Use of an Electronic Pre-visit Questionnaire and Effect on Patient-provider Discussions of Youth Violence in Primary Care

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


Lead sponsor: Rhode Island Hospital

Collaborator: Centers for Disease Control and Prevention
HRSA/Maternal and Child Health Bureau

Source Rhode Island Hospital
Brief Summary

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.

Overall Status Completed
Start Date October 2013
Completion Date February 2014
Primary Completion Date February 2014
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Number of patient-reported patient-provider discussions about youth violence One time point (single day)
Enrollment 183

Intervention type: Behavioral

Intervention name: Pre-Visit Questionnaire



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

Gender: All

Minimum age: 13 Years

Maximum age: 21 Years

Healthy volunteers: Accepts Healthy Volunteers

Overall Official
Last Name Role Affiliation
Megan Ranney, MD MPH Principal Investigator Rhode Island Hospital
Hasbro Primary Care Clinics
Location Countries

United States

Verification Date

January 2014

Responsible Party

Responsible party type: Sponsor

Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Arm group label: Intervention Pre-visit Questionnaire

Arm group type: Experimental

Description: Adolescents receive PVQ that includes questions about youth violence/bullying

Arm group label: Control Pre-visit Questionnaire

Arm group type: Active Comparator

Description: Adolescents received PVQ without youth violence/bullying items

Study Design Info

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Health Services Research

Masking: Double (Participant, Care Provider)