Improvement of STI Detection in Adolescent Emergency Department Patients

描述(申请人提供)：性传播感染(STI)在青少年中流行，青少年是一个医疗服务不足的人口，获得卫生保健的机会有限。研究发现，急诊科(ED)是许多青少年唯一的卫生保健来源，越来越多的证据表明，急诊科应该开始为包括性传播感染在内的危险健康行为提供干预和筛查。戈亚尔博士是一名儿科急诊内科医生，也是这一职业发展奖的候选人，他致力于开发能够改善青少年勃起功能障碍患者的性健康护理的干预措施。戈亚尔博士的长期目标是成为一名独立的卫生服务研究员，在基于ED的青少年性健康方面拥有专业知识。为了扩大她在卫生服务研究的定性和定量研究设计方面的研究培训，戈亚尔博士制定了一个全面的五年职业发展计划，其中包括结构化指导、完成临床流行病学理学硕士学位以及完成拟议的研究项目。费城儿童医院和宾夕法尼亚大学为年轻的临床研究人员提供了一个特殊的环境，让他们在设计和进行以患者为中心的研究时获得经验、正规指导和独立性。戈亚尔博士正在接受优秀临床研究人员的指导，这些研究人员在定性研究设计、调查开发、心理测量学、试验设计、急救医学和行为健康研究方面具有专长。她的指导团队强调了她提议的工作的跨学科性质。她建议的总体目标是开发一种新的干预措施，以增加青少年ED患者中的性传播感染的检测和检测。戈亚尔博士将通过首先开发一种新的、标准化的、高效的电脑化性健康评估工具来实现这一点。她随后将进行一项随机试验，以测试其在高危青少年勃起功能障碍患者中增加性传播感染检测的有效性。这一研究计划与美国卫生与公众服务部2020年健康人的使命目标以及2009年学术急诊医学共识会议一致。性传播感染(性传播感染)在青少年人群中流行，发病率很高。青少年经常使用急诊科(ED)作为唯一的医疗保健来源，从而使急诊室成为重要的干预场所。因此，制定以ED为基础的干预措施以应对青少年中的性传播感染流行病是及时和必要的，因为它可能会对公共卫生产生重大影响，并得到美国卫生与公众服务部2020年健康人使命以及2009年学术紧急医学共识会议的支持。 公共卫生相关性：性传播感染(STI)在青少年人群中流行，并导致很大的发病率。青少年经常使用急诊科(ED)作为唯一的医疗保健来源，从而使急诊室成为重要的干预场所。因此，制定以ED为基础的干预措施以应对青少年中的性传播感染流行病是及时和必要的，因为它可能会对公共卫生产生重大影响，并得到美国卫生与公众服务部2020年健康人使命以及2009年学术紧急医学共识会议的支持。

DESCRIPTION (provided by applicant): Sexually transmitted infections (STIs) are epidemic among adolescents, a medically underserved population with limited access to health care. Studies have found that the emergency department (ED) functions as the only source of health care for many adolescents and there is a growing body of evidence that EDs should begin to provide interventions and screening for risky health behaviors, including STIs. Dr. Goyal, a pediatric emergency medicine physician and the candidate for this Career Development Award, has a committed interest in developing interventions that will improve the sexual health care of adolescent ED patients. Dr. Goyal's long term goal is to become an independent health services researcher with expertise in ED-based adolescent sexual health. In order to expand her research training in both qualitative and quantitative study design for health services research, Dr. Goyal has devised a comprehensive five-year career development plan which includes structured mentoring, completion of a Master of Science in Clinical Epidemiology, and completion of the proposed research project. The Children's Hospital of Philadelphia and the University of Pennsylvania provide an exceptional environment for young clinical researchers to gain experience, formal instruction, and independence in designing and conducting patient oriented research. Dr. Goyal is receiving mentorship from outstanding clinical researchers with expertise in qualitative study design, survey development, psychometrics, trial design, emergency medicine, and behavioral health research. Her mentorship team highlights the interdisciplinary nature of her proposed work. The overall goal of her proposal is to develop a novel intervention to increase testing and detection of STIs among adolescent ED patients. Dr. Goyal will accomplish this by first developing a novel standardized and efficient computerized sexual health assessment tool. She will subsequently conduct a randomized trial to test its efficacy in increasing STI testing among high risk adolescent ED patients. This research plan is consistent with the mission of Healthy People 2020 objectives from the United States Department of Health and Human Services as well as the 2009 Academic Emergency Medicine consensus conference. Sexually transmitted infections (STIs) are epidemic among the adolescent population and confer significant morbidity. Adolescents frequently use the emergency department (ED) as a sole source of health care, thereby making the ED an important interventional setting. Therefore, the development of an ED based intervention to tackle the STI epidemic among adolescents is timely and needed as it may confer significant public health impact and is supported by the mission of Healthy People 2020 from the United States Department of Health and Human Services as well as the 2009 Academic Emergency Medicine consensus conference. PUBLIC HEALTH RELEVANCE: Sexually transmitted infections (STIs) are epidemic among the adolescent population and confer significant morbidity. Adolescents frequently use the emergency department (ED) as a sole source of health care, thereby making the ED an important interventional setting. Therefore, the development of an ED based intervention to tackle the STI epidemic among adolescents is timely and needed as it may confer significant public health impact and is supported by the mission of Healthy People 2020 from the United States Department of Health and Human Services as well as the 2009 Academic Emergency Medicine consensus conference.