Preliminary investigation on the health risk behaviors of urban adolescents and motivation to change obesity-related health risks. We also assessed acceptability of using a PDA-based health risk screening tool.
Montefiore Medical Group sites in Bronx, NY: Family Health Center
Montefiore Medical Group sites in Bronx, NY:
Williamsbridge Family Practice
University Avenue Family Practice
South Bronx Health Center for Children & Families (SBHCCF)
Children’s Hospital at Montefiore (CHAM)
Diane McKee, MD, MS
Adolescent patients (ages 14-19) registered at primary care centers in the Bronx, NY, were recruited to complete a 90+ question health behavior screener with the use of a Personal Digital Assistant (PDA). Health behaviors reported on the PDA were reviewed by the adolescents’ clinician, in an effort to enhance assessment and counseling. Bronx teens reported an average of 3.87 risk behaviors. Almost half of the participants were obese and many demonstrate strong motivation to change nutrition and exercise behaviors.
The Healthy Teen PDA screener allows physicians the opportunity to assess adolescent health risk behaviors and to tailor counseling to motivational stages. Our study demonstrates that teens are receptive to change in obesity risk behaviors but may be in need of medical and social supports.
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