Health Care Utilization
Conditions
Brief summary
Investigators will form community partnership with community sites that will disseminate curated educational information on Sexual and Reproductive Health/Mental Health (SRH/MH). Investigators will attend a series of outreach events hosted by community partners community and community leaders that provide/demonstrate telemedicine and the Children's Mercy Mobile Unit which is equipped to provide direct patient care. Investigators will engage up to 40 teen peer leaders to encourage healthcare-seeking behaviors and mobilize their social networks to attend outreach events. At all events, the mobile unit will be available for teens to (a) demonstrate the mobile; (b) learn about Sexual and Reproductive Health/Mental Health (SRH/MH) and local care resources; (d) acquire free over-the-counter emergency contraception, birth control, condoms, and pregnancy tests.
Detailed description
AccessKCTeen is a pilot clinical outreach program that uses Children Mercy's Mobile Unit and Telemedicine to demonstrate and increase access to SRH and MH. AccessKCTeen intends to focus on these central activities: 1. Education based on a peer-leader model: In collaboration with community-based partners, investigators will identify and train approximately 40 peer leaders in disseminating information and resources for Sexual and Reproductive Health/Mental Health (SRH/MH) MH/SRH to their social networks. Peer leaders may disseminate information in the form of sharing curated online resources or mobilizing friends to attend live educational events. Peer leaders will also help connect their friends to resources by spreading information and encouraging friends to attend CM mobile unit demonstrations. Investigators will use text messaging to engage peers in these educational events and share general health resources. 2. Mobile Unit and Telemedicine Demonstration Events: The mobile unit will be present at community events to demonstrate how in-person care could work on the unit as well as how telemedicine works. Investigators will answer questions and help adolescents get registered for telemedicine.
Interventions
OTHERPeer Leader Model
Teens will have an opportunity to interact with established peer leaders that are a part of the AccessKCTeen program. These leaders will receive a baseline training of their role, sexual and mental health. They will also receive health education and engage with a peer liaison via text messages throughout the study.
Sponsors
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Children's Mercy Hospital Kansas City
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Participants will enroll as a Peer Leader (THO+) or they can enroll as part of a Friend Network. Teens who enroll as a Peer Leader will attend a training session in-person or online with our study team to learn about sexual and mental health information and how to share information with their friends (like text or social media). Teens who enroll as a Friend Network will receive the shared information from the Peer Leader who invited them to be a part of the study.
Eligibility
Sex/Gender
ALL
Age
14 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
1. INTERVENTION TRIAL PARTICIPANTS and Peer Leaders (ADOLECENTS) Inclusion Criteria * Aged 14-18 years and 364 days old a.
Exclusion criteria
* Younger than 14 years old or older than 18 years and 364 days at the time of enrollment * Does not speak/understand English * Not recruited from an already nominated or enrolled adolescent 2. Event Day Trail PARTICIPANTS (ADOLECENTS) Inclusion Criteria * Aged 14-18 years and 364 days old a.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Any Healthcare Utilization From Baseline to 6 Months | Baseline to 6 months | Measurement of any use of healthcare utilization through trial. Healthcare utilization measured through surveys from participants at baseline, 2 months, 4 months, and 6 months. |
Countries
United States
Participant flow
Pre-assignment details
In the protocol, we use the target enrollment number of 100 participants. However, our actual participants were 51 enrolled, which is reflected in our results section.
Participants by arm
| Arm | Count |
|---|---|
| Peer Leader Participants Peer Leaders
Investigators will enroll up to 40 Peer Leaders. In addition to the above activities (under intervention trial participant), if a teen is a peer leader they will attend a training session in-person or online with our study team to learn about sexual and mental health information and how to share information with their friends (like text or social media). The peer leaders will answer the same surveys described above and will be asked about their Peer Leader experience and how they are sharing the study health information. | 18 |
| Friend Network Participants Teens will have an opportunity to interact with established peer leaders that are a part of the AccessKCTeen program. These leaders will receive a baseline training of their role, sexual and mental health. They will also receive health education and engage with a peer liaison via text messages throughout the study. | 33 |
| Total | 51 |
Baseline characteristics
| Characteristic | Friend Network Participants | Total | Peer Leader Participants |
|---|---|---|---|
| Age, Continuous | 16 years | 16 years | 15 years |
| Ethnicity (NIH/OMB) Hispanic or Latino | 4 Participants | 9 Participants | 5 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 27 Participants | 39 Participants | 12 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 2 Participants | 3 Participants | 1 Participants |
| Race/Ethnicity, Customized Amer Indian/Alaskan Native | 2 Participants | 2 Participants | 0 Participants |
| Race/Ethnicity, Customized Asian | 3 Participants | 3 Participants | 0 Participants |
| Race/Ethnicity, Customized Black | 23 Participants | 36 Participants | 13 Participants |
| Race/Ethnicity, Customized missing | 1 Participants | 2 Participants | 1 Participants |
| Race/Ethnicity, Customized More than one race/other | 2 Participants | 6 Participants | 4 Participants |
| Race/Ethnicity, Customized White | 2 Participants | 2 Participants | 0 Participants |
| Sex/Gender, Customized Female | 13 Participants | 21 Participants | 8 Participants |
| Sex/Gender, Customized Male | 16 Participants | 23 Participants | 7 Participants |
| Sex/Gender, Customized missing | 1 Participants | 2 Participants | 1 Participants |
| Sex/Gender, Customized Non-binary | 0 Participants | 1 Participants | 1 Participants |
| Sex/Gender, Customized Transgender | 3 Participants | 4 Participants | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 18 | 0 / 33 |
| other Total, other adverse events | 0 / 18 | 0 / 33 |
| serious Total, serious adverse events | 0 / 18 | 0 / 33 |
Outcome results
Primary
Number of Participants With Any Healthcare Utilization From Baseline to 6 Months
Measurement of any use of healthcare utilization through trial. Healthcare utilization measured through surveys from participants at baseline, 2 months, 4 months, and 6 months.
Time frame: Baseline to 6 months
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Peer Leader Participants | Number of Participants With Any Healthcare Utilization From Baseline to 6 Months | 9 Participants |
| Friend Network Participants | Number of Participants With Any Healthcare Utilization From Baseline to 6 Months | 7 Participants |