Improvement of STI Detection in Adolescent Emergency Department Patients

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02509572

Acronym

SHS

Enrollment

720

Registered

2015-07-28

Start date

2014-10-31

Completion date

2016-06-30

Last updated

2016-06-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sexually Transmitted Infections

Brief summary

The goal of this trial is to test a novel means of collecting patient-entered sexual health information for the provision of clinical decision support to increase the testing and detection of sexually transmitted infections (STI) in adolescent emergency department (ED) patients at high risk for STIs.

Detailed description

The investigators have developed a novel means of collecting sexual health information from adolescents in the emergency department (ED) through the use of an audio-computer assisted self-interview (ACASI). This information can then be used to provide clinical decision support to clinicians for targeted sexually transmitted infection (STI) screening in the ED for adolescents. This randomized trial randomizes patients to whether or not the clinician receives the decision support and tests whether provision of decision support results in increased STI screening for patients who report high risk sexual activity. Secondary outcomes include evaluation of whether the clinical decision support results in increased STI detection, and identifying factors associated with adapting the clinical decision support.

Interventions

BEHAVIORALSexual health screen (SHS)

Decision support for STI screening through a novel sexual health screen

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SCREENING

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

ALL

Age

14 Years to 19 Years

Healthy volunteers

Inclusion criteria

* Aged 14-19 presenting to the emergency department.

Exclusion criteria

* history of developmental delay, * medical instability, * altered mental status, * unable to understand English

Design outcomes

Primary

Measure	Time frame
Number of Participants with difference in frequency of STI testing between the ACASI-SHS group compared to the usual care group.	an expected average of 4-6 hours.

Secondary

Measure	Time frame
The proportion of adolescents who test positive for an STI in the intervention group in comparison to the usual care group.	Baseline

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 11, 2026