ArticleJournal of the American College of Emergency Physicians open2025
A Survey of Adolescent and Caregiver Perceptions of Substance Use Screening in Pediatric Emergency Departments.
Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Acceptability of screening for substance use among children at Ugandan health facilities.Substance abuse treatment, prevention, and policy · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Substance use among adolescents poses significant health risks; early identification is crucial. Understanding adolescents' and caregivers' perceptions toward substance use screening in emergency departments (EDs) is needed to develop acceptable and effective screening programs. Methods: A national online survey recruited adolescents aged 13-17 years and caregivers of adolescents via a Qualtrics research panel. The survey included 34 questions for adolescents and 28 for caregivers, assessing attitudes, perceived barriers, and facilitators of ED-based substance use screening through Likert-scale, multiple-choice, and open-ended qualitative responses. Data were analyzed using descriptive statistics, chi-square tests for group comparisons, and thematic analysis for qualitative responses. Results: Among the 548 adolescent and 544 caregiver respondents, 43.8% of adolescents and 42.6% of caregivers supported universal substance use screening in the ED, whereas 50.4% of adolescents and 38.0% of caregivers rated screening as "very" or "extremely" important. Privacy concerns were identified as a barrier for the majority of adolescents (75.5%) and caregivers (67.8%). Supportive health care staff and clear communication were key facilitators for adolescents (70.0%) and caregivers (74.0%). Adolescents preferred follow-up in the form of digital tools. Thematic analysis of qualitative responses revealed shared concerns among adolescents and caregivers, including privacy, judgment, and test accuracy, whereas adolescents emphasized autonomy and comfort, and caregivers prioritizing transparency, involvement, and legal implications. Conclusion: Most adolescents and caregivers did not definitely support substance use screening in EDs and identified distinct barriers and facilitators. Addressing concerns about privacy, legal consequences, and trust while leveraging digital tools and other follow-up resources may enhance screening acceptability and reach. Future clinical trials can leverage this information to design and evaluate interventions for optimal substance use screening among adolescents in EDs.
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Registered trials
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