Abstract
Objective
Adolescent relationship abuse (ARA) is associated with myriad negative health outcomes.
Pediatric primary care presents an opportunity to engage adolescents and parents (who
can be protective against ARA) in ARA prevention; however, no family-focused, healthcare-based
ARA interventions exist. The purpose of this study is to explore the perspectives
of adolescents, parents, and healthcare providers (HCPs) on incorporating ARA prevention
into primary care, including 1) current discussions around ARA; 2) how to best include
ARA prevention education; and 3) how to address implementation barriers.
Methods
We conducted individual, semi-structured interviews with HCPs, adolescents ages 11-15,
and parents recruited through convenience sampling. Transcripts were individually
coded by four study team members (with every third transcript co-coded to assess discrepancies)
and analyzed via thematic analysis.
Results
Participants identified a need for pediatric HCPs to involve younger adolescents and
parents in universal, inclusive ARA prevention and noted that HCPs require training,
techniques, and resources around ARA. Participants acknowledged multi-level barriers
to implementing primary care-based ARA prevention. They suggested that ARA education
be intentionally integrated into HCP and clinic workflows and recommended strategies
to garner adolescent and parent buy-in to facilitate ARA-focused conversations.
Conclusions
Pediatric primary care is a promising environment to involve parents and adolescents
in universal ARA-prevention. Future research should contextualize these results with
larger samples across multiple practice settings and integrate relevant partners in
the development and evaluation of evidenced-based ARA prevention for pediatric primary
care.
Keywords
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Article info
Publication history
Accepted:
December 22,
2022
Received:
October 17,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of Academic Pediatric Association
