title: Mapping the Views of Adolescent Health Stakeholders.
abstract: OBJECTIVE
  Health research that includes youth and family stakeholders increases the contextual relevance of findings, which can benefit both the researchers and stakeholders involved. The goal of this study was to identify youth and family adolescent health priorities and to explore strategies to address these concerns.
  
  
  METHODS
  Stakeholders identified important adolescent health concerns, perceptions of which were then explored using concept mapping. Concept mapping is a mixed-method participatory research approach that invites input from various stakeholders. In response to prompts, stakeholders suggested ways to address the identified health conditions. Adolescent participants then sorted the statements into groups based on content similarity and rated the statements for importance and feasibility. Multidimensional scaling and cluster analysis were then applied to create the concept maps.
  
  
  RESULTS
  Stakeholders identified sexually transmitted infections (STIs) and obesity as the health conditions they considered most important. The concept map for STIs identified 7 clusters: General sex education, support and empowerment, testing and treatment, community involvement and awareness, prevention and protection, parental involvement in sex education, and media. The obesity concept map portrayed 8 clusters: Healthy food choices, obesity education, support systems, clinical and community involvement, community support for exercise, physical activity, nutrition support, and nutrition education. Ratings were generally higher for importance than for feasibility.
  
  
  CONCLUSIONS
  The concept maps demonstrate stakeholder-driven ideas about approaches to target STIs and obesity in this context. Strategies at multiple social ecological levels were emphasized. The concept maps can be used to generate discussion regarding these topics and to identify interventions.
authors.affiliation: Department of Pediatrics, Section of Adolescent Medicine, The Children's Hospital at OU Medical Center, OU College of Medicine, Oklahoma City, Oklahoma. Electronic address: laewan2004@gmail.com.
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Ewan
authors.affiliation: Department of Pediatrics, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Daniel
authors.initials: D
authors.lastname: McLinden
authors.affiliation: Department of Pediatrics, Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Frank
authors.initials: F
authors.lastname: Biro
authors.affiliation: College of Education, Criminal Justice, & Human Services, School of Education, University of Cincinnati, Cincinnati, Ohio.
authors.forename: Melissa
authors.initials: M
authors.lastname: DeJonckheere
authors.affiliation: Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; College of Education, Criminal Justice, & Human Services, School of Education, University of Cincinnati, Cincinnati, Ohio.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Vaughn
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health; D016000:Cluster Analysis; D003256:Community Participation / Q000379:methods*; D055812:Community-Based Participatory Research; D005006:Ethnicity; D005260:Female; D006266:Health Education; D006801:Humans; D008297:Male; D009765:Obesity; D010348:Patient Care Team; D016730:Program Development / Q000379:methods*; D012749:Sexually Transmitted Diseases; D055815:Young Adult
keywords: Concept mapping; Multidimensional scaling; Obesity; Participatory research; Sexually transmitted infections