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MCH Adolescent and Young Adult Health Research Network (AYAH-RN)

Project profile

Institution: University of California, San Francisco
Principal Investigator: Elizabeth M. Ozer
Project Number: UA6MC27378
Project Date: 09-01-2017

Age Group(s)

  • Adolescence (12-18 years)
  • Young Adulthood (19-25 years)

Targeted/Underserved Population

  • African American
  • Hispanic/Latino
  • Asian/Pacific Islander
  • Native American/Alaskan Native
  • Low-income
  • Rural
  • Special Health Care Needs

Abstract

The adolescent and young adult (AYA) years are the second critical period of the lifecourse bringing challenges and opportunities with lifelong implications for health. Neuroscience suggests the AYA years are a unique developmental window for learning. Evidence-based services informed by developmental science (including neuroscience) can improve health through prevention and coordinated care for AYAs with chronic conditions including mental conditions. An AYA Health Research Network ('Network') can help integrate developmental science into health services research and translate findings into practice.

Goals and objectives:

Goal 1: Develop research agenda for a Network with four foci: (ObjA) integrating and translating neuroscience into AYA health practice and research; (ObjB) preventive health interventions; (ObjC) integrating services; and (ObjD) emerging issues. Goal 2: Advance research agenda by: (ObjA) developing Network infrastructure including: organizational infrastructure and inventory of tools; (ObjB) implementing collaborative research projects; (ObjC) disseminating project results to researchers practitioners and AYAs and their families; and (ObjD) leveraging network capacity to compete for funding; Goal 3: Develop research capacity AYA health field by: (ObjA) integrating new investigators into Network activities; and (ObjB) linking new investigators to national research activities.

Proposed activities and target populations:

Four Research Teams (RT) will develop an agenda through background research and prioritization processes. The Network leadership (Steering Committee) will include Project Directors from seven leading AYA research training and clinical programs with one member from the Center for the Developing Adolescent at the University of California Berkeley (UCB) and the Society for Adolescent Health and Medicine (SAHM). This group will be responsible for approving the Network policies and setting direction for research agenda research protocols Network expansion mentoring and evaluation. An Executive Committee that includes PI co-PI Network coordinator UCB representative and RT Chairs will oversee daily AYAH-RN operations; a Network Coordinating Center at University of California San Francisco (UCSF) will manage daily AYAH-RN operations.

Coordination:

An Advisory Committee will include representatives of three Maternal and Child Health research networks (Lifecourse Child Health Measurement and Developmental Behavioral Pediatrics) and the American Academy of Pediatrics the Association of Maternal and Child Health Programs Society for Research on Adolescence and SAHM's Patient-Centered Outcomes Research Project.

Products:

Network will: create a research agenda and Network infrastructure; develop collaborative research projects; publish at least eight articles; create dissemination products including presentations webinars and other media; and submit two funding applications.

Evaluation:

Network will combine Continuous Quality Improvement process outcome and impact evaluation methods to assess Network performance. Primary measures will include new research projects developed and publications. Additional qualitative efforts will assess extent to which (1) AYA research is transdisciplinary and (2) research is translated into practice.

Publications

Jasik CB. Unlocking the potential of the patient portal for adolescent health. J Adolesc Health. 2016;58(2):123-124. DOI:10.1016/j.jadohealth.2015.12.003 2016 26802987 J Adolesc Health

Jasik CB, Berna M, Martin M, Ozer EM. Teen preferences for cllinic-based behavior screens: who, where, when, and how? J Adolesc Health. 2016 Dec;59(6):722-4. DOI:10.1016/j.jadohealth.2016.08.009 December 2016 27884300 J Adolesc Healt

Tebb KP, Erenrich RK, Jasik CB, Berna MS, Lester JC, Ozer EM. Use of theory in computer-based interventons to reduce alcohol use among adolescents and young adults: a systematic review. BMC Public Health. 2016 Jun17;16:517. DOI:10.1186/s1289-016-3183-x June 2016 27317330 BMC Public Health.

Webb MJ, Kauer SD, Ozer EM, Haller DM, Sanci LA. Does screening for and intervening with multiple health compromising behaviours and mental health disorders amongst young people attending primary care improve health outcomes? A systematic review. BMC Fam Pract. 2016 Aug 4;17:104. DOI:10.1186/s12875-016-0504-1 August 2016 27488823 BMC Fam Pract.

