Effect of Electronic Screening With Personalized Feedback on Adolescent Health Risk Behaviors in a Primary Care Setting

Key Points Question Does electronic risk screening with personalized feedback and clinical decision support increase clinician counseling and reduce risk behaviors in adolescents? Findings In this randomized clinical trial of 300 adolescents randomly assigned to receive electronic screening with personalized feedback vs usual care in the context of a well-child care visit, youths who received the electronic screening intervention were more likely than controls to receive risk counseling. Three months after the visit, youths who received the electronic screening also had a significantly greater reduction than controls in their risk behavior scores. Meaning Electronic screening tools that provide risk information to clinicians and motivational feedback to teens can improve care delivery and youth outcomes.