Point of Care STI Testing
Conditions
Keywords
HIV Prevention, HIV Testing, HIV Pre-Exposure Prophylaxis, Gonorrhea, Chlamydia, Sexually Transmitted Infections
Brief summary
The proposed research hypothesizes that point-of-care testing (POCT) for sexually transmitted infections (STIs) gonorrhea and chlamydia will be a feasible, acceptable, and appropriate implementation strategy for improving HIV testing and Pre-exposure prophylaxis (PrEP) delivery in youth, by increasing opportunities for clinician-patient counseling, decreasing loss to follow up, and allowing for same-day HIV prevention service provision. This hypothesis will be tested in a pragmatic non-randomized trial comparing clinical (HIV testing and PrEP counseling and prescription) and implementation (feasibility, acceptability, and appropriateness) outcomes between adolescents receiving POCT compared to laboratory-based testing at three clinics within a large pediatric health system.
Interventions
BEHAVIORALGonorrhea/chlamydia Point-of-Care Testing
Point-of-care testing for sexually transmitted infections.
Sponsors
Icahn School of Medicine at Mount Sinai
Children's Hospital of Philadelphia
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 24 Years
Healthy volunteers
No
Inclusion criteria
\- Patients age 16-24 years receiving POCT or lab-based GC/CT testing
Exclusion criteria
\- Patients with known HIV or active PrEP prescriptions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rates of HIV Test Completion | Day 1 - Measured on date of STI testing | Rates of HIV test completion on the day of gonorrhea/chlamydia testing will be compared between those who receive point-of-care vs. lab-based STI testing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants who received PrEP counseling | Day 1 - Same day as STI testing encounter | PrEP counseling will be measured using visit note data from the date of the STI testing encounter |
| Time to STI treatment | Time from STI diagnosis to treatment, up to 9 months | Days between STI test order and delivery of antibiotics for STI treatment, measured using EHR data |
Countries
United States
Contacts
CONTACTNaomi Pressman, MS, RD
PRINCIPAL_INVESTIGATORSarah Wood, MD, MSHP
Mount Sinai Adolescent Health Center
Outcome results
None listed