Using teen actors to teach how to communicate with adolescents
This presentation is the property of its rightful owner.
Sponsored Links
1 / 22

Using Teen Actors to Teach How to Communicate with Adolescents PowerPoint PPT Presentation


  • 41 Views
  • Uploaded on
  • Presentation posted in: General

Using Teen Actors to Teach How to Communicate with Adolescents. Anisha Abraham, MD, MPH Associate Professor, Department of Pediatrics Chief, Section of Adolescent Medicine Georgetown University Hospital Washington, DC. Objectives.

Download Presentation

Using Teen Actors to Teach How to Communicate with Adolescents

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Using teen actors to teach how to communicate with adolescents

Using Teen Actors to Teach How to Communicate with Adolescents

Anisha Abraham, MD, MPHAssociate Professor, Department of Pediatrics

Chief, Section of Adolescent Medicine

Georgetown University Hospital

Washington, DC


Objectives

Objectives

  • To review two programs involving teen actors from local community organizations: Teens Against the Spread of AIDS (TASA) and Teens and Theater/Duke Ellington School of Arts

  • To discuss the benefits of programs using role play with teen actors in teaching trainees how to communicate with adolescents


Using teen actors to teach how to communicate with adolescents

Teen Actors-TASA

TASA-group of DC high school students who use theater techniques to educate youth/families about health issues and based at Children’s National Medical Center

In 1997, workshop developed to improve trainee violence screening skills at CNMC

Workshop used TASA members as teen actors and educators


Using teen actors to teach how to communicate with adolescents

Screening Teens for Violence Risks Workshop

  • Participants

    • Medical students & pediatric residents rotating thru the adolescent clinic at CNMC

  • Content

    • Trainees received a brief didactic lecture on violence among teens including FISTS screening tool (Fights, Injuries, Sexual Violence and Self-Defense Strategies)

    • Did one-on-one role play w/ teen actors on violence related scenarios

    • Engaged in a panel discussion w/ teens regarding violence risks at home, school and the community


Screening for teen violence risks workshop

Screening for Teen Violence Risks Workshop

  • Teen Actors

    • TASA members developed their own violence scenarios including date rape, domestic violence, etc

    • Performed 20 min role play w/ trainees, then gave feedback to trainees on establishing confidentiality, use of FISTS screen, identification and management of problem

    • Engaged in an interactive panel discussion addressing violence issues at home, school, and community


Screening for teen violence risks workshop1

Screening for Teen Violence Risks Workshop

  • Led to study assessing impact of workshop on trainee violence screening skills

    • Abraham A, Cheng T, Wright J, et al. Assessing an Educational Intervention to Improve Physician Violence Screening Skills Pediatrics 2001; 107: p 63-73


Using teen actors to teach how to communicate with adolescents

Study: “An Educational Intervention to Improve Physician Violence Screening”

  • Purpose- To evaluate a violence prevention program targeted at health care personnel

  • Setting- Adolescent clinic of a tertiary care hospital

  • Participants- Med students and peds residents assigned to an adolescent rotation

  • Intervention- On alternate months, trainees received 3 hr workshop on violence prevention including use of FIST screening tool & role play w/ teen actors


Study an educational intervention to improve physician violence screening

Study: “An Educational Intervention to Improve Physician Violence Screening”

  • Evaluation Methods

    • All participants interviewed a standardized patient (teen actor) c/o a persistent headache w/ an underlying violence- related issue during their clinical rotation

    • Participants were not aware that the standardized patient was an actor and not a real patient

    • Participants completed pre and post rotation questionnaires. Teen actors completed an evaluation of the encounter


Study design

Study Design

Beginning of rotationEnd of rotation

Intervention Group-Violence Workshop--Standardized patient

Pre-rotation questionnaire Post-rotation questionnaire Standardized patient evaluation

Control Group-----------------------------------------Standardized patient

Pre-rotation questionnaire Post-rotation questionnaire Standardized patient evaluation


Study an educational intervention to improve physician violence screening1

Study: “An Educational Intervention to Improve Physician Violence Screening”

  • Results- Post-rotation intervention subjects reported:

    • More screening of fighting history (p < .003)

    • Perceived importance in asking about access/ use of weapons (p< .02)

