Reducing Adolescent Sexual and Mental Health Disparities by Increasing Access to Telemedicine and Mobile Care

NCT05031741 | Completed

• 1 other identifier: STUDY00001900
• Study Type: interventional
• Target: 98
• Locations: 1 country
• Sites: 1

Brief Summary

Investigators will attend a series of community outreach events that provide/demonstrate telemedicine and the Children's Mercy Mobile Unit which is equipped to provide direct patient care. Investigators will engage up to 12 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 unit and telehealth experience; (b) learn about Sexual and Reproductive Health/Mental Health (SRH/MH) and local care resources; (c) register for future telemedicine care; (d) acquire free over-the-counter emergency contraception, condoms, and pregnancy tests.

Conditions

Health Care Utilization

Keywords

teen program; sexual health; mental health; AccessKCTeen

Outcome Measures

Primary Outcomes (1)

• Uptake of any Sexual and Reproductive/Mental Health Care in past 30 days

  Look at the uptake frequency in Sexual and Mental health care among participants within 30 days of baseline and educational interventions.

  one month

Study Arms (2)

Telemedicine

EXPERIMENTAL

Teens who are randomly assigned a telemedicine card will have exposure to a pretend telemedicine visit equipped with an iPad and telehealth provider on the other end. The study team will demonstrate how a teen can acquire sexual and reproductive health as well as mental health care through telemedicine from their own home or private space.

Other: Peer Leader Model

In-person Mobile Unit

EXPERIMENTAL

Teens who are randomly assigned a in-person mobile unit card will have exposure to a pretend mobile unit visit equipped with a healthcare provider. The study team will demonstrate how a teen can acquire sexual and reproductive health as well as mental health care on the mobile unit.

Other: Peer Leader Model

Interventions

Peer Leader Model OTHER

Teens will have an opportunity to interact with established peer leaders that are a part of the AccessKCTeen program. These leaders will receive a baseline training of their role, sexual and mental health. They will also receive health education and engage with a peer liason via text messages throughout the study.

In-person Mobile Unit; Telemedicine

Eligibility Criteria

• Age: 14 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Telemedicine or In-person Mobile unit arms: Aged 14-18 years old and Attended a Mobile Unit Demonstration
• Peer leaders: At least 14 years old

You may not qualify if:

• Telemedicine or In-person Mobile unit arms: Younger than 14 years old, 19 years of age or older, did not attend a Mobile Unit Demonstration, does not speak/understand English
• Peer leaders: Younger than 14 years old

Sponsors & Collaborators

• Children's Mercy Hospital Kansas City: lead
• University of Missouri, Kansas City: collaborator

Study Sites (1)

Children's Mercy

Kansas City, Missouri, 64108, United States

Location

MeSH Terms

Conditions

Patient Acceptance of Health Care; Psychological Well-Being

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior; Personal Satisfaction

Study Officials

• Melissa Miller, MD

  Children's Mercy

  PRINCIPAL INVESTIGATOR

• Emily Hurley, PhD

  Children's Mercy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Physician

Model Details: We will assign participants a Telemedicine or In-person Mobile unit card as they enroll in the study at events. Teens with a telemedicine card will get education exposure to telemedicine with a video and an ipad that demonstrates a pretend telehealth visit. Teens with an In-person mobile unit card will have the opportunity to learn how a health visit can be done on the unit with a health care provider.

Study Record Dates

• First Submitted: August 20, 2021
• First Posted: September 2, 2021
• Study Start: August 5, 2021
• Primary Completion: December 22, 2021
• Study Completion: December 28, 2021
• Last Updated: February 15, 2022

Record last verified: 2022-01

Locations

US (1)