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AbstractOur objective was to develop a series of short educational videos for teens and parents to watch before pediatric ADHD visits to motivate teens to be more actively involved during their visits. The development of the videos was theoretically guided by Social Cognitive Theory. First, we conducted two focus groups with teens (ages 11 to 17) with ADHD, two focus groups with teens’ parents, and two focus groups with providers. The research team analyzed the focus group data to create the initial video script. Feedback was obtained from two teen advisory boards and the scripts were revised, then the videos were produced. Based on focus group results, an animated teen newscaster narrates six one- to two- minute videos with different themes: (a) talking to your doctor about your ADHD, (b) controlling ADHD without medication, (c) ADHD medications, (d) ADHD and school, (e) ADHD and relationships; and (f) talking to your parents about ADHD. Each theme includes three key messages and emphasizes how teens should discuss these messages with their providers. Teens, parents, and providers provided excellent insight into developing videos to increase teen involvement during ADHD visits. The developed video(s) are on Vimeo and on a website titled “Information for the Evolving Teenager” (iuveo.org).

Objective: To conduct a pragmatic randomized controlled trial to test the effectiveness of an ADHD question prompt list with video intervention to increase youth question-asking and provider education about ADHD during visits., Methods: English-speaking youth ages 11-17 with ADHD and their caregivers were enrolled from two pediatric clinics. Youth were randomized to intervention or usual care groups. Intervention group adolescents watched the video and then completed an ADHD question prompt list before their visits. Multivariable regression was used to analyze the data., Results: Twenty-one providers and 102 of their patients participated. Intervention group youth were significantly more likely to ask one or more questions about ADHD and its treatment than usual care youth (odds ratio=5.4, 95 % Confidence Interval (CI)= 1.8, 15.9). Providers were significantly more likely to educate youth who asked one or more questions during visits about more ADHD medication areas (unstandardized beta=0.98, 95 % CI=0.31 to 1.64) and more non-medication strategies for ADHD (unstandardized beta=0.50, 95 % CI=0.13 to 0.88)., Conclusion: The intervention increased youth question-asking about ADHD and its treatment. Providers provided more education to youth who asked one or more questions about ADHD and its treatment., Practice Implications: Providers and practices should consider having youth complete ADHD question prompt lists and watch the video before visits to increase youth question-asking during visits., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Objective: To disseminate iuveo.org, a new health information website, primarily to teens in the United States using a three-pronged approach of social media, in-person, and emails., Methods: Dissemination methods included a combination of in-person, email, and social media campaigns starting in August 2022 to reach teens and stakeholders focused on teen health. Following the Social Marketing Theory framework, a social media campaign was implemented utilizing Instagram and X (formerly Twitter). Website analytics, including monthly usage of iuveo, was measured utilizing Google Analytics. The intrinsic analytics from X and Instagram were also tracked., Results: From August 2022-July 2023, iuveo attracted 1338 unique users to the website. In the same time frame, 1085 accounts were reached on Instagram, and 14,367 impressions were received on X. Most website users (84.8%) were classified as 'direct' acquisition, meaning that they directly typed in the URL or clicked on a link, and 7.3% of users visited iuveo from a social media platform., Conclusion: A three-pronged dissemination strategy is beneficial when disseminating a new health information website., Innovation: Utilizing a three-pronged approach with a social media campaign based on Social Marketing Theory, a health information website was disseminated to youth in the United States., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Funders of the project are The Dogwood Grant and The Duke Endowment., (© 2024 The Authors. Published by Elsevier B.V.)

Objective: To co-design a website aimed to empower youth to ask questions to encourage productive, meaningful conversations with their health care providers., Methods: The research team recruited adolescent stakeholders (ages 11-17) through flyers distributed at local Young Men's Christian Association (YMCA) locations, clinics, and school nurses. Eleven adolescents who had at least one chronic medical condition were selected as members of the two youth advisory boards. Youth participated in five co-design meetings to give input on website content and refinement over a two-and-a-half-year period. The youth reviewed the website in various stages of development., Results: Youth wanted a website with simple, straightforward language that would be understood by someone between the ages of 11-17 years with a reputable URL. The website content includes ADHD, asthma, vaping/smoking, diabetes, seizures, anxiety, panic disorder, depression, addiction, stimulants, bullying, eating disorders, and sexually transmitted infections. Youth wanted general background content, helpful resources, question prompt lists, and videos encouraging youth involvement in care., Conclusions: A credible co-designed website with information on different health topics that contains question prompt lists and videos for utilization during health care visits has the potential to increase adolescent involvement in their care., Innovation: This website is an innovative intervention aimed at informing and encouraging youth to be more actively involved in their care across a range of healthcare conditions., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Betsy Sleath reports financial support was provided by The 10.13039/100000886Duke Endowment.