DO URINE TESTS INCREASE CHLAMYDIA SCREENING IN TEENS
尿液检测可以增加青少年的衣原体筛查吗
基本信息
- 批准号:6391134
- 负责人:
- 金额:$ 46.22万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1999
- 资助国家:美国
- 起止时间:1999-09-30 至 2003-09-29
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Sexually transmitted diseases (STDs) remain epidemic among sexually active adolescents. Addressing the problem within a primary care setting has been hindered by a number of barriers including the lack of screening for sexual activity and STD risk by the physician and by the lack of an accurate non-invasive screening test for C. trachomatis (CT) and N.gonorrhoeae (GC) and. Recently the nucleic acid amplification tests (NAATs) for CT and GC have been successfully applied to first void urines thereby obviating the need for traditional invasive screening (pelvic exam in females, urethral swab in males), yet the adoption of this technique for screening has been slow. To determine whether a "systems-level" intervention based on the Precede-Proceed model and targeting and training designated intake clinic nurses (intervention) results in an increased rate of urine-based screening for CT and GC in asymptomatic sexually active adolescents attending general HMO pediatric practice clinics compared to the traditional physician initiated screening model (control). Pediatric clinics caring for teens in a large regional HMO will be the target. In this quasi-experimental design, 10 clinics (500 teens in each clinic) will be grouped into the 2 conditions: 5 into the intervention and 5 into the control. Intervention: A designated nurse/medical assistant (nurse/MA) in each clinic will receive 4 hours of training to properly ask teens about sexual activity and subsequently to obtain urines for STD screening among the sexually active. The nurse/MA will have ongoing supervision and support. Physicians in the same condition will receive 1.5 hour workshop on the importance of urine screening using the new NAATs in the sexually active teen to increase support of the nurse/MA role. Control: These clinics will remain in the traditional "physician initiated" STD screening model. Physicians will receive a 1 hour didactic lecture on STDs in teens and the technology of the new NAATs for screening for CT and GC. No other staff will be included. NAATs for CT and GC will be available to all clinics. Data sources will include number and percent of sexually active teens screened with urines in each clinic, and demographic data obtained from a central patient information computer data bank. Analysis will focus on a comparison of urine screening among sexually active teens in the control and intervention clinics adjusting for potential teen and clinic differences.
性传播疾病(性传播疾病)在性活跃的青少年中仍然流行。在初级保健环境中解决这一问题受到一些障碍的阻碍,包括医生缺乏对性活动和性病风险的筛查,以及缺乏准确的沙眼衣原体(CT)和淋病奈瑟菌(GC)的非侵入性筛查测试。最近,CT和GC的核酸扩增试验(NAAT)已经成功地应用于第一次排尿,从而避免了传统的侵入性筛查(女性做盆腔检查,男性做尿拭子检查),但这项技术在筛查中的应用一直很缓慢。目的:确定以前置模式为基础的“系统水平”干预措施以及针对和培训指定的收容诊所护士(干预)是否会导致在普通保健组织儿科诊所就诊的无症状性活跃青少年中基于尿液的CT和GC筛查率比传统的医生启动筛查模式(对照)更高。在大型地区性医疗保健组织中照顾青少年的儿科诊所将成为目标。在这个准实验设计中,10个诊所(每个诊所500名青少年)将被分成两个条件:5个进入干预组,5个进入对照。干预:每个诊所的一名指定护士/医疗助理(护士/MA)将接受4小时的培训,以正确询问青少年的性行为,然后在性活跃者中获取尿液进行性传播疾病筛查。护士/MA将得到持续的监督和支持。同样情况的医生将接受1.5小时的研讨会,内容是在性活跃青少年中使用新的NAAT进行尿液筛查的重要性,以增加对护士/MA角色的支持。控制:这些诊所将保持传统的“医生启动”的性病筛查模式。医生将接受1小时的关于青少年性传播疾病的教学讲座,以及用于CT和GC筛查的新NAAT技术。不包括其他工作人员。所有诊所都将提供CT和GC的NAAT。数据来源将包括在每个诊所进行尿液筛查的性活跃青少年的数量和百分比,以及从中央患者信息计算机数据库获得的人口统计数据。分析将重点放在对照和干预诊所中性活跃青少年的尿液筛查比较,以调整青少年和临床的潜在差异。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('MARY-ANN SHAFER', 18)}}的其他基金
Parental knowledge and attitudes of confidential STI services for teens
家长对青少年性传播感染保密服务的了解和态度
- 批准号:
8089989 - 财政年份:2010
- 资助金额:
$ 46.22万 - 项目类别:
Parental knowledge and attitudes of confidential STI services for teens
家长对青少年性传播感染保密服务的了解和态度
- 批准号:
7939105 - 财政年份:2007
- 资助金额:
$ 46.22万 - 项目类别:
Parental knowledge and attitudes of confidential STI services for teens
家长对青少年性传播感染保密服务的了解和态度
- 批准号:
7505440 - 财政年份:2007
- 资助金额:
$ 46.22万 - 项目类别:
Parental knowledge and attitudes of confidential STI services for teens
家长对青少年性传播感染保密服务的了解和态度
- 批准号:
7673876 - 财政年份:2007
- 资助金额:
$ 46.22万 - 项目类别:
Parental knowledge and attitudes of confidential STI services for teens
家长对青少年性传播感染保密服务的了解和态度
- 批准号:
7372667 - 财政年份:2007
- 资助金额:
$ 46.22万 - 项目类别:
DO URINE TESTS INCREASE CHLAMYDIA SCREENING IN TEENS
尿液检测可以增加青少年的衣原体筛查吗
- 批准号:
6080583 - 财政年份:1999
- 资助金额:
$ 46.22万 - 项目类别:
Systems Approach to Universal Teen Chlamydial Screening
普遍青少年衣原体筛查的系统方法
- 批准号:
6805287 - 财政年份:1999
- 资助金额:
$ 46.22万 - 项目类别:
Systems Approach to Universal Teen Chlamydial Screening
普遍青少年衣原体筛查的系统方法
- 批准号:
6724616 - 财政年份:1999
- 资助金额:
$ 46.22万 - 项目类别:
Systems Approach to Universal Teen Chlamydial Screening
普遍青少年衣原体筛查的系统方法
- 批准号:
6941193 - 财政年份:1999
- 资助金额:
$ 46.22万 - 项目类别:
DO URINE TESTS INCREASE CHLAMYDIA SCREENING IN TEENS
尿液检测可以增加青少年的衣原体筛查吗
- 批准号:
6185775 - 财政年份:1999
- 资助金额:
$ 46.22万 - 项目类别: