Improvement of STI Detection in Adolescent Emergency Department Patients (SHS)

Children's National

Status: Completed

Conditions: Sexually Transmitted Infections

Treatments: Behavioral: Sexual health screen (SHS)

Study type: Interventional

Funder types: Other

Identifiers

NCT02509572

00004169

Details and patient eligibility

About

The goal of this trial is to test a novel means of collecting patient-entered sexual health information for the provision of clinical decision support to increase the testing and detection of sexually transmitted infections (STI) in adolescent emergency department (ED) patients at high risk for STIs.

Full description

The investigators have developed a novel means of collecting sexual health information from adolescents in the emergency department (ED) through the use of an audio-computer assisted self-interview (ACASI). This information can then be used to provide clinical decision support to clinicians for targeted sexually transmitted infection (STI) screening in the ED for adolescents. This randomized trial randomizes patients to whether or not the clinician receives the decision support and tests whether provision of decision support results in increased STI screening for patients who report high risk sexual activity. Secondary outcomes include evaluation of whether the clinical decision support results in increased STI detection, and identifying factors associated with adapting the clinical decision support.

Enrollment: 720 patients

Sex: All

Ages: 14 to 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 14-19 presenting to the emergency department.

Exclusion criteria

• history of developmental delay,
• medical instability,
• altered mental status,
• unable to understand English

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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720 participants in 2 patient groups

Decision Support Arm

Experimental group

Description:

Patients randomized to the intervention will complete a sexual health screen (SHS). The results of the SHS will provide decision support for STI testing by risk stratifying patients with screening recommendations to the clinician based on risk.

Treatment:

Behavioral: Sexual health screen (SHS)

Usual Care Arm

No Intervention group

Description:

Patients randomized to the usual care arm will complete the sexual health screen (SHS). However these results and the STI testing decision support will not be shared with the clinician.