Development of a model to implement guideline-concordant STI/HIV healthcare and screening for adolescents in the pediatric emergency department
开发一个模型,对儿科急诊科的青少年实施符合指南的 STI/HIV 医疗保健和筛查
基本信息
- 批准号:10324017
- 负责人:
- 金额:$ 26.66万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-09-08 至 2023-07-31
- 项目状态:已结题
- 来源:
- 关键词:17 year oldAccident and Emergency departmentAddressAdolescentAdolescent sexual riskAntibioticsAreaCaringCenters for Disease Control and Prevention (U.S.)ChlamydiaChronic DiseaseClinicCommunitiesCommunity HospitalsDevelopmentDiagnosisDiseaseDrug usageEmergency CareEvaluationFemale AdolescentsFutureGonorrheaGuidelinesHIVHealthHealthcareHospitalsHuman immunodeficiency virus testInfectionInfertilityMeasuresModelingNew York CityPatient CarePatientsPediatric HospitalsPilot ProjectsPreventionPrevention GuidelinesPreventive serviceProcessProcess MeasureRecommendationResearchResourcesRiskRisk-TakingSexual HealthSexual abuseSexually Transmitted DiseasesSyphilisTestingTrichomonasUnited StatesVulnerable PopulationsWorkacceptability and feasibilityadolescent patientcare providerseffectiveness evaluationethnic minority populationevaluation/testingfollow-uphealth care deliveryhigh riskimplementation determinantsimplementation strategyimprovedmemberpediatric emergencypre-exposure prophylaxispreservationracial minorityroutine screeningscreeningsexual minoritysubstance usesuccesstransmission processurban dwellingurgent careworking group
项目摘要
Project summary
Adolescents (13-17 year-olds) in the United States (US) are at high risk of acquiring sexually transmitted
infections/diseases (STIs), such as chlamydia, gonorrhea, and trichomonas, as well as HIV. Many adolescents
who receive care in US pediatric emergency departments (PEDs) are diagnosed with or at risk for STIs and
HIV, rendering PEDs a major venue for STI/HIV healthcare delivery and prevention in the US. However,
previous research findings demonstrate that STI/HIV healthcare and screening provision in US PEDs is not
concordant with guidelines from the Centers for Disease Control and Prevention (CDC). As a consequence,
adolescents with or at-risk for STIs and HIV can develop adverse sequelae of undiagnosed or inadequately
treated infections (e.g., infertility), and perpetuate the transmission of these infections.
Assuring that adolescents receiving care in US PEDs obtain guideline-concordant healthcare for potential
STIs and that at-risk adolescents are screened for STIs and HIV should assist in reducing the high rates of STIs
and HIV among this vulnerable population. Providing guideline-concordant healthcare could also preserve
their future health, as well as of their sexual and drug-using partners. Unfortunately, research is lacking on
how guideline-concordant and recommended healthcare for adolescents at risk for or with suspected STIs/HIV
can be implemented in PEDs.
In this R21 project, we will address the deficit of research on implementation in US PEDs of guideline-
concordant care of adolescents with suspected or who are at risk for STIs and HIV. With the assistance of
community, hospital and PED stakeholders, we will identify determinants of providing guideline-concordant
STI/HIV healthcare and screening to adolescents in a New York City (NYC) PED. Afterwards, we will select
then pilot test implementation strategies to improve STI/HIV healthcare and screening provision. The product
of this R21 will be a model of how to implement guideline-concordant STI/HIV care in a PED. In a subsequent
R01-supported study, we will evaluate how the model can be implemented in other PEDs in the NYC area.
This R21 project will proceed in three iterative aims using Implementation Mapping as a process framework.
In Aim 1, we will assess determinants of the provision of guideline-concordant STI/HIV healthcare and
screening for adolescents at the Mount Sinai Hospital PED using the Tailored Implementation in Chronic
Diseases checklist. In Aim 2, we will select implementation strategies to address the determinants of the
provision of guideline-concordant STI/HIV healthcare and screening for adolescents commensurate with the
Mount Sinai Hospital PED’s capabilities and resources and the needs of its adolescent patients. In Aim 3, we
will conduct a pilot study that evaluates the feasibility and acceptability of the implementation strategies
selected in Aim 2 and will estimate their potential in increasing guideline-concordant STI/HIV healthcare and
screening for adolescents.
