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

基本信息

批准号：
9064196
负责人：
Monika Kumari Goyal
金额：
$ 12.46万
依托单位：
CHILDREN'S RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-24 至 2018-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9064196
关键词：
Accident and Emergency department Adolescent Adopted Affect Assessment tool Childhood Clinical 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 adolescent patient adolescent sexual health age group base behavioral health career development clinical epidemiology cohort computerized design experience health care availability high risk high-risk adolescents improved instrument interest medically underserved population novel patient oriented research public health intervention randomized trial response satisfaction screening standard care symposium tool trial design

项目摘要

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，而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 (ED) 是许多青少年获得医疗保健的唯一来源，并且越来越多的证据表明，急诊科应开始对包括性传播感染在内的危险健康行为提供干预和筛查。 Goyal 博士是一名儿科急诊医学医师，也是该职业发展奖的候选人，他致力于开发改善青少年 ED 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员，拥有 ED 青少年性健康方面的专业知识。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，让他们在设计和开展以患者为导向的研究时获得经验、正规指导和独立性。 Goyal 博士正在接受杰出临床研究人员的指导，他们在定性研究设计、调查开发、心理测量、试验设计、急诊医学和行为健康研究方面拥有专业知识。她的导师团队强调了她拟议工作的跨学科性质。她提案的总体目标是开发一种新的干预措施，以增加青少年 ED 患者中性传播感染的检测和检测。戈亚尔博士将首先开发一种新颖的标准化且高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，以测试其在增加高危青少年 ED 患者中性传播感染检测方面的功效。该研究计划与美国卫生与公众服务部“健康人2020”目标以及2009年学术急诊医学共识会议的使命一致。性传播感染（STI）在青少年人群中流行，发病率很高。青少年经常将急诊科 (ED) 作为唯一的医疗保健来源，从而使急诊科成为重要的干预场所。因此，制定基于急诊科的干预措施来应对青少年中的性传播感染流行是及时且必要的，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“健康人民 2020”使命的支持作为2009年急诊医学学术共识会议。

项目成果

期刊论文数量（23）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Pelvic Inflammatory Disease in a Pediatric Emergency Department: Epidemiology and Treatment.

儿科急诊室的盆腔炎症：流行病学和治疗。

DOI：
发表时间：
2019-06
期刊：
影响因子：
1.4
作者：
Solomon, Michelle;Tuchman, Lisa;Hayes, Katie;Badolato, Gia;Goyal, Monika K
通讯作者：
Goyal, Monika K

Pediatric Emergency Provider Sexually Transmitted Infection Screening Practices in Adolescents With Oropharyngeal or Anorectal Chief Complaints.

儿科急诊提供者对口咽或肛门直肠主诉青少年的性传播感染筛查实践。

DOI：
发表时间：
2020-11
期刊：
影响因子：
1.4
作者：
Gallagher, Courtney;Lee, Susan S;Shofer, Frances S;Mollen, Cynthia J;Goyal, Monika K;Dowshen, Nadia L
通讯作者：
Dowshen, Nadia L

Underuse of pregnancy testing for women prescribed teratogenic medications in the emergency department.

对在急诊室开致畸药物的妇女使用妊娠检测不足。

DOI：
发表时间：
2015-02
期刊：
影响因子：
0
作者：
Goyal, Monika K;Hersh, Adam L;Badolato, Gia;Luan, Xianqun;Trent, Maria;Zaoutis, Theoklis;Chamberlain, James M
通讯作者：
Chamberlain, James M

Sensitivity and Specificity of Empiric Treatment for Sexually Transmitted Infections in a Pediatric Emergency Department.

儿科急诊室性传播感染经验性治疗的敏感性和特异性。

DOI：
发表时间：
2017-10
期刊：
影响因子：
0
作者：
Breslin, Kristen;Tuchman, Lisa;Hayes, Katie L;Badolato, Gia;Goyal, Monika K
通讯作者：
Goyal, Monika K

Examining the Role of the Pediatric Emergency Department in Reducing Unintended Adolescent Pregnancy.

检查儿科急诊科在减少青少年意外怀孕方面的作用。

DOI：
发表时间：
2017-10
期刊：
影响因子：
0
作者：
Solomon, Michelle;Badolato, Gia M;Chernick, Lauren S;Trent, Maria E;Chamberlain, James M;Goyal, Monika K
通讯作者：
Goyal, Monika K