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NCT Number: NCT04372875

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

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.

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Key information

Conditions

Sexually Transmitted Diseases Communicable Diseases Disease Attributes Genital Diseases Infections Pathologic Processes Pathological Conditions, Signs and Symptoms Urogenital Diseases

Age range

15 year–21 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Children's National Hospital

Washington D.C., District of Columbia, 20010, United States

Location status: Recruiting

Location contact

Monika Goyal, MD

CONTACT

[email protected]

12024762869

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Adolescents aged 15-21 years seeking care in the emergency department

Exclusion criteria

  • 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.

Treatment and study plan

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.

Primary outcomes

  1. Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates

    Time frame: 3-7 days after emergency department (ED) visit

    Proportion of encounters during which patients test positive for CT/GC; measured by urine-based nucleic acid amplification tests.

Secondary outcomes

  1. STI rates by race/ethnicity

    Time frame: 3-7 days after ED visit

    Change in STI rates by race/ethnicity

Study contacts

Contact information is provided by the study sponsor or research team.

Meleah Boyle

CONTACT

[email protected]

2024765388

Monika Goyal, MD

CONTACT

[email protected]

12024762869

Sponsors and collaborators

Lead sponsor

Children's National Research Institute

Other

Registry information

Official study title

Leveraging Health Information Technology to Reduce Health Disparities in Adolescent Health Outcomes: A Patient-Centered Approach

Important dates

Study start
2023
Primary completion
2026
Study completion
2027
First posted
May 4, 2020
Registry last updated
Mar 18, 2026

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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