{"title":"headsss Up：在青少年心理社会风险评估工具的使用和记录中评估空白形式表的有效性。","authors":"Miriam Smyth, Órla Walsh","doi":"10.2147/AHMT.S490639","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Adolescence is typically seen as a \"healthy\" period in a person's life, free from illness. The World Health Organisation (WHO) estimates that 1.7 million adolescents die every year because of preventable causes such as suicide, injuries, and violence. The aim of this quality improvement initiative was to assess and improve the use and documentation of the psychosocial risk assessment tool; HEEADSSS, amongst non-consultant hospital doctors (NCHDs) in a paediatric tertiary centre emergency department (ED).</p><p><strong>Methods: </strong>This was a mixed method quality improvement initiative carried out over three phases in paediatric tertiary centre ED. Educational interventions were implemented and their efficacy assessed.</p><p><strong>Results: </strong>There was a 277% (n = 9 increased to n = 34) improvement in the use and documentation of HEEADSSS in the post intervention phase of the study. Participants who had undertaken the intervention were significantly more likely to have either a partially or fully completed HEEADSSS assessment compared to those who had not (odds ratio [OR] = 5.24, 95% confidence interval [CI]: 3.45-7.75, <i>p</i> < 0.001; n = 409). Additionally, the odds of having a fully completed HEEADSSSassessment were significantly higher among those who received the intervention (OR = 4.08, 95% CI: 1.90-8.75, <i>p</i> < 0.001; n = 409). Clinical presentations synonymous with psychosomatic illness, such as chest pain, abdominal pain and headaches were more likely to have a HEEADSSS done following the intervention phase.</p><p><strong>Conclusion: </strong>The results demonstrate the efficacy of simple, accessible and education focused interventions. There is little documented in current literature about the efficacy of a proforma. In the field of adolescent medicine, there is a call for a multi-sectorial approach to be adapted, encompassing the educational, emotional, and financial needs of adolescents. Global health promotion strategies need to adjust to a prevention paradigm, focusing on the origin of adult mortality.</p>","PeriodicalId":46639,"journal":{"name":"Adolescent Health Medicine and Therapeutics","volume":"15 ","pages":"133-142"},"PeriodicalIF":1.7000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477402/pdf/","citationCount":"0","resultStr":"{\"title\":\"HEEADSSS Up: Evaluating the Efficacy of a Blank Proforma in the Use and Documentation of an Adolescent Psychosocial Risk Assessment Tool.\",\"authors\":\"Miriam Smyth, Órla Walsh\",\"doi\":\"10.2147/AHMT.S490639\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Adolescence is typically seen as a \\\"healthy\\\" period in a person's life, free from illness. The World Health Organisation (WHO) estimates that 1.7 million adolescents die every year because of preventable causes such as suicide, injuries, and violence. The aim of this quality improvement initiative was to assess and improve the use and documentation of the psychosocial risk assessment tool; HEEADSSS, amongst non-consultant hospital doctors (NCHDs) in a paediatric tertiary centre emergency department (ED).</p><p><strong>Methods: </strong>This was a mixed method quality improvement initiative carried out over three phases in paediatric tertiary centre ED. Educational interventions were implemented and their efficacy assessed.</p><p><strong>Results: </strong>There was a 277% (n = 9 increased to n = 34) improvement in the use and documentation of HEEADSSS in the post intervention phase of the study. Participants who had undertaken the intervention were significantly more likely to have either a partially or fully completed HEEADSSS assessment compared to those who had not (odds ratio [OR] = 5.24, 95% confidence interval [CI]: 3.45-7.75, <i>p</i> < 0.001; n = 409). Additionally, the odds of having a fully completed HEEADSSSassessment were significantly higher among those who received the intervention (OR = 4.08, 95% CI: 1.90-8.75, <i>p</i> < 0.001; n = 409). Clinical presentations synonymous with psychosomatic illness, such as chest pain, abdominal pain and headaches were more likely to have a HEEADSSS done following the intervention phase.