    • More screening of violence in school/neighborhood (p< .01)


Using teen actors to teach how to communicate with adolescents

Standardized Patient Evaluation


Study an educational intervention to improve physician violence screening2

Study: “An Educational Intervention to Improve Physician Violence Screening”

  • Conclusion

    • A violence prevention education program using teen actors improved participants’ violence questioning and perceived comfort and importance in violence screening

    • Improved identification and management of a standardized violence-related scenario


Screening for teen violence risks workshop2

Screening for Teen Violence Risks Workshop

  • Taking it on the road

    • Conducted workshops with TASA at the National AAP conference in DC (1999), National ER conference in DC, the International Adolescent Health Conference in Lisbon, Portugal (2005), Georgetown University Hospital, National Naval Medical Center, etc.


Duke ellington teens and theater

Duke Ellington/Teens and Theater

“Communicating with Teens Workshop” at GUH started in 2006 & involves teen actors from:

  • The Improvisation Group/Theater Program at the Duke Ellington School of the Arts

    • The only DC public high school providing professional arts training & college preparation

  • Teens and Theater

    • A group of home-schooled high school students from the DC area that are involved in improvisational theater


Communicating with teens workshop at guh

Communicating with Teens Workshop at GUH

  • Participants

    • 3rd yr med students in pediatric clerkship & peds residents in adolescent rotation

  • Workshop Content

    • Overview of SSHADESS assessment (Strengths, School, Home, Activities, Diet, Drugs, Emotions, Sexuality, Suicidality and Safety)

    • Tips on talking to teens & establishing confidentiality

    • Interactive role play w/ teen actors


Communicating with teens workshop

Communicating with Teens Workshop

  • Teen Actors

    • Create scenarios/perform 20 min role plays with groups of med students & residents

    • Scenarios topics involve drug use, depression, gender identity, eating disorders,etc

    • Give feedback on use of confidentiality,body language, SSHADESS screen, ability to identify chief complaint & manage issue

  • Facilitators

    • Attending and pediatric residents give feedback regarding communication techniques and management of issue


Communicating with teens workshop1

Communicating with Teens Workshop

  • (Video clip)


Communicating with teens workshop2

Communicating with Teens Workshop

  • 2007-2008 Study

    • “An Educational Intervention to Improve Physician Interviewing Skills of Adolescent Patients during the Pediatric Clerkship” involving 150 medical students

  • Study conclusion:

    • Students report increased confidence & skills in communicating w/ teens when participating in interactive workshop as compared to lecture alone

  • Workshop as curriculum

    • As a result of positive evaluations by trainees and results of study showing benefit, workshop has become regular part of pediatric medical student curriculum; conducted every 6 weeks


Communicating with teens workshop3

Communicating with Teens Workshop

  • Reaching larger audiences

    • Conducted workshop at 2009 American Academy of Pediatrics National Conference (DC)

    • Created sexual history-taking pod cast with teen actor available at AAP website

    • Received invitations to take workshop to area hospitals & organizations


Costs

Costs

  • Teen and Theater/Duke Ellington Funding

    • Initially from $25,000 hospital education grant to enhance medical student teaching

    • Under grant, $600/workshop for coordinator/school

    • Currently $150/ workshop for approx 8 teens/ coordinator- paid by Pediatric Department

    • At National conference-teen actors received $50/ workshop from AAP

  • TASA Funding

    • Received primary funding from grants including Washington AIDS Partnership , GEICO, CNMC’s Child Health Center and Board of Visitors


Using teen actors lessons learned

Using Teen Actors: Lessons Learned

  • Scheduling student actors can be challenging

    • to avoid missing classes, tests, performances

  • Initial development of scenarios requires time and extensive training

  • Workshops can be dependent on scenarios and actors and experience of facilitator

  • Funding necessary but costs are reasonable


Using teen actors lessons learned1

Using Teen Actors: Lessons Learned

  • Using teen actors from the community can be a very rewarding experience for actors, facilitators and trainees!

  • Model is easily adaptable

  • Pilot studies show interactive role play improves trainees’ educational experience

  • Teen actors can also train medical faculty, non medical personnel

  • Actors once trained can be used for many other adolescent health topics i.e. substance use, pregnancy prevention, etc.


  • Login