Increasing Teen Access to Sexual and Mental Health Care

Children's Mercy Hospital Kansas City

Status: Completed

Conditions: Health Care Utilization

Treatments: Other: Peer Leader Model

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05444855

00002100

R21HD098086-02S1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Investigators will form community partnership with community sites that will disseminate curated educational information on Sexual and Reproductive Health/Mental Health (SRH/MH). Investigators will attend a series of outreach events hosted by community partners community and community leaders that provide/demonstrate telemedicine and the Children's Mercy Mobile Unit which is equipped to provide direct patient care. Investigators will engage up to 40 teen peer leaders to encourage healthcare-seeking behaviors and mobilize their social networks to attend outreach events. At all events, the mobile unit will be available for teens to (a) demonstrate the mobile; (b) learn about Sexual and Reproductive Health/Mental Health (SRH/MH) and local care resources; (d) acquire free over-the-counter emergency contraception, birth control, condoms, and pregnancy tests.

Full description

AccessKCTeen is a pilot clinical outreach program that uses Children Mercy's Mobile Unit and Telemedicine to demonstrate and increase access to SRH and MH.

AccessKCTeen intends to focus on these central activities:

1. Education based on a peer-leader model: In collaboration with community-based partners, investigators will identify and train approximately 40 peer leaders in disseminating information and resources for Sexual and Reproductive Health/Mental Health (SRH/MH) MH/SRH to their social networks. Peer leaders may disseminate information in the form of sharing curated online resources or mobilizing friends to attend live educational events. Peer leaders will also help connect their friends to resources by spreading information and encouraging friends to attend CM mobile unit demonstrations. Investigators will use text messaging to engage peers in these educational events and share general health resources.
2. Mobile Unit and Telemedicine Demonstration Events: The mobile unit will be present at community events to demonstrate how in-person care could work on the unit as well as how telemedicine works. Investigators will answer questions and help adolescents get registered for telemedicine.

Enrollment: 51 patients

Sex: All

Ages: 14 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

1. INTERVENTION TRIAL PARTICIPANTS and Peer Leaders (ADOLECENTS) Inclusion Criteria

   • Aged 14-18 years and 364 days old

     a. Exclusion Criteria

   • Younger than 14 years old or older than 18 years and 364 days at the time of enrollment

   • Does not speak/understand English

   • Not recruited from an already nominated or enrolled adolescent

2. Event Day Trail PARTICIPANTS (ADOLECENTS) Inclusion Criteria

   • Aged 14-18 years and 364 days old

     a. Exclusion Criteria

   • Younger than 14 years old or older than 18 years and 364 days at the time of enrollment

   • Does not speak/understand English

   • Not recruited from an already nominated or enrolled adolescent

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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51 participants in 1 patient group

Peer Leader and Friend Network Participants

Experimental group

Description:

All adolescents enrolled as friends of peer leaders will have access to activities and materials shared by the peer leaders. All adolescents will be asked to complete an eligibility screening survey and baseline survey online or in-person. They will complete short surveys at 2, 4 and 6 months via Twilio text, call, or email. Peer Leaders Investigators will enroll up to 40 Peer Leaders. In addition to the above activities (under intervention trial participant), if a teen is a "peer leader" they will attend a training session in-person or online with our study team to learn about sexual and mental health information and how to share information with their friends (like text or social media). The peer leaders will answer the same surveys described above and will be asked about their Peer Leader experience and how they are sharing the study health information.

Treatment:

Other: Peer Leader Model