</p><p><strong>Conclusion: </strong>The results demonstrate the efficacy of simple, accessible and education focused interventions. There is little documented in current literature about the efficacy of a proforma. In the field of adolescent medicine, there is a call for a multi-sectorial approach to be adapted, encompassing the educational, emotional, and financial needs of adolescents. Global health promotion strategies need to adjust to a prevention paradigm, focusing on the origin of adult mortality.</p>\",\"PeriodicalId\":46639,\"journal\":{\"name\":\"Adolescent Health Medicine and Therapeutics\",\"volume\":\"15 \",\"pages\":\"133-142\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-09-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477402/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescent Health Medicine and Therapeutics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/AHMT.S490639\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Health Medicine and Therapeutics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/AHMT.S490639","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
摘要
背景：青春期通常被视为一个人一生中没有疾病的“健康”时期。世界卫生组织（世卫组织）估计，每年有170万青少年死于自杀、受伤和暴力等可预防的原因。这一质量改进倡议的目的是评估和改进社会心理风险评估工具的使用和记录；在儿科三级中心急诊科（ED）的非会诊医生（NCHDs）中，headsss。方法：这是一项混合方法的质量改进倡议，在儿科三级中心ED中实施了三个阶段。实施了教育干预措施并评估了其效果。结果：在研究干预后阶段，HEEADSSS的使用和记录改善了277% （n = 9增加到n = 34）。与未进行干预的参与者相比，接受干预的参与者更有可能部分或完全完成HEEADSSS评估（优势比[or] = 5.24, 95%可信区间[CI]: 3.45-7.75, p < 0.001; n = 409）。此外，在接受干预的患者中，完全完成heeadsss评估的几率显著更高（OR = 4.08, 95% CI: 1.90-8.75, p < 0.001; n = 409）。临床表现等同于心身疾病，如胸痛、腹痛和头痛，更有可能在干预阶段后进行HEEADSSS。结论：结果证明了简单、可及和以教育为重点的干预措施的有效性。在目前的文献中，很少有关于形式文件的有效性的记录。在青少年医学领域，有人呼吁调整多部门方法，包括青少年的教育、情感和经济需求。全球健康促进战略需要适应预防模式，重点关注成人死亡的根源。
HEEADSSS Up: Evaluating the Efficacy of a Blank Proforma in the Use and Documentation of an Adolescent Psychosocial Risk Assessment Tool.
Background: Adolescence is typically seen as a "healthy" period in a person's life, free from illness. The World Health Organisation (WHO) estimates that 1.7 million adolescents die every year because of preventable causes such as suicide, injuries, and violence. The aim of this quality improvement initiative was to assess and improve the use and documentation of the psychosocial risk assessment tool; HEEADSSS, amongst non-consultant hospital doctors (NCHDs) in a paediatric tertiary centre emergency department (ED).
Methods: This was a mixed method quality improvement initiative carried out over three phases in paediatric tertiary centre ED. Educational interventions were implemented and their efficacy assessed.
Results: There was a 277% (n = 9 increased to n = 34) improvement in the use and documentation of HEEADSSS in the post intervention phase of the study. Participants who had undertaken the intervention were significantly more likely to have either a partially or fully completed HEEADSSS assessment compared to those who had not (odds ratio [OR] = 5.24, 95% confidence interval [CI]: 3.45-7.75, p < 0.001; n = 409). Additionally, the odds of having a fully completed HEEADSSSassessment were significantly higher among those who received the intervention (OR = 4.08, 95% CI: 1.90-8.75, p < 0.001; n = 409). Clinical presentations synonymous with psychosomatic illness, such as chest pain, abdominal pain and headaches were more likely to have a HEEADSSS done following the intervention phase.
Conclusion: The results demonstrate the efficacy of simple, accessible and education focused interventions. There is little documented in current literature about the efficacy of a proforma. In the field of adolescent medicine, there is a call for a multi-sectorial approach to be adapted, encompassing the educational, emotional, and financial needs of adolescents. Global health promotion strategies need to adjust to a prevention paradigm, focusing on the origin of adult mortality.
期刊介绍：
Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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