Trial Outcomes & Findings for Technology Enhanced Community Health Nursing (TECH-N) Study (NCT NCT01640379)

NCT ID: NCT01640379

Last Updated: 2020-06-01

Results Overview

STI testing (positive Neisseria gonorrhoeae (GC) or Chlamydia trachomatis CT) tested at 90 days using nucleic acid amplification testing (NAAT).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

286 participants

Primary outcome timeframe

90 Days

Results posted on

2020-06-01

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
Experimental: TECH-N Participants receive the Technology Enhanced Community Health Nursing Visit (community health nursing visits within 5 days during which Sister to Sister and clinical assessment performed and text-messaging support
Control
Participants receive enhanced standard of care
Overall Study
STARTED
149
137
Overall Study
COMPLETED
135
125
Overall Study
NOT COMPLETED
14
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Some baseline tests are inconclusive because the sample was not usable, so only 269 out of 286 have results.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=149 Participants
Experimental: TECH-N Participants receive the Technology Enhanced Community Health Nursing Visit (community health nursing visits within 5 days during which Sister to Sister and clinical assessment performed and text-messaging support
Control
n=137 Participants
Participants receive enhanced standard of care
Total
n=286 Participants
Total of all reporting groups
Age, Continuous
18.6 years
STANDARD_DEVIATION 2.4 • n=149 Participants
18.8 years
STANDARD_DEVIATION 2.4 • n=137 Participants
18.7 years
STANDARD_DEVIATION 2.4 • n=286 Participants
Sex: Female, Male
Female
149 Participants
n=149 Participants
137 Participants
n=137 Participants
286 Participants
n=286 Participants
Sex: Female, Male
Male
0 Participants
n=149 Participants
0 Participants
n=137 Participants
0 Participants
n=286 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=149 Participants
0 Participants
n=137 Participants
1 Participants
n=286 Participants
Race (NIH/OMB)
Asian
0 Participants
n=149 Participants
0 Participants
n=137 Participants
0 Participants
n=286 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=149 Participants
0 Participants
n=137 Participants
0 Participants
n=286 Participants
Race (NIH/OMB)
Black or African American
136 Participants
n=149 Participants
126 Participants
n=137 Participants
262 Participants
n=286 Participants
Race (NIH/OMB)
White
3 Participants
n=149 Participants
2 Participants
n=137 Participants
5 Participants
n=286 Participants
Race (NIH/OMB)
More than one race
7 Participants
n=149 Participants
5 Participants
n=137 Participants
12 Participants
n=286 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=149 Participants
4 Participants
n=137 Participants
6 Participants
n=286 Participants
Region of Enrollment
United States
149 participants
n=149 Participants
137 participants
n=137 Participants
286 participants
n=286 Participants
Positive Sexually Transmitted Infection Test (GC or CT)
16 Participants
n=142 Participants • Some baseline tests are inconclusive because the sample was not usable, so only 269 out of 286 have results.
9 Participants
n=127 Participants • Some baseline tests are inconclusive because the sample was not usable, so only 269 out of 286 have results.
25 Participants
n=269 Participants • Some baseline tests are inconclusive because the sample was not usable, so only 269 out of 286 have results.

PRIMARY outcome

Timeframe: 90 Days

Population: Adolescent and young adult women with pelvic inflammatory disease (PID) in Baltimore City randomized to the intervention or control group and also had results for chlamydia (CT) and gonorrhea (GC) at 90 days after enrollment. All enrolled participants were followed as long as possible for entire 90 days.

STI testing (positive Neisseria gonorrhoeae (GC) or Chlamydia trachomatis CT) tested at 90 days using nucleic acid amplification testing (NAAT).

Outcome measures

Outcome measures
Measure
TECH-N
n=135 Participants
Participants receive the Technology Enhanced Community Health Nursing Visit (community health nursing visits within 5 days during which Sister to Sister and clinical assessment performed and text-messaging support Technology Enhanced Community Health Nursing: -Text-messaging (twice daily medication reminders w/ positive adherence messages, positive sexual health messages throughout the 30 day treatment period) -Enhanced community health nursing visit on day 3-5, includes DEBI STI/HIV prevention component (Sister to Sister Teen)
Control
n=125 Participants
Participants receive enhanced standard of care
Number of Participants With Positive Sexually Transmitted Infection Test (STI)
6 Participants
13 Participants

SECONDARY outcome

Timeframe: Day 15

Population: Chi-square test results from participants in the intervention and control groups who had data on adherence to treatment. Out of 149 enrolled in the intervention arm, 10 were lost to followup by 72 hours. Out of 137 enrolled in the control arm, 15 were lost by 72 hours and so are missing this outcome measure.

Completion of 72-hour assessment visit by medical provider, medication adherence (self-reported), partner notification, partner treatment, and temporary sexual abstinence

Outcome measures

Outcome measures
Measure
TECH-N
n=139 Participants
Participants receive the Technology Enhanced Community Health Nursing Visit (community health nursing visits within 5 days during which Sister to Sister and clinical assessment performed and text-messaging support Technology Enhanced Community Health Nursing: -Text-messaging (twice daily medication reminders w/ positive adherence messages, positive sexual health messages throughout the 30 day treatment period) -Enhanced community health nursing visit on day 3-5, includes DEBI STI/HIV prevention component (Sister to Sister Teen)
Control
n=123 Participants
Participants receive enhanced standard of care
Number of Participants That Adhered to Self-treatment
131 Participants
20 Participants

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Intervention
n=149 participants at risk
Experimental: TECH-N Participants receive the Technology Enhanced Community Health Nursing Visit (community health nursing visits within 5 days during which Sister to Sister and clinical assessment performed and text-messaging support
Control
n=137 participants at risk
Participants receive enhanced standard of care
Pregnancy, puerperium and perinatal conditions
Miscarriage
0.67%
1/149 • Number of events 1 • Women were followed for adverse events for the primary study period of three months.
0.00%
0/137 • Women were followed for adverse events for the primary study period of three months.

Additional Information

Dr. Maria Trent

Johns Hopkins University

Phone: 4109552910

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place