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Completed

NCT Number: NCT01708317

Computer-Assisted Self-Interviews and Health Screening in the Pediatric Emergency Department

The purpose of this study is to determine if an Audio-enhanced Computer-Assisted Self-Interview (ACASI) will lead to increase testing for sexually transmitted infections in youth visiting a pediatric ED

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Key information

Conditions

Gonorrhea Bacterial Infections Bacterial Infections and Mycoses Chlamydia Chlamydia Infections Chlamydiaceae Infections Communicable Diseases Disease Attributes Emergencies Genital Diseases Gram-Negative Bacterial Infections Infections Neisseriaceae Infections Pathologic Processes Pathological Conditions, Signs and Symptoms Sexually Transmitted Diseases Sexually Transmitted Diseases, Bacterial Urogenital Diseases

Age range

15 year–21 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

St. Louis Children's Hospital

St Louis, Missouri, 63110, United States

About this study

The purpose of this study is to see if computer based health surveys for teenagers and young adults in the emergency department can improve the care we give, even for things that are not related to why they came to the emergency department.

Topics that are important in this age range include depression, violence, sexual behavior, physical activity and nutrition, though we are not asking about all of these.

WHAT WILL HAPPEN DURING THIS STUDY?

We wish to respect the privacy of everyone takes this survey. In order to do this, we are asking all relatives including your parents or guardians to respect several things so that you may participate:

  • We cannot tell family or friends the exact questions on the survey
  • You must be given complete privacy to answer the questions
  • The answers will only be shown to the healthcare team taking care of them today and the people running the study - family members will not be shown the answers
  • Family and friends will not pressure you to discuss the survey or their answers after you are done
  • You will be given privacy to discuss their answers with the healthcare team

If you do not feel your friends and family can respect these requests, then you cannot take the survey and cannot enroll in the study.

If you agree to these requests, we will use a private area and allow you to use a computer to do the following:

  • Explain in more detail what types of questions we will ask and why they are important
  • Tell you how we will use your answers to improve their health care
  • Give you a chance to answer any questions you have about the study
  • Answer a series of questions about yourself and your health

You are allowed to skip any questions you do not want to answer and can stop at any time.

After you have completed the survey, a summary of your answers will become part of your medical record from today and be shown to the doctors and nurses taking care of you today.

Most participants will be asked to review their answers in private with the doctors and nurses taking care of them. If you do, your family and friends will be asked to step out of the room while you review the answers with the doctors and nurses.

Some participants may have additional testing or services done as part of their visit today based on their answers

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient in the St. Louis Children's Hospital Emergency Department
  • 15-21 years old

Exclusion criteria

  • Evaluation of abuse or sexual assault
  • Activation of the trauma system,
  • Level 1 or 2 triage scores (highest severity)
  • Disabilities preventing independent computer use
  • Psychiatric chief complaints
  • Inability to speak English

Treatment and study plan

ACASI

Behavioral

Youth who participated in this study completed the ACASI -- they provided details about their sexual history, and the software program used their responses to create a recommendation for chlamydia/gonorrhea testing. The information obtained through the ACASI was integrated into the emergency department (ED) electronic medical record. ED physicians and nurses were able to review the information and order chlamydia/gonorrhea testing if needed.

Primary outcomes

  1. Gonorrhea and Chlamydia Testing in the Pediatric ED

    Time frame: 27 months

    The primary outcome was change in the proportion of adolescent patients receiving chlamydia and gonorrhea testing rates during their ED visit over 4 time periods.

    Period 1) 2010 testing as a historical control Period 2) Jan 2011, began providing staff education about the risks of gonorrhea/chlamydia and need for increased testing Period 3) Education continues, but enrolled patients in the ACASI from April 18, 2011 - Dec 20, 2011.

    Period 4) ACASI enrollment completed, education continued through March 2012

    We specifically analyzed gonorrhea/chlamydia testing among ED patients that would have been eligible to take the ACASI, had it been continuously available throughout these time periods. We did this to isolate the effects on testing by the ACASI vs. education alone.

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Collaborators

  • St. Louis Children's Hospital

Registry information

Official study title

The Use of Computer-Assisted Self-Interviews to Improve Adolescent and Young Adult Health Screening in the Pediatric Emergency Department

Important dates

Study start
2011
Primary completion
2011
Study completion
2012
First posted
Oct 16, 2012
Registry last updated
Jan 8, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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