Health Information Technology to Reduce Disparities in Adolescent Health Outcomes: A Pragmatic Trial
Purpose
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.
Condition
- Sexually Transmitted Diseases
Eligibility
- Eligible Ages
- Between 15 Years and 21 Years
- Eligible Genders
- All
- Accepts 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.
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Screening
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental SHS-derived CDS |
All adolescents seen in the emergency department that meet eligibility criteria will be offered the sexual health survey (SHS) during the pragmatic trial. |
|
|
No Intervention Usual care |
All adolescents seen in the emergency department that meet eligibility criteria prior to implementation of SHS-derived CDS. |
|
Recruiting Locations
Children's National and nearby locations
Children's National Hospital
Washington, District of Columbia 20010
Washington, District of Columbia 20010
More Details
- NCT ID
- NCT04372875
- Status
- Recruiting
- Sponsor
- Children's National Research Institute