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

Leveraging Health Information Technology to Reduce Health Disparities in Adolescent Health Outcomes: A Patient-Centered Approach

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.

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

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

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

Proportion of encounters during which patients test positive for CT/GC; measured by urine-based nucleic acid amplification tests.

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.