Escape room in person-centered anamnesis for suspected pregnancy in adolescent primary care
Silvia SÁNCHEZ CASCO, Pedro Alejandro GONZALES FLORES, Javier ESCAMILLA CANO, Dani HUARTE NAFRIA and Luis Alberto DOMINGUEZ RUIZ
Person-centered anamnesis is vital for adolescent care in Primary Health Care, especially when pregnancy is suspected. Adolescents face stigma and limited confidential support, so empathetic communication is crucial. This reflection introduces an escape-room educational strategy to enhance person-centered communication and structured anamnesis skills in suspected pregnancy situations.an escape room scenario was implemented in a PHC unit featuring a simulated 16-year-old adolescent with suspected pregnancy. Groups of eight to twelve students from multiple health disciplines conducted anamnesis using the SOAP (Subjective, Objective, Assessment, Plan) method. To progress through the escape room, students were required to establish rapport, explore the adolescent’s narrative, identify psychosocial determinants, address confidentiality, and construct an appropriate care plan. Embedded clues guided learners toward essential elements of person-centered history-taking, therapeutic communication, shared decision-making, and cultural sensitivity. A structured advocacy inquiry debriefing followed the scenario.Using escape-room methods for adolescent communication training in PHC is rare. This scenario reflects real practice by combining cognitive, relational, and contextual care elements. The immersive approach boosts engagement, teamwork, and collaborative problem-solving, supporting Family Medicine's focus on continuity, patient-centeredness, and community orientation.Participants improved their skills in sensitive anamnesis, managing expectations, and creating adolescent-focused plans while upholding confidentiality. Training needs remain in motivational interviewing, stigma reduction, and collaboration with adolescent health networks. Future improvements will add telehealth, long-term follow-up cases, and tools to measure communication and emotional readiness.The escape room significantly strengthened communication skills, cultural sensitivity, and clinical reasoning relevant to adolescent PHC. The structured debriefing promoted deeper reflection and application of evidence-based approaches.This escape-room scenario proved to be a powerful pedagogical method for developing empathetic, person-centered anamnesis skills in adolescent PHC, reinforcing essential technical and interpersonal competencies for humane, high-quality care.