项目摘要
在美国,青少年(13-17岁)是性传播疾病的高危人群。
感染/疾病(STI),如衣原体,淋病和滴虫,以及艾滋病毒。许多青少年
在美国儿科急诊科(PED)接受治疗的儿童被诊断患有或有患STI的风险,
艾滋病毒,使儿科成为美国性病/艾滋病毒医疗保健提供和预防的主要场所。然而,在这方面,
之前的研究结果表明,美国儿科的性传播感染/艾滋病毒医疗保健和筛查服务并不是
与疾病控制和预防中心(CDC)的指导方针一致。因此,在这方面,
患有性传播感染和艾滋病毒或有感染风险的青少年,
治疗的感染(例如,不孕症),并使这些感染的传播永久化。
确保在美国儿科接受治疗的青少年获得与指南一致的医疗保健,
性传播感染和高危青少年接受性传播感染和艾滋病毒筛查应有助于降低性传播感染的高发病率
和艾滋病病毒感染者之间的关系。提供与指南一致的医疗保健也可以保护
他们未来的健康,以及他们的性和吸毒伙伴。不幸的是,研究缺乏
如何为有性病/艾滋病毒感染风险或疑似性病/艾滋病毒感染的青少年提供指南一致和推荐的医疗保健
可以在PED中实现。
在这个R21项目中,我们将解决美国PED实施指南的研究不足-
对疑似或有可能感染性传播感染和艾滋病毒的青少年提供协调一致的护理。的协助下
社区,医院和PED利益相关者,我们将确定提供指南一致性的决定因素
在纽约市(NYC)PED对青少年进行性传播感染/艾滋病毒保健和筛查。之后,我们将选择
然后试点测试实施战略,以改善性病/艾滋病毒保健和筛查的提供。产品
R21将成为如何在PED中实施符合指南的STI/HIV护理的模型。在随后的
R 01支持的研究,我们将评估该模型如何在纽约地区的其他PED中实施。
这个R21项目将使用实施映射作为过程框架,以三个迭代目标进行。
在目标1中,我们将评估提供符合指南的性病/艾滋病保健的决定因素,
在西奈山医院PED使用定制的实施方案对青少年进行筛查,
疾病清单。在目标2中,我们将选择实施战略,以解决
为青少年提供符合指南的性传播感染/艾滋病毒保健和筛查,
西奈山医院PED的能力和资源及其青少年患者的需求。在目标3中,我们
将进行一项试验研究,评估实施战略的可行性和可接受性
在目标2中选择,并将评估其在增加与指南一致的STI/HIV保健方面的潜力,
青少年筛查。
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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Roland C Merchant其他文献
Nonoccupational HIV postexposure prophylaxis: a new role for the emergency department.
非职业性艾滋病毒暴露后预防:急诊科的新角色。
- DOI:
10.1067/mem.2000.109511 - 发表时间:
2000 - 期刊:
- 影响因子:6.2
- 作者:
Roland C Merchant - 通讯作者:
Roland C Merchant
Update on emerging infections: news from the Centers for Disease Control and Prevention. Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States.
新发感染的最新情况:来自疾病控制和预防中心的新闻。
- DOI:
10.1016/j.annemergmed.2005.04.005 - 发表时间:
2005 - 期刊:
- 影响因子:6.2
- 作者:
Roland C Merchant - 通讯作者:
Roland C Merchant
Roland C Merchant的其他文献
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{{ truncateString('Roland C Merchant', 18)}}的其他基金
Evaluation of a persuasive health communication intervention designed to increase HIV/HCV screening among emergency departments patients who currently, formerly or never injected drugs
对旨在增加目前、以前或从未注射过毒品的急诊科患者的 HIV/HCV 筛查的说服性健康沟通干预措施的评估
- 批准号:
10708747 - 财政年份:2022
- 资助金额:
$ 26.66万 - 项目类别:
Evaluation of a persuasive health communication intervention designed to increase HIV/HCV screening among emergency departments patients who currently, formerly or never injected drugs
对旨在增加目前、以前或从未注射过毒品的急诊科患者的 HIV/HCV 筛查的说服性健康沟通干预措施的评估
- 批准号:
10403046 - 财政年份:2022
- 资助金额:
$ 26.66万 - 项目类别:
Development and Pilot Testing of a Persuasive Health Communication Intervention for Emergency Department Patients Who Decline Rapid HIV/HCV Screening
针对拒绝快速 HIV/HCV 筛查的急诊科患者制定说服性健康沟通干预措施并进行试点测试
- 批准号:
9926409 - 财政年份:2018
- 资助金额:
$ 26.66万 - 项目类别:
MENTORING AND RESEARCH IN HIV SCREENING IMPLEMENTATION
HIV 筛查实施的指导和研究
- 批准号:
10397275 - 财政年份:2018
- 资助金额:
$ 26.66万 - 项目类别:
MENTORING AND RESEARCH IN HIV SCREENING IMPLEMENTATION
HIV 筛查实施的指导和研究
- 批准号:
10469671 - 财政年份:2018
- 资助金额:
$ 26.66万 - 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
- 批准号:
8896881 - 财政年份:2014
- 资助金额:
$ 26.66万 - 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
- 批准号:
8791475 - 财政年份:2014
- 资助金额:
$ 26.66万 - 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
- 批准号:
9053997 - 财政年份:2014
- 资助金额:
$ 26.66万 - 项目类别:
Facilitating HIV Testing Among Young Adult MSM Through Social Networking
通过社交网络促进年轻男男性接触者的艾滋病毒检测
- 批准号:
8603128 - 财政年份:2014
- 资助金额:
$ 26.66万 - 项目类别:
Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department Patients
促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识
- 批准号:
9252306 - 财政年份:2014
- 资助金额:
$ 26.66万 - 项目类别: