Health Information Technology to Reduce Disparities in Adolescent Health Outcomes: a Pragmatic Trial
- Conditions
- Sexually Transmitted Diseases
- Registration Number
- NCT04372875
- Lead Sponsor
- Children's National Research Institute
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 37500
- Adolescents aged 15-21 years seeking care in the emergency department
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Primary Outcome Measures
Name Time Method Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates 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.
- Secondary Outcome Measures
Name Time Method STI rates by race/ethnicity 3-7 days after ED visit Change in STI rates by race/ethnicity
Trial Locations
- Locations (1)
Children's National Hospital
🇺🇸Washington, District of Columbia, United States
Children's National Hospital🇺🇸Washington, District of Columbia, United StatesMonika Goyal, MDContact12024762869mgoyal@cnmc.org