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Prospective-dynamic approach: A conceptual proposal for adolescent health care.

Created on 06 Oct 2026

Authors

Mauricio Scarpello

Published in

Archivos argentinos de pediatria. Pages e202611217. Oct 08, 2026. Epub Oct 08, 2026.

Abstract

Adolescent health care has been structured around present-focused approaches: rights, holistic health, risk, and gender. These frameworks have led to substantial progress, but they share a limitation: they describe the adolescent's current state without offering a systematic way to project their future trajectory. We present the prospective-dynamic approach, a conceptual framework that integrates these frameworks with an explicit temporal orientation and draws on self-determination theory, motivational interviewing, the future-oriented perspective on adolescent development, the life-course perspective, and positive adolescent development. The prospective-dynamic approach is organized into five operational components-comprehensive assessment with a temporal perspective, exploration of desires and purpose, construction of trajectories and scenarios, definition of microgoals, and periodic follow-up checkpoints-which can be incorporated into routine consultations without replacing current approaches. This article discusses its rationale, clinical application, and limitations.

PMID:
42832642
Bibliographic data and abstract were imported from PubMed on 06 Oct 2026.

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