Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System

Abstract Background Because poor health in youth risk affecting their entry in adulthood, improved methods for their early identification are needed. Health and welfare technology is widely accepted by youth populations, presenting a potential method for identifying their health problems. However, h...

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Main Authors: Petra V. Lostelius, Catharina Gustavsson, Eva Thors Adolfsson, Anne Söderlund, Åsa Revenäs, Ann-Britt Zakrisson, Magdalena Mattebo
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-024-02465-8
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author Petra V. Lostelius
Catharina Gustavsson
Eva Thors Adolfsson
Anne Söderlund
Åsa Revenäs
Ann-Britt Zakrisson
Magdalena Mattebo
author_facet Petra V. Lostelius
Catharina Gustavsson
Eva Thors Adolfsson
Anne Söderlund
Åsa Revenäs
Ann-Britt Zakrisson
Magdalena Mattebo
author_sort Petra V. Lostelius
collection DOAJ
description Abstract Background Because poor health in youth risk affecting their entry in adulthood, improved methods for their early identification are needed. Health and welfare technology is widely accepted by youth populations, presenting a potential method for identifying their health problems. However, healthcare technology must be evidence-based. Specifically, feasibility studies contribute valuable information prior to more complex effects-based research. The current study assessed the process, resource, management, and scientific feasibility of the Youth Health Report System prototype, developed within a youth health clinic context in advance of an intervention study. Methods This mixed-methods feasibility study was conducted in a clinical setting. The process, resource, management, and scientific feasibility of the Youth Health Report System were investigated, as recommended in the literature. Participants were youth aged 16–23 years old, attending a youth health clinic, and healthcare professionals from three clinics. The youth participants used their smart phones to respond to Youth Health Report System health questions and healthcare professionals used their computer to access the results and for registration system entries. Qualitative data were collected from interviews with healthcare professionals, which were described with thematic analysis. Youth participants’ quantitative Youth Health Report System data were analyzed for descriptive statistics. Results Feasibility analysis of qualitative data from interviews with 11 healthcare professionals resulted in three themes: We expected it could be hard; Information and routines helped but time was an issue; and The electronic case report form was valuable in the health assessment. Qualitative data were collected from the Youth Health Report System. A total of 54 youth participants completed the evaluation questionnaire, and healthcare professionals retrieved information from, and made post-appointment system entries. Quantitative results revealed few missing items and acceptable data variability. An assessment template of merged qualitative and quantitative data guided a consensus discussion among the researchers, resulting in acceptable feasibility. Conclusions The process-, resource-, management-, and scientific feasibility aspects were acceptable, with some modifications, strengthening the potential for a successful Youth Health Report System intervention study.
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spelling doaj.art-b31d5880cf6547e6868e6c04e585211c2024-03-05T19:19:40ZengBMCBMC Medical Informatics and Decision Making1472-69472024-03-0124111310.1186/s12911-024-02465-8Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report SystemPetra V. Lostelius0Catharina Gustavsson1Eva Thors Adolfsson2Anne Söderlund3Åsa Revenäs4Ann-Britt Zakrisson5Magdalena Mattebo6Centre for Innovation, Research and Education, Region Västmanland, Västmanland Hospital VästeråsCentre for Clinical Research Dalarna, Uppsala UniversityCentre for Clinical Research, Region Västmanland– Uppsala UniversitySchool of Health, Care and Social Welfare, Mälardalen UniversitySchool of Health, Care and Social Welfare, Mälardalen UniversityUniversity Health Care Research Center, Faculty of Medicine, and Health, Örebro UniversitySchool of Health, Care and Social Welfare, Mälardalen UniversityAbstract Background Because poor health in youth risk affecting their entry in adulthood, improved methods for their early identification are needed. Health and welfare technology is widely accepted by youth populations, presenting a potential method for identifying their health problems. However, healthcare technology must be evidence-based. Specifically, feasibility studies contribute valuable information prior to more complex effects-based research. The current study assessed the process, resource, management, and scientific feasibility of the Youth Health Report System prototype, developed within a youth health clinic context in advance of an intervention study. Methods This mixed-methods feasibility study was conducted in a clinical setting. The process, resource, management, and scientific feasibility of the Youth Health Report System were investigated, as recommended in the literature. Participants were youth aged 16–23 years old, attending a youth health clinic, and healthcare professionals from three clinics. The youth participants used their smart phones to respond to Youth Health Report System health questions and healthcare professionals used their computer to access the results and for registration system entries. Qualitative data were collected from interviews with healthcare professionals, which were described with thematic analysis. Youth participants’ quantitative Youth Health Report System data were analyzed for descriptive statistics. Results Feasibility analysis of qualitative data from interviews with 11 healthcare professionals resulted in three themes: We expected it could be hard; Information and routines helped but time was an issue; and The electronic case report form was valuable in the health assessment. Qualitative data were collected from the Youth Health Report System. A total of 54 youth participants completed the evaluation questionnaire, and healthcare professionals retrieved information from, and made post-appointment system entries. Quantitative results revealed few missing items and acceptable data variability. An assessment template of merged qualitative and quantitative data guided a consensus discussion among the researchers, resulting in acceptable feasibility. Conclusions The process-, resource-, management-, and scientific feasibility aspects were acceptable, with some modifications, strengthening the potential for a successful Youth Health Report System intervention study.https://doi.org/10.1186/s12911-024-02465-8Electronic patient-reported outcomeFeasibility studyHealth and welfare technologyMedical informaticsMixed-methods researchYoung people
spellingShingle Petra V. Lostelius
Catharina Gustavsson
Eva Thors Adolfsson
Anne Söderlund
Åsa Revenäs
Ann-Britt Zakrisson
Magdalena Mattebo
Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System
BMC Medical Informatics and Decision Making
Electronic patient-reported outcome
Feasibility study
Health and welfare technology
Medical informatics
Mixed-methods research
Young people
title Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System
title_full Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System
title_fullStr Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System
title_full_unstemmed Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System
title_short Identification of health-related problems in youth: a mixed methods feasibility study evaluating the Youth Health Report System
title_sort identification of health related problems in youth a mixed methods feasibility study evaluating the youth health report system
topic Electronic patient-reported outcome
Feasibility study
Health and welfare technology
Medical informatics
Mixed-methods research
Young people
url https://doi.org/10.1186/s12911-024-02465-8
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