Clinical trial NCT01708317: Computer-Assisted Self-Interviews and Health Screening in the Pediatric Emergency Department
Official title: The Use of Computer-Assisted Self-Interviews to Improve Adolescent and Young Adult Health Screening in the Pediatric Emergency Department
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Gonorrhea
Chlamydia
Keywords: ACASI
Gonorrhea
Chlamydia
Emergency Department
Youth
Adolescents
Computer
Questionnaire
Lead sponsor: Washington University School of Medicine
Sponsor class: OTHER
Collaborators: name: St. Louis Children's Hospital
First posted: 2012-10-16
Enrollment: 801
Sex: ALL
Minimum age (years): 15
Maximum age (years): 21
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SCREENING

Brief 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

Eligibility criteria: Inclusion Criteria:

* Patient in the St. Louis Children's Hospital Emergency Department
* 15-21 years old

Exclusion Criteria:

* Evaluation of abuse or sexual assault
* Activation of the trauma system,
* Level 1 or 2 triage scores (highest severity)
* Disabilities preventing independent computer use
* Psychiatric chief complaints
* Inability to speak English

Primary outcomes:
measure: Gonorrhea and Chlamydia Testing in the Pediatric ED
timeFrame: 27 months
Secondary outcomes:
Other outcomes:
Locations:
city: St. Louis
country: United States
facility: St. Louis Children's Hospital
state: Missouri
Study officials:
affiliation: Washington University School of Medicine
name: Fahd A Ahmad, MD, MSCI
role: PRINCIPAL_INVESTIGATOR
References:
citation: Porter SC, Silvia MT, Fleisher GR, Kohane IS, Homer CJ, Mandl KD. Parents as direct contributors to the medical record: validation of their electronic input. Ann Emerg Med. 2000 Apr;35(4):346-52. doi: 10.1016/s0196-0644(00)70052-7.
citation: Bachman JW. The patient-computer interview: a neglected tool that can aid the clinician. Mayo Clin Proc. 2003 Jan;78(1):67-78. doi: 10.4065/78.1.67.
citation: Porter SC, Mandl KD. Data quality and the electronic medical record: a role for direct parental data entry. Proc AMIA Symp. 1999:354-8.
citation: Porter SC, Cai Z, Gribbons W, Goldmann DA, Kohane IS. The asthma kiosk: a patient-centered technology for collaborative decision support in the emergency department. J Am Med Inform Assoc. 2004 Nov-Dec;11(6):458-67. doi: 10.1197/jamia.M1569. Epub 2004 Aug 6.
citation: Williams ML, Freeman RC, Bowen AM, Zhao Z, Elwood WN, Gordon C, Young P, Rusek R, Signes CA. A comparison of the reliability of self-reported drug use and sexual behaviors using computer-assisted versus face-to-face interviewing. AIDS Educ Prev. 2000 Jun;12(3):199-213.
citation: Kissinger P, Rice J, Farley T, Trim S, Jewitt K, Margavio V, Martin DH. Application of computer-assisted interviews to sexual behavior research. Am J Epidemiol. 1999 May 15;149(10):950-4. doi: 10.1093/oxfordjournals.aje.a009739.
citation: Millstein SG, Irwin CE Jr. Acceptability of computer-acquired sexual histories in adolescent girls. J Pediatr. 1983 Nov;103(5):815-9. doi: 10.1016/s0022-3476(83)80493-4.
citation: Hewett PC, Mensch BS, Erulkar AS. Consistency in the reporting of sexual behaviour by adolescent girls in Kenya: a comparison of interviewing methods. Sex Transm Infect. 2004 Dec;80 Suppl 2(Suppl 2):ii43-8. doi: 10.1136/sti.2004.013250.