2023-09-28 14:46:10 +00:00
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abstract: 'Background: Adolescents often present at primary care clinics with
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nonspecific physical symptoms when, in fact, they have at least 1 mental
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health or risk behavior (psychosocial) issue with which they would like
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help but do not disclose to their care provider. Despite global
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recommendations, over 50\% of youths are not screened for mental health
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and risk behavior issues in primary care.
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Objective: This review aimed to examine the implementation,
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acceptability, feasibility, benefits, and barriers of e-screening tools
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for mental health and risk behaviors among youth in primary care
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settings.
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Methods: Electronic databases-MEDLINE, CINAHL, Scopus, and the Cochrane
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Database of Systematic Reviews-were searched for studies on the routine
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screening of youth in primary care settings. Screening tools needed to
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be electronic and screen for at least 1 mental health or risk behavior
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issue. A total of 11 studies that were reported in 12 articles, of which
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all were from high-income countries, were reviewed.
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Results: e-Screening was largely proven to be feasible and acceptable to
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youth and their primary care providers. Preconsultation e-screening
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facilitated discussions about sensitive issues and increased disclosure
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by youth. However, barriers such as the lack of time, training, and
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discomfort in raising sensitive issues with youth continued to be
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reported.
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Conclusions: To implement e-screening, clinicians need to change their
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behaviors, and e-screening processes must become normalized into their
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workflows. Co-designing and tailoring screening implementation
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frameworks to meet the needs of specific contexts may be required to
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ensure that clinicians overcome initial resistances and perceived
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barriers and adopt the required processes in their work.'
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affiliation: 'Goodyear-Smith, F (Corresponding Author), Univ Auckland, Fac Med \&
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Hlth Sci, Dept Gen Practice \& Primary Hlth Care, 22 Pk Rd, Auckland 1142, New Zealand.
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Martel, Rhiannon; Goodyear-Smith, Felicity, Univ Auckland, Fac Med \& Hlth Sci,
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Dept Gen Practice \& Primary Hlth Care, 22 Pk Rd, Auckland 1142, New Zealand.
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Shepherd, Matthew, Massey Univ, Sch Psychol, Auckland, New Zealand.'
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article-number: e30479
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author: Martel, Rhiannon and Shepherd, Matthew and Goodyear-Smith, Felicity
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author-email: f.goodyear-smith@auckland.ac.nz
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author_list:
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- family: Martel
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given: Rhiannon
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- family: Shepherd
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given: Matthew
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- family: Goodyear-Smith
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given: Felicity
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da: '2023-09-28'
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doi: 10.2196/30479
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files: []
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issn: 2368-7959
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journal: JMIR MENTAL HEALTH
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keywords: adolescent; mental health; risk behavior; screening; primary care
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keywords-plus: PEDIATRIC PRIMARY-CARE; INTERVENTIONS; TECHNOLOGY; ALCOHOL; SBIRT;
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VIEWS
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language: English
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month: NOV 1
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number: '11'
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number-of-cited-references: '57'
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orcid-numbers: 'Goodyear-Smith, Felicity/0000-0002-6657-9401
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Martel, Rhiannon/0000-0002-0828-2415'
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papis_id: ce007773f89214f777c027411a113bd7
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ref: Martel2021implementingroutine
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researcherid-numbers: 'Goodyear-Smith, Felicity/K-2538-2017
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'
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tags:
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- review
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times-cited: '0'
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title: 'Implementing the Routine Use of Electronic Mental Health Screening for Youth
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in Primary Care: Systematic Review'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000727870500009
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usage-count-last-180-days: '1'
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usage-count-since-2013: '7'
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volume: '8'
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web-of-science-categories: Psychiatry
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year: '2021'
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