Harris SK, Aalsma MC, Weitzman ER, et al. Research on clinical preventive services for adolescents and young adults: where are we and where do we need to go? J Adolesc Health. 2017;60(3): 249-60. DOI:10.1016/j.jadohealth.2016.10.005 March 2017 28011064 J Adolesc Health

Irwin CE Jr. Advancing a research agenda for adolescent and young adult health. J Adolesc Health. 2017;60(3):233-4. DOI:10.1016/j.jadohealth.2016.12.014 March 2017 28235450 J Adolesc Health

Ozer EJ, Piatt AA, Holsen I, Larsen T, Lester J, Ozer EM. Innovative approaches to promoting positive youth development in diverse contexts: novel applications of participatory research and new technologies. In: Petersen AC, Koller SH, Motti-Stefanidi F, Verma S, eds. Positive Youth Development in Global Contexts of Social and Economic Change. New York, NY: Routledge/Taylor and Francis Group; 2017:201-221. DOI:http://208.254.74.112/books/details/9781138670815/ January 2017 Book

Richardson LP, McCarty CA, Radovic A, Suleiman AB. Research in the integration of behavioral health for adolescents and young adults in primary care settings: a systematic review. J Adolesc Health. 2017;60(3):261-9 DOI:10.1016/j.jadohealth.2016.11.013 March 2017 28087267 J Adolesc Health

Suleiman AB, Dahl RE. Leveraging neuroscience to inform adolescent health: the need for an innovative transdisciplinary developmental science of adolescence. J Adolesc Health. 2017;60(3):240-248. DOI:10.1016/j.jadohealth.2016.12.010 March 2017 28235453 J Adolesc Health

Ballard PJ, Hoyt LT, Pachucki MC. Impacts of adolescent and young adult civic engagement on health and socioeconomic status in adulthood. Child Dev. 2018 Jan 23. doi: 10.1111/cdev.12998. [Epub ahead of print] DOI:10.1111/cdev.12998 January 2018 Child Dev

Adams SH, Park MJ, Twietmeyer L, Brindis CD, Irwin CE, Jr. Association between adolescent preventive care and the Affordable Care Act. JAMA Pediatr. 2018 Jan 1;172(1):43-48. DOI:10.1001/jamapediatrics.2017.3140 January 2018 29114725 JAMA Pediatr.

Vance SR Jr, Lasofsky B, Ozer E, Buckelew SM. Teaching paediatric transgender care. Clin Teach. 2018 Jun;15(3):214-220. DOI:10.1111/tct.12780 June 2018 29573566 Clin Teach

Ballard PJ, Hoyt LT, Pachucki MC. Impacts of adolescent and young adult civic engagement on health and socioeconomic status in adulthood. Child Dev. 2018 Jan 23. doi: 10.1111/cdev.12998. [Epub ahead of print] DOI:10.1111/cdev.12998. January 2018 Child Dev

Adams SH, Park MJ, Twietmeyer L, Brindis CD, Irwin CE, Jr. Association between adolescent preventive care and the Affordable Care Act. JAMA Pediatr. 2018;172(1):43-8. DOI:10.1001/jamapediatrics.2017.3140 January 2018 29114725 JAMA Pediatr.

Adams SH, Park MJ, Twietmeyer L, Brindis CD, Irwin CE Jr. Increasing Delivery of Preventive Services to Adolescents and Young Adults: Does the Preventive Visit Help? J Adolesc Health. 2018 Aug;63(2):166-171. DOI:10.1016/j.jadohealth.2018.03.013 August 2018 29929838 J Adolesc Health

Guss CE, Inwards-Breland DJ, Ozer E, Vance SR Jr. Experiences With Querying Gender Identity Across Seven Adolescent Medicine Sites. J Adolesc Health. 2018 Aug 13. pii: S1054-139X(18)30204-0. DOI:10.1016/j.jadohealth.2018.05.021 August 2018 30115506 J Adolesc Health

Jones L, Grout R, Gilbert A, Wilkerson T, Downs S, Aalsma M. Do Caregivers Want to Talk about Parenting? Results from a Primary Care Based Survey. Journal of Adolescent Health 2018;62:S37-S140. February 2018 www.jahonline.org/issue/S1054-139X(17)X0029-3?page=2.

Vance SR Jr, Lasofsky B, Ozer E, Buckelew SM. Teaching paediatric transgender care. Clin Teach. 2018 Jun;15(3):214-220. DOI:10.1111/tct.12780 June 2018 29573566 Clin Teach

Adams SH, Park MJ, Twietmeyer L, Brindis CD, Irwin CE Jr. Young adult preventive healthcare: changes in receipt of care pre- to post-Affordable Care Act. J Adolesc Health. 2019 Jun;64(6):763-769. DOI:10.1016/j.jadohealth.2018.12.004 June 2019 J Adolesc Health

Adams SH, Park MJ, Twietmeyer L, Brindis CD, & Irwin CE, Jr. Young adult preventive healthcare: changes in receipt of care pre- to post-Affordable Care Act. Journal of Adolescent Health. 2019;64:763-769 DOI:10.1016/j.jadohealth.2018.12.004 June 2019

