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Adolescent Relationship Abuse Prevention in Pediatric Primary Care: Provider, Adolescent, and Parent Perspectives

Published:December 27, 2022DOI:https://doi.org/10.1016/j.acap.2022.12.005

      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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