Improving Sexually Transmitted Infection (STI) Results Notification and Partner Services

Study Overview
=================
Brief Summary
-----------------
The primary goal of this project is to improve the process for contacting patients that test positive for a sexually transmitted infection (STI) in the emergency department by using text messaging. We believe patients that are contacted by both a phone call and a text message will be reached more often and they will be reached sooner than those that only receive a phone call or only a text message. In addition, patients will be given reminder cards at the time of testing to remind them that they will be contacted within 7 days if they test positive. Half of the reminder cards will have a number to call for test results. We believe patients that receive a card with a number are more likely to be contacted within 7 days.

Detailed Description
-----------------
Aim 1: To improve the results notification system among all female adolescents who test positive for STIs in the ED using mobile phone texting technology. Hypothesis 1: We will increase our contact rate for STI positive adolescents in the ED from 65-82%. Hypothesis 2: We will decrease the time interval between testing and appropriate STI treatment by the ED. Hypothesis 3: We will decrease the recidivism rates for STI positive patients diagnosed in the ED. Aim 2: To explore qualitatively the barriers to and preferences for partner notification and treatment among 14-21 year-old females and males being tested for STIs in the ED. Aim 3: To determine baseline rates of partner notification and preferences around partner notification among STI-positive females in the ED, and to explore the feasibility of ED personnel notifying their sexual partners.

Official Title
-----------------
Improving Sexually Transmitted Infection (STI) Results Notification and Partner Services

Conditions
-----------------
Sexually Transmitted Infections

Intervention / Treatment
-----------------
* Other: Call when test results are ready
* Other: Text message when test results are ready
* Other: Call and text message when test results are ready


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 14 to 21 years old Seen in the emergency department at Cincinnati Children's Hospital Medical Center Test positive for an STI Exclusion Criteria: Seen for a psychiatric evaluation Seen for sexual assault or abuse

Ages Eligible for Study
-----------------
Minimum Age: 14 Years
Maximum Age: 21 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Reminder card with no number<br>Patients receive a card to remind them of the time frame for results but no number is listed. | Other: Call when test results are ready<br>* Patients are called when the test results are ready<br>Other: Text message when test results are ready<br>* Patients receive a text message when results are ready<br>Other: Call and text message when test results are ready<br>* Patients receive both a call and a text message when test results are resay<br>|
| Other: Card with number<br>Patients receive a card to remind them of the time frame for results but and a number to call for results is listed | Other: Call when test results are ready<br>* Patients are called when the test results are ready<br>Other: Text message when test results are ready<br>* Patients receive a text message when results are ready<br>Other: Call and text message when test results are ready<br>* Patients receive both a call and a text message when test results are resay<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Contact rate | The percentage of patients that are contacted within 7 days of their emergency department visit | 7 days | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
STI, STD