Health Information Technology to Reduce Disparities in Adolescent Health Outcomes: A Pragmatic Trial

Children's National

Status: Enrolling

Conditions: Sexually Transmitted Diseases

Treatments: Behavioral: SHS-derived CDS

Study type: Interventional

Funder types: Other

Identifiers

NCT04372875

Pro00014276

Details and patient eligibility

About

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.

Enrollment: 18,500 estimated patients

Sex: All

Ages: 15 to 21 years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Screening

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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18,500 participants in 2 patient groups

SHS-derived CDS

Experimental group

Description:

All adolescents seen in the emergency department that meet eligibility criteria will be offered the sexual health survey (SHS) during the pragmatic trial.

Treatment:

Behavioral: SHS-derived CDS

Usual care

No Intervention group

Description:

All adolescents seen in the emergency department that meet eligibility criteria prior to implementation of SHS-derived CDS.