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Enrolling by Invitation

NCT Number: NCT07064070

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

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.

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Key information

Conditions

mHealth Intervention

Age range

11 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Department of Family Health care Nursing

San Francisco, California, 94143, United States

About this study

Background: Alone time with healthcare providers is critical for adolescents; several professional organizations recommend it. Alone time with providers promotes better utilization of health services, empowers adolescents to manage their health, and facilitates discussions on sensitive issues. However, only 40% of adolescents have private conversations with clinicians during visits. The advancement mHealth technology provides an excellent opportunity to deliver effective interventions to promote adolescent/provider alone time with adolescents, parents, and providers.

Objective: This pilot study aims to explore 1) the preliminary efficacy of a technology-based intervention designed to increase Alone time with providers during well-adolescent visits (WAVs) and 2) its impact on trustworthiness, parent-adolescent communication, sexual risk communication, parental monitoring, and parental support before and after the intervention.

Methods: A pre and post test design is utilized. After obtaining 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. Participants completed surveys assessing alone time, trustworthiness, parent-adolescent communication, sexual risk communication, parental monitoring, and parental support. Mixed model analysis and effect sizes for pre- and post-intervention outcomes were employed.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 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.

Exclusion criteria

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

Treatment and study plan

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

Primary outcomes

  1. Young Adult Health Care Survey (YAHCS) for Alone time

    Time frame: From enrollment to the end of intervention at 6 months

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

Secondary outcomes

  1. Trustworthiness survey

    Time frame: From enrollment to the end of intervention at 6 months

    The construct of perceived trustworthiness was assessed using three items for adolescents and their mothers. Three items include: I can trust my mother/adolescent when we talk, b) my mother /adolescent keeps her promises to me, and c) my mother/adolescent is honest with me. Score ranges from 1 to 5, with a higher score indicating a higher level of trust.

  2. Parent-Adolescent Communication Scale (PACS)

    Time frame: From enrollment to the end of intervention at 6 months

    A survey consists of 20 items that measure the quality of communication between adolescents and their parents. The score ranges from 1 to 5. Higher scores represent better parent-adolescent communication.

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

    Time frame: From enrollment to the end of intervention at 6 months

    an 8-item scale used to assess the extent of sexual risk communication between adolescents and their parents. The scores range from 1 to 5 with a high score indicating a better parent-teen sexual risk communication. Higher values indicate more supportive parenting.

  4. Supportive parenting survey

    Time frame: From enrollment to the end of intervention at 6 months

    Mothers reported how often they support their child (three items; 4-point Likert scale; Never to Always).

Sponsors and collaborators

Lead sponsor

University of California, San Francisco

Other

Collaborators

  • Centers for Disease Control and Prevention

Registry information

Acronym: TRUST

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Jul 14, 2025
Registry last updated
Jul 14, 2025

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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