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Clinical Pediatrics
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*Child Behavior Disorders
*Child Mental Health
*Teen Development
*Teen Health
*Teen Mental Health
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A Computerized School-Based Health Assessment with Rapid Feedback to Improve Adolescent Health

Ann C. Bracken, MD

Department of Pediatrics Lebanon, NH; Dartmouth Medical School, Lebanon, NH

Adam L. Hersh, MS

Dartmouth Medical School, Lebanon, NH

Deborah J. Johnson, BA

Departments of Community and Family Medicine, Dartmouth Medical School, Lebanon, NH

Adolescent health problems are often undetected in physicians' offices. The Dartmouth Primary Care Cooperative Information Project has developed a validated and reliable approach to identify adolescent health problems and initiate education in a school setting. A self-administered, anonymous, 26-item questionnaire was given to 204 students in a rural high school. Responses were scanned into PC-based software. Within one working day students were given individualized letters identifying their problem health issues as detected by the questionnaire and recommendations for education. Ninety-nine percent of students participated. Six weeks later 49% of a sample of 41 students reported reading the information and 50% planned to change behavior. This standardized, validated strategy of adolescent health assessment, feedback, and education was feasible for use in schools. The school responded to the data by employing a psychologist to address mental health needs.

Clinical Pediatrics, Vol. 37, No. 11, 677-683 (1998)
DOI: 10.1177/000992289803701106


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