!" # $%
420/8 " ! "  & 10400










. 
 




 



 !"#$#


 !

%
 $ 

" "!" &$'(
( !"$ )(" * +
!
%
, 
- !. &/"0&$+1
 2'13! 1
4&
 
#!"& &

0- &
%

#!" $

' &565
7&"# /3 0&
/+1#
%
' "/"#0"1


!+ -" "
8$ 49$ 0 9$0
!
 $!" : * $;00 !" :

$
  " &$2&  !"$$
#!
;00 " $ 
*
* !" : !
 $
""$

<
9$

 $=
9$ "*)&
 & "$;00
 " 
! $1  !
=
 &
03
*+1
" 2 "
0

-    !

%
  '!
&!"
 &2'13! /1'  "- " & "010 +$!+ ;3 &' 
+ -"$ $  >

%
 > $$0/
%
"
  "'  * ">$
&  ' 
-" ! 
 0
(" !

-
/1$$ !"1


)&
0!"

1&
"+$!+"? ! $! 2'
 - "'1# 
%

 *(-

$)&0

"!$+! $!2'
 - "'+
#!


$!  
! $ )&
0!"  !! 
!
%
 $$
%
"
" &$$'(&
%
2'13!$(-

"

-
 ")& 0!" 0("$$ !"
 !"-

#"!$


 !

$-" !  10 B 0
(" 21 B * !" 
! 
%
3 #!"  
! 

(Early
Adolescent)  -" ! 10-13 B  
! 
" (Mid Adolescent)  -" ! 13-16 B  
! 

 (Late Adolescent)  -" ! 16-21 B

"1
* #  $  > !"&

?+ +  
' 
"
$  >"( 18 B +$ 0-"
$ Adolescent Health
 $'  !

+ "(-
$  >0("$  1
'  !
*
\&
56$$  > "


 !"#$#
 $  "  > $1$#!
 &1
/(7 
! + \&
-
 0&1  !
+ $4$
 ""
-


  
 

 !" # $%
420/8 " ! "  & 10400

1. Availability :    !
+ $

("+"! 1
#$#
"
*"

 $ !
*"   !"
#!

< ! 
!

#
%


2. Accessibility :  
!  &">0& $

"&  0+$!"

"

#!
"4>
3. Approachability:  
%
$ $$
%


" /1+$!'( (10
4. Acceptability :  !
1 $ & $$+"10$ "- $$
 101
 +
5. Appropriateness :  !
+/
&
/ 
$&$ &
/+c +
6. Affordability : !1#0! 1
$$
$&$ !  !

"

  
1. ? 
  !
+$!!
 &$$
%
!
 !
0

 : +$!$
4>

!

"1#"

 : $0
("' &e

!

&0& /1 
! $
$'(
%
!



 $
$&$ !
2.-
+$!&
"0"

 :
#!
 
!
"  !$"

:
%


3."0
%
#!"! 

"
9$  

>
 !
$+ !"
&
4.

 &&
$
-" 0/
%
"1#



 1 # *$" \&

- $2'$
$ 1 $?(7$' 

"1

-  0 +1 $ -"+
' 
0
  
0  !
0&  >0& /1
 &$'+ !" "(-

1
;00
 $
>$   !"$ 
 $$'  !"$' 
%
$f
1
 !
$
("+"! 0&+2
#!


5.

 &$1
-"+1#
+$!

30
   ?1
"00&
%
$
& 10  " !

6."0$$$"
  
$&$ 
!
& !

$


&+&
$'+ & 2!
  01 !
$ 
0
- $$$$
> 
$
$'+ 

" 1
$' 
$&$  "
0+1
7."0 $$
%
!
 4>
"1#
%

"2'13!
#!
*e&
-
 "#"

-/
 !
'"
 "
%

0"*e&
- $$
$ &
%


"
#!

*e&$ &
- 
 "  -"2'1 &2'$


  
 

 !" # $%
420/8 " ! "  & 10400

8." 0!"  0" 

 

%
"
 "

0&$$!


%
!
(0
/


- 
"! : 1
&!"   
! $
"  1
10* &
  !
0&

"0)
9.1
4 '  1
"
" !
++"!
#!

 ,
?$
9> +$!0
(+
1
4& ' &1$
101
$'
10.

 <
"$ &
0
! : +$!$$0/
%

\&

- 1
'  !
1
*"  0("$ \  !"0

 $ !
2'13!

"0$$&
 !
1
$'( !"

!" !#"$"


% HEEAD SSS
H ' ()!& & *% $
  "+, ,, ,-&)'*

-
E ' ()! .$/ " 0"1 "1  "+ -
 21 & 21! 3 ! 3-4 "$
 &2
)5
E ' ()!.!4
& &2121  &'-0
-,) ! 
A ' ()!0 !6 +-4 " +"1 
 03 20 "1
D ' ()! "1  ! +  "1 & 02!1
+
S ' ()! )"1) 3

  " "1 3  "!  07 !4! +&1-0 
-0- 3!  "8


  )"1)"+ !  3  1 ! )0 2
& 21 !&  21" 3$#- )9! !  
S ' 0 "1"1 "$")5 &)
-! :   

  "1


  
 

 !" # $%
420/8 " ! "  & 10400

S ' ()!*  0& &" '

(' 3 0&&
;!!
()! &"+:"1 OPD 1:) 60&& 0-
,&"1!0*"1 OPD  21!6 !- HEEADSSS & :
- 5 -10
" ('1"& "1 2)G7-- && 2)'* '
!:): 

!+$$,

$,
-
%+.#

!
/
1. Time frame
$/$   !&



74&$
#!

