Evidence map›Paper›PMID 28011064›Full record

ReviewThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Sion K Harris, Matthew C Aalsma, Elissa R Weitzman, Diego Garcia-Huidobro, Charlene Wong, Scott E Hadland, John Santelli, M Jane Park, Elizabeth M Ozer

Registry-linked trialAbstract readReview
In one paragraph

Review in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04110756 (Promoting Adolescent Health Behavior Change With Clinically Integrated Sample-Efficient Policy Gradient Methods), which is not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04110756 narecruitingnot on this mapstarted 2024, after this paper: background citation

Promoting Adolescent Health Behavior Change With Clinically Integrated Sample-Efficient Policy Gradient Methods

TypeinterventionalSponsorUniversity of California, San FranciscoRan2024 to 2026Enrolled200ConditionsAlcohol Drinking, Self Efficacy, Adolescent Behavior, Risk-TakingArmsChangeGradients
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
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  17. The emerging adulthood gap in diabetes prevention research.Lancet regional health. Americas · 2024
    Review
  18. Article
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  20. Association of Adolescents' Body Mass Index Classification With Preventive Clinical Care Receipt.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Sion K HarrisDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Matthew C AalsmaDepartment of Pediatrics, Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Elissa R WeitzmanDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Diego Garcia-HuidobroDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota; Department of Family Medicine, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Charlene WongDivision of Adolescent Medicine, University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Scott E HadlandDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
John SantelliDepartment of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York.
M Jane ParkDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California.
Elizabeth M OzerDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California; Office of Diversity and Outreach, University of California, San Francisco, San Francisco, California. Electronic address: elizabeth.ozer@ucsf.edu.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Improving adolescent health outcomes through preventive care transformationR01HS022681 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI AALSMA, MATTHEW · 2013 to 2013
$1.5M
AHRQ HHS R01 HS022681NCATS NIH HHS UL1 TR000114
6 · The paper itself

Abstract

We reviewed research regarding system- and visit-level strategies to enhance clinical preventive service delivery and quality for adolescents and young adults. Despite professional consensus on recommended services for adolescents, a strong evidence base for services for young adults, and improved financial access to services with the Affordable Care Act's provisions, receipt of preventive services remains suboptimal. Further research that builds off successful models of linking traditional and community clinics is needed to improve access to care for all youth. To optimize the clinical encounter, promising clinician-focused strategies to improve delivery of preventive services include screening and decision support tools, particularly when integrated into electronic medical record systems and supported by training and feedback. Although results have been mixed, interventions have moved beyond increasing service delivery to demonstrating behavior change. Research on emerging technology-such as gaming platforms, mobile phone applications, and wearable devices-suggests opportunities to expand clinicians' reach; however, existing research is based on limited clinical settings and populations. Improved monitoring systems and further research are needed to examine preventive services facilitators and ensure that interventions are effective across the range of clinical settings where youth receive preventive care, across multiple populations, including young adults, and for more vulnerable populations with less access to quality care.

Indexed as

ResearchAdolescentAdultHumansPreventive Health ServicesPrimary Health CareYoung AdultAdolescentsPreventive servicesYoung adults

Identifiers

PMID28011064
PMCPMC5549464

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.