Increasing Teen Access to Care
Condition: Health Care Utilization
Study type: Interventional

Summary: 
      Investigators will form community partnership with community sites that will disseminate
      curated educational information on Sexual and Reproductive Health/Mental Health (SRH/MH).
      Investigators will attend a series of outreach events hosted by community partners community
      and community leaders that provide/demonstrate telemedicine and the Children's Mercy Mobile
      Unit which is equipped to provide direct patient care. Investigators will engage up to 40
      teen peer leaders to encourage healthcare-seeking behaviors and mobilize their social
      networks to attend outreach events. At all events, the mobile unit will be available for
      teens to (a) demonstrate the mobile; (b) learn about Sexual and Reproductive Health/Mental
      Health (SRH/MH) and local care resources; (d) acquire free over-the-counter emergency
      contraception, birth control, condoms, and pregnancy tests.
    

Detailed description: 
      AccessKCTeen is a pilot clinical outreach program that uses Children Mercy's Mobile Unit and
      Telemedicine to demonstrate and increase access to SRH and MH.

      AccessKCTeen intends to focus on these central activities:

        1. Education based on a peer-leader model: In collaboration with community-based partners,
           investigators will identify and train approximately 40 peer leaders in disseminating
           information and resources for Sexual and Reproductive Health/Mental Health (SRH/MH)
           MH/SRH to their social networks. Peer leaders may disseminate information in the form of
           sharing curated online resources or mobilizing friends to attend live educational
           events. Peer leaders will also help connect their friends to resources by spreading
           information and encouraging friends to attend CM mobile unit demonstrations.
           Investigators will use text messaging to engage peers in these educational events and
           share general health resources.

        2. Mobile Unit and Telemedicine Demonstration Events: The mobile unit will be present at
           community events to demonstrate how in-person care could work on the unit as well as how
           telemedicine works. Investigators will answer questions and help adolescents get
           registered for telemedicine.
    

Intervention name(s): Peer Leader Model
Intervention type(s): Other
Intervention description(s): Teens will have an opportunity to interact with established peer leaders that are a part of the AccessKCTeen program. These leaders will receive a baseline training of their role, sexual and mental health. They will also receive health education and engage with a peer liaison via text messages throughout the study.
Other intervention name(s): THO+
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Intervention model description: Participants will enroll as a Peer Leader (THO+) , they can enroll apart of a Friend Network, or enroll in the study as an Event Day participant. Teens who enroll as a Peer Leader will attend a training session in-person or online with our study team to learn about sexual and mental health information and how to share information with their friends (like text or social media). Teens who enroll as a Friend Network will receive the shared information from the Peer Leader who invited them to be apart of the study. Teens who enroll as an Event Day participant will not have received information from a Peer Leader. They will enroll in the study from attending an event were AccessKCTeen is attending. They will receive education or clinical care from healthcare professionals.
Masking: None (Open Label)
Primary purpose: Other