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Table 7 The Electronic Health Report Form (eHRF) prototype with background questions, reliability, and validity

From: Development and usability evaluation of an electronic health report form to assess health in young people: a mixed-methods approach

Item

Health area

questionnaire

Reliability/validity

 

A. Background questions

  

A1

Reason for visiting Youth Health Clinics (YHC)

  

A2–A4

Age, Gender, Sex

SEXual health Identification Tool (SEXIT) (15)

Content- and face validity, acceptability for YHCs age group. Swedish (4).

A5

A6

Sexual orientation

Living conditions

SEXIT (15)

SEXIT (15)

A7

Ongoing healthcare contact outside YHC

 

B. Physical health

  

B1–B4

Alcohol, drugs, and tobacco

Alcohol Use Disorders Identification Test – Consumption (Audit-C) (38), SEXIT (15), National Guidelines: Living Habits (36)

Audit-C: Best choice for harmful and high-volume drinking. Swedish [59].

National Guidelines: Living Habits. Swedish (36):

Used nationally and recommended for healthcare.

B5–B9

Nutrition and eating habits

National Guidelines: Living Habits (36)

Used nationally and recommended for healthcare.

B10–B11

Physical activity and sedentary time

National Guidelines: Living Habits, indicator questions for physical activity (36, 37)

Used nationally and recommended for healthcare.

B12

Behavior change

Self-efficacy Scale (31)

 

B13–B18

Bodily symptoms

Health Behavior in School-aged Children (HBSC) (40)

Adequate validity and satisfactory test-retest reliability (40). School-age children. Swedish.

 

C. Mental health

  

C1–C8

Anxiety/worry

Generalized Anxiety Disorder 7-item scale (GAD-7) (41)

Good reliability and criterion-, construct-, factorial- and procedural validity from age 18 (41). Swedish.

C9–C18

Sadness/depression

Patient Health Questionnaire-9 (PHQ-9) (42)

Validity and reliability acceptable from age 18 (42). Swedish.

C19–C23

Relation to food and body

The SCOFF Questionnaire* (43)

Acceptable validity for adolescents, especially girls [60]. Swedish.

 

D. Experience of violence

  

D1–D9

Experience of violence

SEXIT (15)

Content- and face validity, acceptability for YHC age group. Swedish (4).

 

E. Sexual health

  

E1–E10

Sex habits

SEXIT (15)

Content- and face validity, acceptability for YHCs, Swedish (4).

 

F. Social support

  

F1–F6

Social support

Berlin Social Support Scales (BSSS) subscales “Need for support” and “Support seeking” (44)

Initial validation for adult cancer patients (44), used many contexts.

Not available in Swedish

F7

Behavior change

The Bandura Self-efficacy Scale (31)

Constructed in accordance with Bandura’s guidelines of how to construct self-efficacy scales (31).

Total

74 items

  
  1. *SCOFF = acronym from the five questions included in the SCOFF questionnaire [43], based on a person’s relationship to food and body