Evidence map›Paper›PMID 32948403›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021

A User-Informed, Theory-Based Pregnancy Prevention Intervention for Adolescents in the Emergency Department: A Prospective Cohort Study.

Lauren S Chernick, Melissa S Stockwell, Ariana Gonzalez, Jameson Mitchell, Anke Ehrhardt, Susanne Bakken, Carolyn L Westhoff, John Santelli, Peter S Dayan

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Chatbots That Deliver Contraceptive Support: Systematic Review.Journal of medical Internet research · 2024
    Pooled it
  2. Pooled it
  3. A multi-media digital intervention to improve the sexual and reproductive health of female adolescent emergency department patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
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  4. Trial
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  6. Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Lauren S ChernickDivision of Pediatric Emergency Medicine, Department of Emergency Medicine, Columbia University Medical Center, New York, New York. Electronic address: lc2243@columbia.edu.
Melissa S StockwellDepartment of Child and Adolescent Health, Columbia University Medical Center, New York, New York; Department of Population and Family Health, Mailman School of Public Health, Columbia University Medical Center, New York, New York.
Ariana GonzalezDivision of Pediatric Emergency Medicine, Department of Emergency Medicine, Columbia University Medical Center, New York, New York.
Jameson MitchellDivision of Pediatric Emergency Medicine, Department of Emergency Medicine, Columbia University Medical Center, New York, New York.
Anke EhrhardtDepartment of Psychology, Columbia University Medical Center, New York, New York.
Susanne BakkenDepartment of Nursing and Bioinformatics, Columbia University Medical Center, New York, New York.
Carolyn L WesthoffDepartment of Population and Family Health, Mailman School of Public Health, Columbia University Medical Center, New York, New York; Department of Obstetrics-Gynecology, Columbia University Medical Center, New York, New York.
John SantelliDepartment of Child and Adolescent Health, Columbia University Medical Center, New York, New York; Department of Population and Family Health, Mailman School of Public Health, Columbia University Medical Center, New York, New York.
Peter S DayanDivision of Pediatric Emergency Medicine, Department of Emergency Medicine, Columbia University Medical Center, New York, New York.
Columbia University Irving Medical Center · US

Funding

Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
Targeting high risk teens in the emergency department: A user-informed, theory-based intervention using text messaging to reduce teen pregnancyK23HD096060 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHERNICK, LAUREN STEPHANIE · 2018 to 2020
$501k
NCATS NIH HHS KL2 TR001874NICHD NIH HHS K23 HD096060
6 · The paper itself

Abstract

purposeFemale adolescents seeking emergency department (ED) care are at high risk of unintended pregnancy, primarily because of contraceptive nonuse; yet, few ED patients follow up for reproductive care when referred. The objective of this cohort study was to determine the feasibility, acceptability, adoption, fidelity, and potential efficacy of a personalized and interactive ED-based pregnancy prevention mobile health intervention (Emergency Room Interventions to improve the Care of Adolescents [Dr. Erica]).

methodsWe conducted a prospective cohort study with sexually active female ED patients aged 14-19 years who were not using highly effective contraceptives. Dr. Erica consists of a 10-week, automated, two-way texting intervention based on an evidence-based sexual health curriculum, the Social Cognitive Theory, and motivational interviewing techniques. At 12 weeks, we conducted follow-up via online survey and phone call to measure feasibility, acceptability, adoption, fidelity, and preliminary efficacy data (contraception initiation).

resultsWe screened 209 female ED patients to enroll 42. The average age was 17.5 years (standard deviation ± 1.4); the majority were Hispanic (n = 37, 88%) and had a primary provider (n = 40, 95%). One participant opted out (1/42, 2%), and a total of 35 participants (83%) completed follow-up. Although interactivity diminished with time, 83% of participants (35/42) replied to one or more text. Ninety-four percent of participants (29/31) liked the messages, and 83% (25/30) would recommend the program. Hormonal contraceptives were initiated by 46% of participants (16/35).

conclusionsDr. Erica was feasible and acceptable among female adolescent ED patients and demonstrated high fidelity and adoption. The intervention also showed potential to increase highly effective contraceptive use among high-risk females.

Indexed as

ContraceptionText MessagingAdolescentCohort StudiesEmergency Service, HospitalFemaleHumansPregnancyProspective StudiesAdolescent behaviorContraception behaviorDigital healthEmergency medicineMobile healthPregnancy preventionSexual behaviorSexual healthTeenage pregnancyText messaging

Identifiers

PMID32948403
PMCPMC8527994
OpenAlexW3087308799

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.