Technology-Based Resources to Increase Uptake of Sexual Health Services for Teens

NCT07064070 | Enrolling By Invitation

• 3 other identifiers: 20-32013U48DP006374 DP20-003: SIP20-00U48DP006374
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Alone time with healthcare providers is vital for adolescents, as recommended by several professional organizations, as it enhances health service utilization, empowers adolescents to manage their health, and facilitates discussions on sensitive issues. Despite its importance, only 40% of adolescents have private conversations with clinicians during visits. mHealth technology offers a promising solution for effective interventions to promote alone time with providers for adolescents, parents, and healthcare providers. This pilot study aims to evaluate the preliminary efficacy of a technology-based intervention designed to increase alone time with providers during well-adolescent visits (WAVs) and its impact on trustworthiness, parent-adolescent communication, sexual risk communication, parental monitoring, and parental support. After providing consent, participants accessed a study website to complete a baseline survey, interact with four modules, and complete a post-test survey one month after WAVs. Surveys assessed alone time, trustworthiness, parent-adolescent communication, sexual risk communication, parental monitoring, and parental support.

Conditions

mHealth Intervention

Keywords

mHealth; adolescent; sexual health; alone time; well child visit

Outcome Measures

Primary Outcomes (1)

• Young Adult Health Care Survey (YAHCS) for Alone time

  Whether the adolescent had alone time with a healthcare provider (one-on-one communication without a parent) during the last well-adolescent visits (WAVs)

  From enrollment to the end of intervention at 6 months

Secondary Outcomes (4)

• Trustworthiness survey

  From enrollment to the end of intervention at 6 months

• Parent-Adolescent Communication Scale (PACS)

  From enrollment to the end of intervention at 6 months

• Parent-adolescent sexual risk communication scale (PTSRC-III):

  From enrollment to the end of intervention at 6 months

• Supportive parenting survey

  From enrollment to the end of intervention at 6 months

Study Arms (1)

participant will interact with four module on a secured website.

EXPERIMENTAL

The online modules included: General Communication, Talking about Relationships and Sexual Health, Parental Monitoring, and Check-up and Check-in (content focused on the importance of alone time). Modules were in English, Chinese, or Spanish

Behavioral: TRUST

Interventions

TRUST BEHAVIORAL

The four online modules included: General Communication, Talking about Relationships and Sexual Health, Parental Monitoring, and Check-up and Check-in (content focused on the importance of alone time). Modules were in English, Chinese, or Spanish

participant will interact with four module on a secured website.

Eligibility Criteria

• Age: 11 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• The child is between 11 and 17 years old
• The child can read and speak English
• The child has access to the internet (via phone or computer)
• The child has a well-child visit scheduled in the next 6 months.
• Mother could be included if they had an adolescent enrolled in this study
• Mother who speaks and reads English, Cantonese, Mandarin, or Spanish
• Mother has access to the internet.

You may not qualify if:

• Not have a well-child visit scheduled in the next 6 months.

Sponsors & Collaborators

• University of California, San Francisco: lead
• Centers for Disease Control and Prevention: collaborator

Study Sites (1)

Department of Family Health care Nursing

San Francisco, California, 94143, United States

Location

Related Publications (1)

• Chen JL, Raymond-Flesch M, Hoffmann TJ, Lin CX, Xu L, Koester KA. Evaluating the Preliminary Efficacy of the TRUST Intervention on Alone-Time and Communication During Well-Adolescent Visits: Quasi-Experimental Study. JMIR Pediatr Parent. 2025 Sep 8;8:e71433. doi: 10.2196/71433.

  PMID: 40921058 DERIVED

Related Links

• TRUST Study

Study Officials

• Jyu-Lin Chen, PhD

  University of California, San Francisco

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: participants have accessed to the intervention. Single arm study with pre and post design.

Study Record Dates

• First Submitted: June 25, 2025
• First Posted: July 14, 2025
• Study Start: March 1, 2023
• Primary Completion (Estimated): September 30, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: July 14, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)