Ferrin SN, Grout RW, Gilbert AL, Wilkinson TA, Cheng ER, Downs SM, & Aalsma MC. Caregiver comfort in adolescents independently completing screening tablet-based questionnaires at primary care visits. Journal of Adolescent Health. 2019;65:799-804. DOI:10.1016/j.jadohealth.2019.07.008 December 2019

Vance SR Jr, Buckelew SM, Dentoni-Lasofsky B, Ozer E, Deutsch MB, Meyers M. A Pediatric Transgender Medicine Curriculum for Multidisciplinary Trainees. MedEdPORTAL. 2020;(16):10896. 2020

Adams SH, Schaub JP, Nagata JM, Park MJ, Brindis CD, Irwin CE Jr. Young adult perspectives on COVID-19 vaccinations. J Adolesc Health. 2021;69(3):511-514. doi:10.1016/j.jadohealth.2021.06.003 DOI:10.1016/j.jadohealth.2021.06.003 July 2021

Giovanelli A, Adams SH, Park MJ, Ozer EM. Delivering anticipatory guidance about technology use to adolescents in primary care: rates in a representative California sample. J Adolesc Health. Published online July 20, 2021. doi:10.1016/j.jadohealth.2021.06.007 DOI:10.1016/j.jadohealth.2021.06.007 July 2021

Cohen AK, Hoyt LT, Nichols CR, Yazdani N, Dotson MP. Opportunities to reduce young adult college students' COVID-19�related risk behaviors: insights from a national, longitudinal cohort. J Adolesc Health. 2021;69(3):383-389. doi:10.1016/j.jadohealth.2021.06.004 DOI:10.1016/j.jadohealth.2021.06.004 July 2021

Jones LD, Grout RW, Gilbert AL, et al. How can healthcare professionals provide guidance and support to parents of adolescents? Results from a primary care-based study. BMC Health Serv Res. 2021;21(1):253. doi:10.1186/s12913-021-06200-1 DOI:10.1186/s12913-021-06200-1 March 2021

Pfaff N, DaSilva A, Ozer E, Kaiser SV. Adolescent risk behavior screening and interventions in hospital settings: a scoping review. Pediatrics. 2021;147(4):e2020020610. doi:10.1542/peds.2020-020610 DOI:10.1542/peds.2020-020610 March 2021

Richardson L, Parker EO, Zhou C, Kientz J, Ozer E, McCarty C. Electronic health risk behavior screening with integrated feedback among adolescents in primary care: randomized controlled trial. J Med Internet Res. 2021;23(3):e24135. doi:10.2196/24135 DOI:10.2196/24135 March 2021

Tebb KP, Rodriguez F, Pollack LM, et al. Improving contraceptive use among Latina adolescents: a cluster-randomized controlled trial evaluating an mHealth application, Health-E You/Salud iTu. Contraception. 2021;104(3):246-253. doi:10.1016/j.contraception.2021.03.004 DOI:10.1016/j.contraception.2021.03.004 March 2021

Vance SR Jr, Dentoni-Lasofsky B, Ozer E, Deutsch MB, Meyers MJ, Buckelew SM. Using standardized patients to augment communication skills and self-efficacy in caring for transgender youth. Acad Pediatr. Published online May 19, 2021. doi:10.1016/j.acap.2021.05.010 DOI:10.1016/j.acap.2021.05.010 May 2021

Spain R, Penilla C, Ozer E, Taylor R, Ringstaff C, Lester J. Leveraging game-based learning technologies to introduce adolescents to health science careers during the COVID-19 pandemic. Journal of STEM Outreach. 2021;4(4):1-11. https://doi.org/10.15695/jstem/v4i4.09 DOI:10.15695/jstem/v4i4.09 October 2021

Giovanelli A, Ozer EJ, Adams SH, Park MJ, Ozer EM. Adolescent Technology-use Rules and Sleep in a Large Representative Sample. J Adolesc Health. 2022;70(4):682-685. doi:10.1016/j.jadohealth.2021.10.025 DOI:10.1016/j.jadohealth.2021.10.025 January 2022 34991931

Adams SH, Schaub JP, Nagata JM, Park MJ, Brindis CD, Irwin CE Jr. Young Adult Anxiety or Depressive Symptoms and Mental Health Service Utilization During the COVID-19 Pandemic. J Adolesc Health. 2022;70(6):985-988. doi:10.1016/j.jadohealth.2022.02.023 DOI:10.1016/j.jadohealth.2022.02.023 June 2022 35422363

Park MJ, Brindis CD, Irwin CE, Jr. Health care policy for adolescents and young adults. In: Crockett LJ, Carlo G, Schulenburg JE, eds. APA Handbook of Adolescent and Young Adult Development. American Psychological Association; 2022. DOI:https://doi.org/10.1037/0000298-042 2023