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The COVID pandemic and issues with the APT platform hindered recruitment and participant completion of intervention surveys.
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Determine the effectiveness of an electronic self-administered pre-visit planning tool allowing adolescents to list areas of concern to support shared decision-making and communication during an office visit through a randomized controlled trial (RCT).
Aim 1: Through qualitative data collection, characterize perspectives of adolescent girls and providers regarding the feasibility and acceptability of an electronic self-administered pre-visit planning tool allowing adolescents to list areas of concern to support shared decision-making and communication during an office visit. Interviews will also explore approaches to implement and evaluate such a tool.
Aim 2: Determine the effectiveness of the tool through a randomized controlled trial (RCT).
Aim 3: Synthesize outcomes, identify opportunities for improvement and plan next steps in both research, and if the tool works well, implementation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-visit Planning Tool | Experimental | To determine the effectiveness an electronic self-administered pre-visit planning tool allowing adolescents to list areas of concern to support shared decision-making during an office visit. Interviews will also explore approaches to implement and evaluate such a tool. |
|
| control group | Active Comparator | Will not be receiving an electronic self-administered pre-visit planning tool. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| An electronic self-administered pre-visit planning tool. | Behavioral | An electronic self-administered pre-visit planning tool allowing adolescents to list areas of concern to support shared decision-making during an office visit. |
| Measure | Description | Time Frame |
|---|---|---|
| Sexual and Reproductive Health Knowledge Scale | An increase in score in the self-administered survey scale measuring knowledge adapted from the World Health Organization's Illustrative Questionnaire for Surveys with Young People from baseline to testing 2 weeks after appointment. | up to 2 weeks after appointment |
| Contraceptive intentions | An increase in score in the self-administered survey questions concerning intentions to use contraceptives from baseline test to test 2 weeks after appointment. Questions adapted from the World Health Organization's Illustrative Questionnaire for Surveys with Young People | up to 2 weeks after appointment |
| Communication with provider | An increased score in the self-administered survey scale measuring communication with health provider on topics of concern from baseline score to testing 2 weeks after initial appointment. Scale is adapted from the World Health Organization's Illustrative Questionnaire for Surveys with Young People | up to 2 weeks after appointment |
| Measure | Description | Time Frame |
|---|---|---|
| Sources of sexual and reproductive health knowledge | An increase in score in the self-administered survey questions concerning sources of sexual and reproductive health knowledge from baseline to testing 2 weeks after initial appointment. Questions adapted from the World Health Organization's Illustrative Questionnaire for Surveys with Young People | up to 2 weeks after appointment |
| Measure | Description | Time Frame |
|---|---|---|
| Use and perceptions of healthcare services | An increase in score of the self-administered survey questions concerning other services used and perceptions of those services provided at their appointment to scores tested 2 weeks after. Questions adapted from the World Health Organization's Illustrative Questionnaire for Surveys with Young People | up to 2 weeks after appointment |
Inclusion Criteria:
Exclusion Criteria:
Adolescent girls between the ages of 14-18 years
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| Name | Affiliation | Role |
|---|---|---|
| Marie Brault, PhD | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale New Haven Hospital | New Haven | Connecticut | 06516 | United States |
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| ID | Term |
|---|---|
| D043762 | Reproductive Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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This project will utilize a sequential explanatory research design, with an embedded randomized controlled trial (RCT) intervention .
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| Control group | Behavioral | No planning tool |
|
| D008722 | Methods |