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

NCT ID: NCT04372875

Last Updated: 2025-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

18500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-08

Study Completion Date

2027-01-15

Brief Summary

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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.

Detailed Description

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Conditions

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Sexually Transmitted Diseases

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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SHS-derived CDS

All adolescents seen in the emergency department that meet eligibility criteria will be offered the sexual health survey (SHS) during the pragmatic trial.

Group Type EXPERIMENTAL

SHS-derived CDS

Intervention Type BEHAVIORAL

This intervention will provide electronic clinical decision support for adolescents who screen at risk or at high risk of an STI.

Usual care

All adolescents seen in the emergency department that meet eligibility criteria prior to implementation of SHS-derived CDS.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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SHS-derived CDS

This intervention will provide electronic clinical decision support for adolescents who screen at risk or at high risk of an STI.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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.
Minimum Eligible Age

15 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Children's National Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Monika Goyal

Associate Professor of Pediatrics and Emergency Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Children's National Hospital

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

Site Status RECRUITING

Countries

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United States

Central Contacts

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Meleah Boyle

Role: CONTACT

Phone: 2024765388

Email: [email protected]

Monika Goyal, MD

Role: CONTACT

Phone: 12024762869

Email: [email protected]

Facility Contacts

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Monika Goyal, MD

Role: primary

Other Identifiers

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Pro00014276

Identifier Type: -

Identifier Source: org_study_id