Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SHS-derived CDS | Experimental | All adolescents seen in the emergency department that meet eligibility criteria will be offered the sexual health survey (SHS) during the pragmatic trial. |
|
| Usual care | No Intervention | All adolescents seen in the emergency department that meet eligibility criteria prior to implementation of SHS-derived CDS. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SHS-derived CDS | Behavioral | This intervention will provide electronic clinical decision support for adolescents who screen at risk or at high risk of an STI. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates | Proportion of encounters during which patients test positive for CT/GC; measured by urine-based nucleic acid amplification tests. | 3-7 days after emergency department (ED) visit |
| Measure | Description | Time Frame |
|---|---|---|
| STI rates by race/ethnicity | Change in STI rates by race/ethnicity | 3-7 days after ED visit |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Meleah Boyle | Contact | 2024765388 | mdboyle@childrensnational.org | |
| Monika Goyal, MD | Contact | 12024762869 | mgoyal@cnmc.org |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's National Hospital | Recruiting | Washington D.C. | District of Columbia | 20010 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D012749 | Sexually Transmitted Diseases |
| ID | Term |
|---|---|
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |