Improvement of STI Detection in Adolescent Emergency Department Patients

青少年急诊科患者性传播感染检测的改进

• 批准号: 8681489
• 负责人: Monika Kumari Goyal
• 金额: $ 12.42万
• 依托单位: CHILDREN'S RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-24 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8681489
• 关键词: Accident and Emergency department; Adolescent; Adopted; Affect; Childhood; Clinical; Clinical Trials Design; Commit; Computer Assisted; Computers; Consensus; Data; Detection; Development; Development Plans; Diagnosis; Documentation; Emergency Department patient; Emergency Department-based Intervention; Emergency Medicine; Environment; Epidemic; Epidemiology; Evaluation; Female Adolescents; Goals; Health; Health Personnel; Health Services; Health Services Accessibility; Health Services Research; Health Surveys; Health behavior; Healthcare; Healthy People 2020; Infection; Instruction; Intervention; Interview; K-Series Research Career Programs; Logic; Master of Science; Medical Records; Mental Health; Mentors; Mentorship; Methods; Mission; Morbidity - disease rate; Nature; Patients; Pediatric Hospitals; Pennsylvania; Philadelphia; Physicians; Population; Primary Care Physician; Primary Health Care; Psychometrics; Public Health; Randomized; Research; Research Design; Research Methodology; Research Personnel; Research Project Grants; Research Training; Respondent; Risk Assessment; Risk Behaviors; Risk Factors; Sampling; Sex Behavior; Sexual Health; Sexually Transmitted Diseases; Source; Structure; Surveys; Testing; Training; United States Dept. of Health and Human Services; United States National Institutes of Health; Universities; Violence; Vulnerable Populations; Work; age group; base; behavioral health; career development; clinical epidemiology; cohort; computerized; design; experience; high risk; improved; instrument; interest; medically underserved population; novel; patient oriented research; public health relevance; randomized trial; response; satisfaction; screening; standard care; symposium; tool

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.

描述（由申请人提供）：性传播感染（STI）在青少年中流行，青少年是医疗服务不足的人群，获得医疗保健的机会有限。研究发现，急诊科（艾德）是许多青少年唯一的卫生保健来源，越来越多的证据表明，急诊科应该开始提供干预措施和筛查危险的健康行为，包括性传播感染。Goyal博士是一名儿科急诊医生，也是这一职业发展奖的候选人，他致力于开发改善青少年艾德患者性健康护理的干预措施。Goyal博士的长期目标是成为一名独立的健康服务研究人员，在ED为基础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，Goyal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，完成临床流行病学硕士学位，并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，以获得经验，正式的指导和独立设计和进行以患者为导向的研究。Goyal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，急诊医学和行为健康研究方面具有专业知识。她的导师团队强调了她所提出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，以增加青少年艾德患者中性传播感染的检测和发现。Goyal博士将首先开发一种新的标准化和有效的计算机化性健康评估工具来实现这一目标。她随后将进行一项随机试验，以测试其在高危青少年艾德患者中增加STI检测的有效性。本研究计划与美国卫生与公众服务部2020年健康人群目标的使命以及2009年学术急诊医学共识会议一致。性传播感染在青少年人口中流行，发病率很高。青少年经常使用急诊室（艾德）作为唯一的卫生保健来源，从而使艾德的一个重要的干预设置。因此，制定基于艾德的干预措施来应对青少年中的性传播感染流行是及时和必要的，因为它可能会产生重大的公共卫生影响，并得到美国卫生与公众服务部2020年健康人使命以及2009年学术急诊医学共识会议的支持。