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Electronic Pre-visit Questionnaire to Prompt Discussions of Youth Violence in Primary Care

This study has been completed.
Centers for Disease Control and Prevention
HRSA/Maternal and Child Health Bureau
Information provided by (Responsible Party):
Rhode Island Hospital Identifier:
First received: January 15, 2014
Last updated: August 19, 2014
Last verified: January 2014

Pediatricians are supposed to talk about youth violence at all heath supervision visits, however these types of conversations rarely occur. There have been no studies assessing tools to prompt these discussions. The goal of this study is to see if electronic pre-visit questionnaires (PVQs) prompt patient-provider discussion of youth violence (YV) in the primary care setting. Additionally, patient-provider characteristics are explored as mediators to youth violence discussions, as well as feasibility and acceptability of the PVQ by patients and providers.

Adolescents ages 13 to 21 who come to the Hasbro Primary Care Clinics for annual physicals will be recruited. A baseline phase was conducted to look at how often providers ask about health-related teen behaviors, assessed by exit survey. The experimental period will involve adolescents completing health-related behavior PVQ, given to their doctor prior to the visit. Exit survey will assess topics discussed. Experimental group will differ from control group based on PVQ containing extra questions about youth violence.

Condition Intervention
Exposure to Violent Event Bullying Behavioral: Pre-Visit Questionnaire

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Care Provider)
Primary Purpose: Health Services Research
Official Title: Use of an Electronic Pre-visit Questionnaire and Effect on Patient-provider Discussions of Youth Violence in Primary Care

Further study details as provided by Rhode Island Hospital:

Primary Outcome Measures:
  • Number of patient-reported patient-provider discussions about youth violence [ Time Frame: One time point (single day) ]
    The intervention is implemented immediately prior to the primary care visit; the outcome is measured directly following the visit by exit survey

Enrollment: 183
Study Start Date: October 2013
Study Completion Date: February 2014
Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention Pre-visit Questionnaire
Adolescents receive PVQ that includes questions about youth violence/bullying
Behavioral: Pre-Visit Questionnaire
Active Comparator: Control Pre-visit Questionnaire
Adolescents received PVQ without youth violence/bullying items
Behavioral: Pre-Visit Questionnaire


Ages Eligible for Study:   13 Years to 21 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • adolescents ages 13-21
  • presenting for annual physical exam
  • provider is general pediatrician (micro-practice 1-8)
  • parent present for consent (if under 18 years old)

Exclusion Criteria:

  • non-English speaking
  • developmental/neurologic delay
  • no parent (if under 18 years old)
  • presenting for sick visit or specialty clinic
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT02041182

United States, Rhode Island
Hasbro Primary Care Clinics
Providence, Rhode Island, United States, 02903
Sponsors and Collaborators
Rhode Island Hospital
Centers for Disease Control and Prevention
HRSA/Maternal and Child Health Bureau
Principal Investigator: Megan Ranney, MD MPH Rhode Island Hospital
  More Information

Responsible Party: Rhode Island Hospital Identifier: NCT02041182     History of Changes
Other Study ID Numbers: APA-YIA-2013
Study First Received: January 15, 2014
Last Updated: August 19, 2014

Keywords provided by Rhode Island Hospital:
youth violence
doctor-patient communication
health risk behaviors
pre-visit questionnaires

Additional relevant MeSH terms:
Behavioral Symptoms processed this record on September 19, 2017