Special Health Information Needs of Adolescent Care

  • David Mark N. Paperny
Part of the Health Informatics book series (HI)


Adolescent medicine concerns the biological, psychological, and social changes in the transition from childhood to adulthood, and its core clinical data and knowledge comprise a mixture of both pediatric and adult concerns. Adolescent morbidity is predominately the consequence of preventable risk behaviors.1 The importance of preventive services and interventions to adolescents at-risk demands that practitioners address a broad range of concerns during encounters, including physical and mental health screening, detection of and response to hidden agendas, assurance of patient privacy, and guaranteeing access to care for this vulnerable population.2


Eating Disorder Short Messaging Service Clinical Decision Support Mental Health Screening Adolescent Medicine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Haggerty RJ. The new morbidity. In: Haggerty RJ, Roghmann KJ, Pless IB, eds. Child Health and Community. New York: Wiley; 1975.Google Scholar
  2. 2.
    Paperny DM. Computers and information technology: implications for the 21st century. Adol Med: State Art Rev. 2000;11(1):183–202.Google Scholar
  3. 3.
    Litzelman DK, Dittus RS, Miler ME, et al. Requiring physicians to respond to computerized reminders improves their compliance with preventive care protocols. J Gen Intern Med. 1993;8:311–317.PubMedCrossRefGoogle Scholar
  4. 4.
    Schubiner H, Tzelepis A, Wright K, et al. The clinical utility of the safe times questionnaire. J Adolesc Health 1994;15:374–382.PubMedCrossRefGoogle Scholar
  5. 5.
    Paperny DM, Aono JY, Lehman RM, et al. Computer-assisted detection and intervention in adolescent high-risk health behaviors. J Pediatr. 1990;116(3):456–462.PubMedCrossRefGoogle Scholar
  6. 6.
    Gans JE, Alexander B, Chu RC, et al. The cost of comprehensive preventive medical services for adolescents. Arch Pediatr Adolesc Med. 1995;149:1226–1234.PubMedGoogle Scholar
  7. 7.
    Rathbun J. Development of a computerized alcohol screening instrument for the university community. J Am Coll Health 1993;42(1):33–36.PubMedGoogle Scholar
  8. 8.
    Deisher RW, Paperny DM. Variations in sexual behavior of adolescents. In Kelley VC, ed. Brenemann — Practice Pediat. New York: Harper & Row; 1982.Google Scholar
  9. 9.
    Elster AB. Confronting the crisis in adolescent health: visions for change. J Adolesc Health 1993;14(7):505–508.PubMedCrossRefGoogle Scholar
  10. 10.
    HealthMedia Corp., Lafayette CO. Available at: Accessed December 14, 2008.
  11. 11.
    Paperny DM, Hedberg V. Computer-assisted health counselor visits: a low-cost model for comprehensive adolescent preventive services. Arch Pediatr Adolesc Med. 1999;153(1):63–67.PubMedGoogle Scholar
  12. 12.
    Greist J. A computer interview for suicide risk prediction. Am J Psychiatr. 1973;130:1327.PubMedGoogle Scholar
  13. 13.
    Grossman S. Evaluation of computer acquired patient histories. JAMA 1971;215:1286.PubMedCrossRefGoogle Scholar
  14. 14.
    Havel RD, Wright MP. Automated interviewing for hepatitis B risk assessment and vaccination referral. Am J Prev Med 1997;13(5):392–395.PubMedGoogle Scholar
  15. 15.
    Space L. The computer as psychometrician. Behav Res Meth Instruct. 1981;13:595.Google Scholar
  16. 16.
    Stout R. New approaches to the design of computerized interviewing and testing situations. Behav Res Meth Instruct. 1981;13:436.Google Scholar
  17. 17.
    Millstein S, Irwin C. Acceptability of computer-acquired sexual histories in adolescent girls. J Pediatr. 1983;103(5):815–819.PubMedCrossRefGoogle Scholar
  18. 18.
    Fisher LA, Johnson T, Porters D, et al. Collection of a clean voided urine specimen: a comparison among spoken, written, and computer-based instructions. Am J Public Health. 1997;67:640–644.CrossRefGoogle Scholar
  19. 19.
    Slack WV. Computer-based interviewing system dealing with nonverbal behavior as well as keyboard responses. Science. 1971;171:84–87.PubMedCrossRefGoogle Scholar
  20. 20.
    Rosen D, Elster A, Hedberg V, Paperny D. Clinical preventive services for adolescents: position paper of the Society for Adolescent Medicine. J Adolesc Health. 1997;21(3): 203–214.PubMedCrossRefGoogle Scholar
  21. 21.
    Paperny DM. Computerized health assessment and education for adolescent HIV and STD prevention in health care settings and schools. Health Educ Behav. 1997;24(1):54–70.PubMedCrossRefGoogle Scholar
  22. 22.
    Paperny DM. Automated adolescent preventative services using computer-assisted video multimedia. J Adolesc Health. 1994;15(1):66.CrossRefGoogle Scholar
  23. 23.
    Gagliano, M. A literature review on the efficacy of video in patient education. J Med Educ. 1988;63:785–792.PubMedGoogle Scholar
  24. 24.
    Paperny DM. HMO innovations. Video-enhanced medical advice. HMO Pract. 1991;5(6):212–213.PubMedGoogle Scholar
  25. 25.
    Paperny DM. Pediatric medical advice enhanced with use of video. Am J Dis Child. 1992; 146(7):785–786.PubMedGoogle Scholar
  26. 26.
    Bosworth K, Gustafson D, Hawkins R, et al. Adolescents, health education and computers: the Body Awareness Resource Network (BARN). Health Educ Microcomput. 1983;14(6):58–60.Google Scholar
  27. 27.
    Paperny DM, Starn JR. Adolescent pregnancy prevention by health education computer games: computer-assisted instruction of knowledge and attitudes. Pediatrics. 1989;83(5):742–752.PubMedGoogle Scholar
  28. 28.
    Krishna S. Clinical trials of interactive computerized patient education: implications for family practice. J Fam Pract. 1997;45(1):25–33.PubMedGoogle Scholar
  29. 29.
    Kaiser Family Foundation. Generation How Young People Use the Internet for Health Information, Kaiser publication 3202.Google Scholar
  30. 30.
    Paperny DM, Zurhellen W, Spooner SA, et al. “W415; Advanced Clinical Computing Strategies.” American Academy of Pediatrics Annual Meeting, 6-hour Workshop sponsored by Section on Computers & Other Technologies. Washington, DC; 1999.Google Scholar
  31. 31.
    Society for Adolescent Medicine: SAM Website. Available at: http://www.adolescenthealth. org/. Accessed December 14, 2008.
  32. 32.
    Skinner H, et al. Using the Internet to engage youth in health promotion. Promot Educ. 1997;4(4):23–25.PubMedCrossRefGoogle Scholar
  33. 33.
    Top Ten Reviews, Inc., Internet pornography statistics; Internet Filtter Learning Center, 2009. Website (Last accessed 3/17/90): http://www.internet_filter_review.topten

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • David Mark N. Paperny
    • 1
  1. 1.Kaiser Permanente HawaiiHonolulu

Personalised recommendations