Leveraging Health Information Technology to Reduce Health Disparities in Adolescent Health Outcomes: A Patient-Centered Approach
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 18,500
- 试验地点
- 1
- 主要终点
- Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates
研究概览
简要总结
We will compare differences in sexually transmitted infection (STI) detection rates between sexual health survey (SHS)-derived electronic clinical decision support (CDS) versus usual care (e.g. no provision of CDS) using an interrupted time series design. We hypothesize that population-based STI detection rates will be higher when SHS-derived electronic CDS is provided compared to usual care. Secondary analysis will include a comparison of STI detection rates by sexual risk strata (high risk vs. at risk) and race/ethnicity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 21 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adolescents aged 15-21 years seeking care in the emergency department
排除标准
- •Patients will be excluded if unable to understand English, are critically ill, cognitively impaired, or otherwise unable to provide consent for completion of the sexual health survey (SHS) and STI screening.
研究组 & 干预措施
SHS-derived CDS
All adolescents seen in the emergency department that meet eligibility criteria will be offered the sexual health survey (SHS) during the pragmatic trial.
干预措施: SHS-derived CDS (Behavioral)
Usual care
All adolescents seen in the emergency department that meet eligibility criteria prior to implementation of SHS-derived CDS.
结局指标
主要结局
Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates
时间窗: 3-7 days after emergency department (ED) visit
Proportion of encounters during which patients test positive for CT/GC; measured by urine-based nucleic acid amplification tests.
次要结局
- STI rates by race/ethnicity(3-7 days after ED visit)
研究者
Monika Goyal
Associate Professor of Pediatrics and Emergency Medicine
Children's National Research Institute