Evidence map›Paper›PMID 39876050›Full record

ArticleJournal of primary care & community health

An Innovative Clinic-Based Intervention to Improve Adolescent Access to Sexual and Mental Health Services: The Total Teen Program.

Whitney Garney, Gan Han, Christi Esquivel, Kristen Garcia, Kobi V Ajayi, Kelly Wilson

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. An Innovative Youth-Friendly Electronic Questionnaire to Identify Mental, Sexual and Reproductive Health Risks: A Validation Study of the Total Teen Assessment.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Whitney GarneySchool of Public Health, Texas A&M University, College Station, TX, USA.
Gan HanSchool of Public Health, Texas A&M University, College Station, TX, USA.
Christi EsquivelSchool of Public Health, Texas A&M University, College Station, TX, USA.
Kristen GarciaSchool of Public Health, Texas A&M University, College Station, TX, USA.ORCID 0000-0002-7071-811X
Kobi V AjayiSchool of Public Health, Texas A&M University, College Station, TX, USA.ORCID 0000-0002-9288-5795
Kelly WilsonSchool of Nursing, Texas A&M University, College Station, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAdolescents encounter numerous healthcare access barriers, leading to poor health outcomes. Researchers developed the Total Teen (TT) program to improve access to sexual and reproductive health (SRH) and mental health (MH) services in settings providing adolescents and young adults (12-25) health services. This pilot study assessed the TT's impact on care across three settings: school-based health clinics, a federally qualified health center, and an adolescent health clinic for 12 weeks.

methodsSociodemographic data, including age, race/ethnicity, gender, and insurance status, were collected. MH was assessed using patient health questionnaire (PHQ)-9 and generalized anxiety disorder (GAD)-2 scales, and sexual health was evaluated based on CDC guidelines and additional evidence-based questions. One-on-one time, confidential consultations, SRH and MH micro visits, and referrals measured access. Descriptive statistics, Pearson Chi-square tests, and Kruskal-Wallis tests compared site outcomes, while logistic regression models adjusted for age, gender, race, and site.

resultsFour hundred and fifty-one participated in the TT program across the three sites. Concerning micro visits and referrals, being male was associated with lower depression rates (

conclusionsResults indicate that TT improves access to SRH and MH services and referrals for at-risk adolescents. Findings underscore the importance of integrating SRH and MH services into routine adolescent care and involving health organizations and providers as key stakeholders in enhancing preventive healthcare access.

Indexed as

Adolescent Health ServicesHealth Services AccessibilityMental Health ServicesReproductive Health ServicesAdolescentAdultChildFemaleHumansMalePilot ProjectsSchool Health ServicesSexual HealthYoung Adultadolescent healthhealthcare accessmental healthsexual and reproductive health

Identifiers

PMID39876050
PMCPMC11775955

What OpenQuestion holds

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Registered trials

None linked

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.