Improving Sexually Transmitted Infection (STI) Results Notification and Partner Services

Not Applicable

Completed

• Conditions: Sexually Transmitted Infections
• Interventions: Other: Call when test results are ready; Other: Text message when test results are ready; Other: Call and text message when test results are ready

• Registration Number: NCT01938053
• Lead Sponsor: Children's Hospital Medical Center, Cincinnati

Brief Summary

The primary goal of this project is to improve the process for contacting patients that test positive for a sexually transmitted infection (STI) in the emergency department by using text messaging. We believe patients that are contacted by both a phone call and a text message will be reached more often and they will be reached sooner than those that only receive a phone call or only a text message. In addition, patients will be given reminder cards at the time of testing to remind them that they will be contacted within 7 days if they test positive. Half of the reminder cards will have a number to call for test results. We believe patients that receive a card with a number are more likely to be contacted within 7 days.

Detailed Description

Aim 1: To improve the results notification system among all female adolescents who test positive for STIs in the ED using mobile phone texting technology.

Hypothesis 1: We will increase our contact rate for STI positive adolescents in the ED from 65-82%.

Hypothesis 2: We will decrease the time interval between testing and appropriate STI treatment by the ED.

Hypothesis 3: We will decrease the recidivism rates for STI positive patients diagnosed in the ED.

Aim 2: To explore qualitatively the barriers to and preferences for partner notification and treatment among 14-21 year-old females and males being tested for STIs in the ED.

Aim 3: To determine baseline rates of partner notification and preferences around partner notification among STI-positive females in the ED, and to explore the feasibility of ED personnel notifying their sexual partners.

Study Timeline

• Study Start: 2011-04
• Primary Completion: 2013-06
• Study First Submitted: 2013-09-05
• Study First Submitted QC: 2013-09-05
• Study First Posted: 2013-09-10
• Study Completion: 2013-12
• Status Verified: 2020-09
• Last Update Submitted: 2020-09-14
• Last Update Posted: 2020-09-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 609

Inclusion Criteria

• 14 to 21 years old
• Seen in the emergency department at Cincinnati Children's Hospital Medical Center
• Test positive for an STI

Exclusion Criteria

• Seen for a psychiatric evaluation
• Seen for sexual assault or abuse

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Reminder card with no number	Call when test results are ready	Patients receive a card to remind them of the time frame for results but no number is listed.
Reminder card with no number	Call and text message when test results are ready	Patients receive a card to remind them of the time frame for results but no number is listed.
Card with number	Call when test results are ready	Patients receive a card to remind them of the time frame for results but and a number to call for results is listed
Card with number	Text message when test results are ready	Patients receive a card to remind them of the time frame for results but and a number to call for results is listed
Reminder card with no number	Text message when test results are ready	Patients receive a card to remind them of the time frame for results but no number is listed.
Card with number	Call and text message when test results are ready	Patients receive a card to remind them of the time frame for results but and a number to call for results is listed

Primary Outcome Measures

Name	Time	Method
Contact rate	7 days	The percentage of patients that are contacted within 7 days of their emergency department visit

Trial Locations

Locations (1)

Cincinnati Children's Hospital Medical Center; 🇺🇸 Cincinnati, Ohio, United States