Sexually Transmitted Diseases
Conditions
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.
Interventions
BEHAVIORALSHS-derived CDS
This intervention will provide electronic clinical decision support for adolescents who screen at risk or at high risk of an STI.
Sponsors
Children's National Research Institute
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to 21 Years
Healthy volunteers
Yes
Inclusion criteria
* Adolescents aged 15-21 years seeking care in the emergency department
Exclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| STI rates by race/ethnicity | 3-7 days after ED visit | Change in STI rates by race/ethnicity |
Countries
United States
Contacts
CONTACTMeleah Boyle
CONTACTMonika Goyal, MD
Outcome results
None listed