Health Information Technology to Reduce Disparities in Adolescent Health Outcomes: A Pragmatic Trial
Leveraging Health Information Technology to Reduce Health Disparities in Adolescent Health Outcomes: A Patient-Centered Approach
1 other identifier
interventional
18,500
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2023
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 30, 2020
CompletedFirst Posted
Study publicly available on registry
May 4, 2020
CompletedStudy Start
First participant enrolled
March 8, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 15, 2027
March 18, 2026
March 1, 2026
3.8 years
April 30, 2020
March 16, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
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
Secondary Outcomes (1)
STI rates by race/ethnicity
3-7 days after ED visit
Study Arms (2)
SHS-derived CDS
EXPERIMENTALAll 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 INTERVENTIONAll adolescents seen in the emergency department that meet eligibility criteria prior to implementation of SHS-derived CDS.
Interventions
This intervention will provide electronic clinical decision support for adolescents who screen at risk or at high risk of an STI.
Eligibility Criteria
You may qualify if:
- Adolescents aged 15-21 years seeking care in the emergency department
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Children's National Hospital
Washington D.C., District of Columbia, 20010, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Pediatrics and Emergency Medicine
Study Record Dates
First Submitted
April 30, 2020
First Posted
May 4, 2020
Study Start
March 8, 2023
Primary Completion (Estimated)
December 31, 2026
Study Completion (Estimated)
January 15, 2027
Last Updated
March 18, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share