title: Teen Preferences for Clinic-Based Behavior Screens: Who, Where, When, and How?
abstract: Previous research examining computer-based adolescent risk behavior screening was done before widespread adoption of smartphones and merits updating.
  
  
  
  This is a cross-sectional survey among 115 adolescents seeking primary care age 12-18 years. It is a diverse sample with 59% female, 51% white, 18% African-American, and 27% Latino. Respondents were asked level of comfort and honesty (1 = strongly disagree, 5 = strongly agree) when answering health behavior questions by paper, interview, or electronic device. Differences in the level of agreement were tested using a Wilcoxon signed rank test.
  
  
  
  Adolescents reported a higher level of comfort and honesty for screening conducted via electronic device versus paper (90% vs. 57%, p < .001; 89% vs. 61%, p < .001). Sixty-two percent adolescents prefer waiting room electronic screening versus at home (4.7%) or by provider in the examination room (11.2%).
  
  
  
  Electronic same-day risk behavior screening is the preferred method for adolescents and should be incorporated into preventive services.
authors.affiliation: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, California. Electronic address: jasikc@peds.ucsf.edu.
authors.forename: Carolyn Bradner
authors.initials: CB
authors.lastname: Jasik
authors.affiliation: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, California.
authors.forename: Mark
authors.initials: M
authors.lastname: Berna
authors.affiliation: The Ohio State University School of Medicine, Columbus, Ohio.
authors.forename: Maria
authors.initials: M
authors.lastname: Martin
authors.affiliation: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, California; UCSF Office of Diversity and Outreach, University of California, San Francisco, California.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Ozer
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D034201:Computers, Handheld; D019937:Diagnostic Techniques and Procedures / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D057240:Patient Preference; D011320:Primary Health Care / Q000379:methods; D012309:Risk-Taking
keywords: Adolescent medicine; Electronic health records; Preventive screening; Technology