Observational studyJournal of pediatric and adolescent gynecology2019
Effectiveness of a Quality Improvement Intervention to Improve Rates of Routine Chlamydia Trachomatis Screening in Female Adolescents Seeking Primary Preventive Care.
Observational study in Journal of pediatric and adolescent gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- Adolescent Chlamydia Screening in Pediatric Primary Care: A Quality Improvement Project.Journal of advanced nursing · 2025Article
- Trends in sexually transmitted infection screening during COVID-19 and missed cases among adolescents.Public health · 2022Article
- Chlamydia Trachomatis/Neisseria Gonorrhea Retesting Among Adolescents and Young Adults in a Primary Care Network.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration.Journal of general internal medicine · 2022Article
- A retrospective study of HIV pre-exposure prophylaxis counselling among non-Hispanic Black youth diagnosed with bacterial sexually transmitted infections in the United States, 2014-2019.Journal of the International AIDS Society · 2022Article
- Digital Health Interventions to Enhance Prevention in Primary Care: Scoping Review.JMIR medical informatics · 2022Article
- Inequities inAmerican journal of public health · 2022Article
- An Intervention to Improve Chlamydia and Gonorrhea Testing Among Adolescents in Primary Care.Pediatrics · 2021Article
- Article
- How the evolving epidemics of opioid misuse and HIV infection may be changing the risk of oral sexually transmitted infection risk through microbiome modulation.Critical reviews in microbiology · 2020Review
- Growing Evidence Supports an Implementation Shift Toward Vaginal Sampling forAnnals of family medicineArticle
- Closing the Equity Gap: An Intervention to Improve Chlamydia and Gonorrhea Testing for Adolescents and Young Adults in Primary Care.Journal of primary care & community healthArticle
- Adapting an Electronic STI Risk Assessment Program for Use in Pediatric Primary Care.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
STUDY
objectiveTo determine the impact of a multicomponent quality improvement (QI) intervention on Chlamydia trachomatis screening for young women in primary care.
designObservational cohort analysis.
settingUrban primary care site providing adolescent primary and confidential sexual health care.
participantsFemale adolescents aged 15-19 years.
interventionsFrom December 2016 to April 2018, we designed and implemented a multiphase QI intervention. The final intervention, beginning March 2017, consisted of the following at all adolescent well visits: (1) dual registration for well and confidential sexual health encounters; (2) urine collection during the rooming process; and (3) electronic health record-based prompts for chlamydia screening.
main outcome measuresAnnual chlamydia screening rates before and after the intervention, with a goal of achieving a relative increase of 10%.
resultsThere were 1550 well adolescent encounters from December 2016 to April 2018. The preimplementation chlamydia screening rate among 15- to 19-year-old female adolescents was 312/757 (41.2%) (95% confidence interval, 20.9%-61.5%). Postintervention, this increased to 397/793 (50.0%) (95% confidence interval, 28.6%-71.5%; P < .001). The clinic chlamydia test positivity rate remained stable, at 10.7% and 11.1% in the pre- and postintervention periods, respectively. There was no significant change in median visit length in the pre- (79.2 minutes; interquartile range, 59.5-103.3) and postintervention periods (80.4 minutes; interquartile range, 61.7-102.8; P = .63).
conclusionThis practice-based QI intervention resulted in a statistically significant 21% relative increase in annual Chlamydia trachomatis screening rates among female adolescents, without lengthening median visit time.
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