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Implementation of Standardized Depression, Anxiety & Risky Behavior Assessments of the Adolescent Patient Using Electronic Tablets During Check-In
Implementation of Standardized Depression, Anxiety & Risky Behavior Assessments of the Adolescent Patient Using Electronic Tablets During Check-In
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103123
- ISBN
- 9798315704812
- DDC
- 362
- 서명/저자
- Implementation of Standardized Depression, Anxiety & Risky Behavior Assessments of the Adolescent Patient Using Electronic Tablets During Check-In
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 78 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
- 주기사항
- Advisor: Baker, Maureen.
- 학위논문주기
- Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약Adolescent mental well-being remains a public health concern, with suicide identified as the third leading cause of death among individuals aged 15 to 19. National data also show that 17.5 percent of adolescents with mental health conditions do not receive needed treatment, and early substance misuse compounds behavioral health risks. This Doctor of Nursing Practice (DNP) quality improvement (QI) project aimed to improve early identification of behavioral health risks among adolescents aged 11-17 in a rural outpatient psychiatric clinic by integrating digital screening into routine clinical workflow. Over a 28-day period, electronic tablets were used to administer the PHQ-A, SCARED, and CRAFFT tools during in-person visits, with results documented directly into the electronic health record (EHR) for real-time review. Among 143 adolescents seen in person, 107 (74.83 percent) completed digital screenings; only one refused (0.7%). Weekly screening completion rates were 76.56, 73.53, and 73.33 percents, respectively. Five adolescents (4.7 percent) disclosed active suicidal or homicidal ideation, triggering 14 referrals, 11 safety plans, and one emergency psychiatric intervention. Workflow duration improved modestly from 5.90 to 4.87 minutes, though the change was not statistically significant (p = .62). Digital screening was found to be feasible, well-integrated, and effective in enhancing early risk detection without disrupting clinic efficiency, offering a scalable model for similar settings.
- 일반주제명
- Mental health
- 일반주제명
- Health sciences
- 일반주제명
- Behavioral psychology
- 키워드
- Integrated care
- 키워드
- Rural healthcare
- 기타저자
- The University of North Carolina at Chapel Hill Nursing
- 기본자료저록
- Dissertations Abstracts International. 86-11B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798315704812
■035 ▼a(MiAaPQ)AAI31938456
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a362
■1001 ▼aHowell, Andrea Denise.
■24510▼aImplementation of Standardized Depression, Anxiety & Risky Behavior Assessments of the Adolescent Patient Using Electronic Tablets During Check-In
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a78 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: B.
■500 ▼aAdvisor: Baker, Maureen.
■5021 ▼aThesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aAdolescent mental well-being remains a public health concern, with suicide identified as the third leading cause of death among individuals aged 15 to 19. National data also show that 17.5 percent of adolescents with mental health conditions do not receive needed treatment, and early substance misuse compounds behavioral health risks. This Doctor of Nursing Practice (DNP) quality improvement (QI) project aimed to improve early identification of behavioral health risks among adolescents aged 11-17 in a rural outpatient psychiatric clinic by integrating digital screening into routine clinical workflow. Over a 28-day period, electronic tablets were used to administer the PHQ-A, SCARED, and CRAFFT tools during in-person visits, with results documented directly into the electronic health record (EHR) for real-time review. Among 143 adolescents seen in person, 107 (74.83 percent) completed digital screenings; only one refused (0.7%). Weekly screening completion rates were 76.56, 73.53, and 73.33 percents, respectively. Five adolescents (4.7 percent) disclosed active suicidal or homicidal ideation, triggering 14 referrals, 11 safety plans, and one emergency psychiatric intervention. Workflow duration improved modestly from 5.90 to 4.87 minutes, though the change was not statistically significant (p = .62). Digital screening was found to be feasible, well-integrated, and effective in enhancing early risk detection without disrupting clinic efficiency, offering a scalable model for similar settings.
■590 ▼aSchool code: 0153.
■650 4▼aMental health
■650 4▼aHealth sciences
■650 4▼aBehavioral psychology
■653 ▼aAdolescent mental health
■653 ▼aBehavioral health screening
■653 ▼aDigital screening tools
■653 ▼aElectronic tablet
■653 ▼aIntegrated care
■653 ▼aRural healthcare
■690 ▼a0347
■690 ▼a0566
■690 ▼a0769
■690 ▼a0384
■71020▼aThe University of North Carolina at Chapel Hill▼bNursing.
■7730 ▼tDissertations Abstracts International▼g86-11B.
■790 ▼a0153
■791 ▼aD.N.P.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357052▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
