Computer-Assisted Self-Interviews and Health Screening in the Pediatric Emergency Department
Condition: Gonorrhea; Chlamydia
MeSH terms: Chlamydia Infections; Gonorrhea; Emergencies
Study type: Interventional

Summary: 
      The purpose of this study is to determine if an Audio-enhanced Computer-Assisted
      Self-Interview (ACASI) will lead to increase testing for sexually transmitted infections in
      youth visiting a pediatric ED
    

Detailed description: 
      The purpose of this study is to see if computer based health surveys for teenagers and young
      adults in the emergency department can improve the care we give, even for things that are not
      related to why they came to the emergency department.

      Topics that are important in this age range include depression, violence, sexual behavior,
      physical activity and nutrition, though we are not asking about all of these.

      WHAT WILL HAPPEN DURING THIS STUDY?

      We wish to respect the privacy of everyone takes this survey. In order to do this, we are
      asking all relatives including your parents or guardians to respect several things so that
      you may participate:

        -  We cannot tell family or friends the exact questions on the survey

        -  You must be given complete privacy to answer the questions

        -  The answers will only be shown to the healthcare team taking care of them today and the
           people running the study - family members will not be shown the answers

        -  Family and friends will not pressure you to discuss the survey or their answers after
           you are done

        -  You will be given privacy to discuss their answers with the healthcare team

      If you do not feel your friends and family can respect these requests, then you cannot take
      the survey and cannot enroll in the study.

      If you agree to these requests, we will use a private area and allow you to use a computer to
      do the following:

        -  Explain in more detail what types of questions we will ask and why they are important

        -  Tell you how we will use your answers to improve their health care

        -  Give you a chance to answer any questions you have about the study

        -  Answer a series of questions about yourself and your health

      You are allowed to skip any questions you do not want to answer and can stop at any time.

      After you have completed the survey, a summary of your answers will become part of your
      medical record from today and be shown to the doctors and nurses taking care of you today.

      Most participants will be asked to review their answers in private with the doctors and
      nurses taking care of them. If you do, your family and friends will be asked to step out of
      the room while you review the answers with the doctors and nurses.

      Some participants may have additional testing or services done as part of their visit today
      based on their answers
    

Intervention name(s): ACASI
Intervention type(s): Behavioral
Intervention description(s): Youth who participated in this study completed the ACASI -- they provided details about their sexual history, and the software program used their responses to create a recommendation for chlamydia/gonorrhea testing. The information obtained through the ACASI was integrated into the emergency department (ED) electronic medical record. ED physicians and nurses were able to review the information and order chlamydia/gonorrhea testing if needed.
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Screening
Keywords: ACASI; Gonorrhea; Chlamydia; Emergency Department; Youth; Adolescents; Computer; Questionnaire