8. Describe at least one clinical advantage and one clinical challenge of using

Question

8. Describe at least one clinical advantage and one clinical challenge of using RAAPS as described by Darling-Fisher et al. (2014) .

9. How many null hypotheses are rejected in the Darling-Fisher et al. (2014) study for the results presented in Table 2 ? Provide a rationale for your answer.

10. A statistically signi cant difference is present between RAAPS users and RAAPS nonusers for U.S. practice region, 2 = 29.68. Does the 2 result provide the location of the difference? Provide a rationale for your answer.

Introduction Darling-Fisher and colleagues (2014, p. 219) conducted a mixed-methods descriptive study to evaluate the clinical usefulness of the Rapid Assessment for Adolescent Preventa- tive Services (RAAPS) screening tool "by surveying healthcare providers from a wide variety of clinical settings and geographic locations." The study participants were recruited from the RAAPS website to complete an online survey. The RAAPS risk-screening tool was developed to identify the risk behaviors contributing most to adolescent morbidity mortality, and social problems, and to provide a more streamlined assessment to help providers address key adolescent risk behaviors in a time-efficient and user-friendly format" (Darling-Fisher et al., 2014, p. 218). The RAAPS is an established 21-item ques- tionnaire with evidence of reliability and validity that can be completed by adolescents in 5-7 minutes Quantitative and qualitative analyses indicated the RAAPS facilitated identification of risk behaviors and risk discussions and provided efficient and consistent assessments 86% of providers believed that the RAAPS positively influenced their practice" (Darling- Fisher et al., 2014, p. 217). The researchers concluded the use of RAAPS by healthcare providers could improve the assessment and identification of adolescents at risk and lead to the delivery of more effective adolescent preventive services. Relevant Study Results In the Darling-Fisher et al. (2014, p. 220) mixed-methods study, the participants (N 201) were "providers from 26 U.S. states and three foreign countries (Canada, Korea, and Ireland)." More than half of the participants (n 111; 55%) reported they were using the RAAPS in their clinical practices. "When asked if they would recommend the RAAPS to other providers, 86 responded, and 98% (n 384) stated they would recommend RAAPS The two most common reasons cited for their recommendation were for screening (n J76, 92%) and identification of risk behaviors (n 75, 90%). Improved communication (n 52, 63%) and improved documentation (m 46, 55% and increased patient under standing of their risk behaviors (n 48, 58%) were also cited by respondents as reasons to recommend the RAAPS" (Darling-Fisher et al., 2014, p. 222)

Explanation / Answer

(8)identification of risk behavior are advantage and constraint in practice site are challange

(9) here alpha=0.05, so p-value which will be less than the alpha will be rejected.

so 6 null hypothesis are rejected

(10) yes, since the null hypothesis is there is no relationship in practice region and it is rejected.

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