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

Part of paid clinical trials in Washington D.C., District of Columbia.

Sponsor
Children's National Research Institute
Study ID
NCT04372875
Status
Recruiting
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Conditions

  • Sexually Transmitted Diseases

Eligibility Criteria

Sex
ALL
Age
15 Years - 21 Years
Healthy Volunteers
Accepted

Interventions

  • 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.

Study Details

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.

Key Dates

Start date
Mar 8, 2023
Status verified
Mar 2026
Primary completion
Dec 31, 2026
Completion
Jan 15, 2027

Study Design

Enrollment
18,500 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SCREENING

Arms

  • Experimental: SHS-derived CDS
    All adolescents seen in the emergency department that meet eligibility criteria will be offered the sexual health survey (SHS) during the pragmatic trial.
  • No Intervention: Usual care
    All adolescents seen in the emergency department that meet eligibility criteria prior to implementation of SHS-derived CDS.

Primary Outcome Measure

Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates [ Time Frame: 3-7 days after emergency department (ED) visit ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Children's National HospitalWashington D.C.District of Columbia20010
Monika Goyal, MD
[email protected]
12024762869

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By research site
Children's National Hospital· Washington D.C., DC

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