9'($
-" !
$+ 01/! +$!  
"/
0"
"

#!

9'($
!
"
"
>
%


0"
"
"

 $ $$ &$/3/ 
$ 0&' '! 
2. Numerical rating scale
/$"/$  !
 
 
#!
$
"";3
"$* /
 scale
%
1- 10 *  1 $!
!
"
 1
4&  10 
"$
;3"

  
"&+

%


3. Mini - Likert scale
4/
 scale  10 +$!10 &
\ :
$
 

: 

 +$!


 &
\ : 

: 1
" 1
&

"/$
#!
' 
+$!
%


4. Three wishes
"/$
+$!  !$$! 
+  $/
0 0&

"
# 3 " 

0&

"$&+"
5. Empathic lead-in
/$ / 74&
-0& /1  !
' ( &
%

#!
$
0
4> 

- $!$"'(........ 
9'(
$
$
!


  
 

 !" # $%
420/8 " ! "  & 10400

6. Advance notice of understanding

%
 /
4>;00
 $$$

0 
!
"
#!

9$$

 !"+
 !
$

-  $$
 $
?$
9> 

!............ '( !"+
7. Indirection and projection

%
1 !
"


8$" 
! 1
;00
 1
&

+ +$!+



;3" !

"

%
$("
  "

#!
 
! 1
 "
9

 !"+........ (
)> , 
,,
)jjj$

"
9 
 $&4>
!
-+$
&


- / 1  >0&/0" $" 
! + &0& /1 ;00
 "+


0,-0- (Motivational Interviewing) 5, 6, 7

1.


 
!
%
?'
>" &1$/38$
 " $ -"k"

&71
;3 +$!
"$
2. "$

 1
 ? 
$&$ &
 
$&$& &
 1#1



&$4 30-45
 
3. 

 $ & 9l 0& " (-
2'$ 74>1
  -"10m;"
<*1
"$

$'( +$!'(
!" *

$9!
4. 1$$
 101
7$"$'
5. /
&

1#
0

6. "1
$&$+$!
"5n 15n 
(" $+*
\&
"2' "

&0& /1 
!

 " & 0&+$!1$!$$!+
7. 7 


10"! /$
< o +$!))
 !
10
8. &

/$ !
"+!$'(
#!
1#  


$
?$
9> 
 '!!
 " 

 * 1$$'(!
&$
10 " (-
!

9.

-"


%
74&



"
&/$
<
1
$ "$'( $
10 "

"+ !"& /1
$& 9"
1$!$$ &
%
$8$
 "+ 

"
10. 1
4   
! ( 9 +$!' 01# rating scale
%
"
+


  
 

 !" # $%
420/8 " ! "  & 10400

-0&7 0,-0(Motivational Interviewing ) 5, 6, 7

1. 

"8$
$0

" )(" 


1
#!
1

"

"0&$!
2. 
 
"8$" 
!
%
"
"

"+$!+
%
"
"  >2''  \&




&
 
 "8$
-
: &
 " 
$&$1
8$
3. +$!1$#!
$0


+
4. 8$ "?
 &$
!""- &
1 
! 1#
-
"
 ? "

"
5.  >
%
2'#-
& &1/(7
1  !
$"
 ""

"1
"  '"+

%
 !"
6.
$$
9>&!"  > !

%
+1
74& /"
!$
$!
%

2'
# #32''& /
!*  

 $74>  !
)("/"0&
*
%
2'13! 0&$ \"

1

- &"$
10 =
 "- 
 10 &$ )(" !"0 
 !"
-

#"

"

%
012
- 
%
/$
<
10"! +$!))
&+$!$74&&#&#

- /$
$9$ $$#
0
1
//$$

#!
 !


+/$!
" +
"
!74&4 $!"
91
! " / +1


- " $!2$ / '" 2$ "
%


)("  
! 

0&+$!
10 &+$!+&


$9$
#!
$ $2'
$ -"
$
9"
- /$+$!"$/10$ "$$


$ 
0" $
! : $
 !

"
#!

" $
 + 
!$
?$
9>" 
! $
(
- +$!'0k"
 $'( !"+ "
"
e..... 

: "$

  
1

" 
-"+$ "
" 

"$!
#

+
 "
$#
$ $0& /+" "


  
 

 !" # $%
420/8 " ! "  & 10400

" 1


$++ 0& /+""!& "
" $
 '9 k"
........... !"+" "
&* /$ / 74& 
-0& /1  !
!
"2!

0&$" :
 : /$
$$+   !
"
0+$! ! " +$! 
References
1. Joffe A, Radius S, Gall M: Health counseling for adolescents: What they want, what they
get, and who gives it. Pediatrics 82:481-485, 1988
2. Lazare A, Putnam SM, Lipkin M Jr: Three functions of the medical interview. In Lipkin
M Jr, Putnam SM, Lazare A (eds): The Medical Interview: Clinical Care, Education, and
Research. New York: Springer-Verlag, 1995, pp 3-19
3. Schuster MA, Bell RM, Peterson LP, et al: Communication between adolescents and
physicians about sexual behavior and risk prevention Arch Pediatr Adolesc Med 150:906-913, 1996
4. Smith RC, Hoppe RB: The patient's story: Integrating the patient- and physician-centered
approaches to interviewing. Ann Intern Med 115:470, 1991
jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj.