Health Information Technology to Reduce Disparities in Adolescent Health Outcomes: A Pragmatic Trial
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: SHS-derived CDS.
- Who it may be relevant to
- Registry conditions: Sexually Transmitted Diseases. Basic parameters: 15 years — 21 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Leveraging Health Information Technology to Reduce Health Disparities in Adolescent Health Outcomes: A Patient-Centered Approach
Overview
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
- Behavioral SHS-derived CDS
This intervention will provide electronic clinical decision support for adolescents who screen at risk or at high risk of an STI.
Primary outcome measures
- Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates [Time frame: 3-7 days after emergency department (ED) visit]
Secondary outcome measures (1)
- STI rates by race/ethnicity [Time frame: 3-7 days after ED visit]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Screening
Study locations
United States · 1 center
- Children's National Hospital — Washington D.C.
Identifiers
NCT: NCT04372875 · Pro00014276