around financial incentives, which could help inform future health care–based incentive programs.

scholarly journals Realist-informed review of motivational interviewing for adolescent health behaviors

2021 ◽  
Author(s):  
Christina Mutschler ◽  
Erica Naccarato ◽  
Jen Rouse ◽  
Caitlin Davey ◽  
Kelly McShane
Keyword(s):  
Systematic Review ◽  
Health Behavior ◽  
Behavior Change ◽  
Health Behaviors ◽  
Motivational Interviewing ◽  
Adolescent Health ◽  
School Setting ◽  
Health Behavior Change ◽  
Effective Intervention ◽  
Future Research

Background Clinical research investigating effective intervention strategies for adolescents to improve health behaviors has shifted to the application of motivational interviewing (MI). Evidence indicates that MI is an effective intervention for improving health behaviors as related to diet, exercise, and diabetes among adolescents. However, there is a lack of understanding about the mechanisms through which MI works and the contextual factors impacting MI effectiveness. The purpose of this review was to understand how, for whom, and under what circumstances MI works for adolescent health behavior change, which will inform future implementation of this intervention. To provide this in-depth understanding, a realist-informed systematic review was conducted in order to synthesize the evidence on the use of MI for health behaviors. Self-determination theory (SDT) was chosen as the candidate theory for testing in the present review. Methods Databases including PsycINFO, Healthstar, Cochrane, and PubMed were searched for articles published until March 2017. The search strategy included studies that examined or reviewed the effectiveness or efficacy of MI to change health behaviors among adolescent populations. The search identified 185 abstracts, of which 28 were included in the review. The literature was synthesized qualitatively (immersion/crystallization) and tested SDT as the candidate theory. Results Based on SDT, three mechanisms were found within reviewed studies, including competence, relatedness, and autonomy. The following contexts were found to impact mechanisms: school setting, clinician MI proficiency, parental involvement, and peer involvement. Conclusions This realist-informed systematic review provides advances in understanding the mechanisms involved in MI for adolescent health behavior change. Additionally, it provides important practical information as to which contexts create the conditions for these mechanisms to occur, leading to health behavior change. The results can inform future MI interventions for adolescent health behavior change. Future research should continue to test this realist theory and also examine mechanism variables not extensively documented in order to improve our understanding of MI in this population.

scholarly journals Peer social network processes and adolescent health behaviors: A systematic review

2020 ◽  
Vol 130 ◽  
pp. 105900 ◽  
Author(s):  
Shannon C. Montgomery ◽  
Michael Donnelly ◽  
Prachi Bhatnagar ◽  
Angela Carlin ◽  
Frank Kee ◽  
...  
Keyword(s):  
Systematic Review ◽  
Social Network ◽  
Health Behaviors ◽  
Adolescent Health ◽  
Adolescent Health Behaviors

scholarly journals Realist-informed review of motivational interviewing for adolescent health behaviors

2021 ◽  
Author(s):  
Christina Mutschler ◽  
Erica Naccarato ◽  
Jen Rouse ◽  
Caitlin Davey ◽  
Kelly McShane
Keyword(s):  
Systematic Review ◽  
Health Behavior ◽  
Behavior Change ◽  
Health Behaviors ◽  
Motivational Interviewing ◽  
Adolescent Health ◽  
School Setting ◽  
Health Behavior Change ◽  
Effective Intervention ◽  
Future Research

Background Clinical research investigating effective intervention strategies for adolescents to improve health behaviors has shifted to the application of motivational interviewing (MI). Evidence indicates that MI is an effective intervention for improving health behaviors as related to diet, exercise, and diabetes among adolescents. However, there is a lack of understanding about the mechanisms through which MI works and the contextual factors impacting MI effectiveness. The purpose of this review was to understand how, for whom, and under what circumstances MI works for adolescent health behavior change, which will inform future implementation of this intervention. To provide this in-depth understanding, a realist-informed systematic review was conducted in order to synthesize the evidence on the use of MI for health behaviors. Self-determination theory (SDT) was chosen as the candidate theory for testing in the present review. Methods Databases including PsycINFO, Healthstar, Cochrane, and PubMed were searched for articles published until March 2017. The search strategy included studies that examined or reviewed the effectiveness or efficacy of MI to change health behaviors among adolescent populations. The search identified 185 abstracts, of which 28 were included in the review. The literature was synthesized qualitatively (immersion/crystallization) and tested SDT as the candidate theory. Results Based on SDT, three mechanisms were found within reviewed studies, including competence, relatedness, and autonomy. The following contexts were found to impact mechanisms: school setting, clinician MI proficiency, parental involvement, and peer involvement. Conclusions This realist-informed systematic review provides advances in understanding the mechanisms involved in MI for adolescent health behavior change. Additionally, it provides important practical information as to which contexts create the conditions for these mechanisms to occur, leading to health behavior change. The results can inform future MI interventions for adolescent health behavior change. Future research should continue to test this realist theory and also examine mechanism variables not extensively documented in order to improve our understanding of MI in this population.

scholarly journals EnCLASS: an innovative project merging 2 international surveys (HBSC/ESPAD) among French students

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Godeau ◽  
V Ehlinger ◽  
S Spilka
Keyword(s):  
Public Health ◽  
High School ◽  
Substance Use ◽  
Health Behavior ◽  
Secondary School ◽  
Health Behaviors ◽  
Adolescent Health ◽  
International Level ◽  
School Students ◽  
Health Promotion In Schools

Abstract Problem For two decades, France has taken part in two “competing” school-based, cross-national surveys exploring the health behaviors and well-being of adolescent (Health Behavior in School-aged Children (HBSC) survey, 11-13-15 year-olds) and their substance use (European School Project on Alcohol and other Drugs (ESPAD), 15-16 year-olds). Description of problem Since 2010, French data is provided at national level by grade rather than age. This allowed providing a continuous observation of health behaviors among adolescents, looking at the temporal spread of substance use and providing a better understanding of the role of school as a setting for adolescents’ health. But the difficulty of participating every 4 years in two big surveys remained. Effects of changes In 2018, France decided to conduct the 2 surveys in a unified and simultaneous way across middle- and high-school. This project is called ’National Survey in Middle- and High-school for Adolescents on Health and Substances’, EnCLASS, explicit acronym easy to pronounce and remember in French. If the main objective of “merging” these surveys is to improve the monitoring of health behaviours and substance use throughout adolescence, it also allows a significant gain regarding preparation, coordination and organization of the fieldwork, hence of overall costs, while ensuring perfect comparability of data at international level. Evolution of data visualization on substance use will be used to illustrate the challenges and improvements of such a process, based on data collected in 2018 among more than 20,000 representative secondary-school students. Lessons In addition to a greater facility of interpreting and reading findings, presenting data throughout secondary school grades improves its impact and use in a public health perspective and allowing identifying operational targets for prevention and health promotion in schools, as classes are their main settings. Key messages EnCLASS is unique in Europe, it ensures an excellent comparability of data at international level while providing an innovative national monitoring of adolescent health behavior, including drug use. Further, by its improved quality, perspective and relevance, EnCLASS can contribute to Public health policies analysis regarding school-students in France in a less expensive and better way.

Adolescent health literacy and health behaviors: A systematic review

2018 ◽  
Vol 62 ◽  
pp. 116-127 ◽  
Author(s):  
Sasha A. Fleary ◽  
Patrece Joseph ◽  
Jessica E. Pappagianopoulos
Keyword(s):  
Systematic Review ◽  
Health Literacy ◽  
Health Behaviors ◽  
Adolescent Health
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