Evidence map›Paper›PMID 34144031›Full record

Trial reportThe Journal of pediatrics2021

Brief Motivational Intervention to Improve Adolescent Sexual Health Service Uptake: A Pilot Randomized Controlled Trial in the Emergency Department.

Melissa K Miller, Delwyn Catley, Amber Adams, Vincent S Staggs, M Denise Dowd, Stephani L Stancil, Elizabeth Miller, Catherine L Satterwhite, José Bauermeister, Kathy Goggin

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03341975 (Enhanced SexHealth Intervention to Improve Adolescent Outcomes), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT03341975 nacompletednot on this map

Enhanced SexHealth Intervention to Improve Adolescent Outcomes: A Clinical Trial

TypeinterventionalSponsorChildren's Mercy Hospital Kansas CityRan2017 to 2020Enrolled91ConditionsSexually Transmitted Diseases, Reproductive BehaviorArmsSexHealth
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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

10 authors at 4 institutions in 1 country.

Melissa K MillerChildren's Mercy Kansas City, Kansas City, MO; University of Missouri-Kansas City School of Medicine, Kansas City, MO. Electronic address: mmiller@cmh.edu.
Delwyn CatleyChildren's Mercy Kansas City, Kansas City, MO; University of Missouri-Kansas City School of Medicine, Kansas City, MO.
Amber AdamsChildren's Mercy Kansas City, Kansas City, MO.
Vincent S StaggsChildren's Mercy Kansas City, Kansas City, MO; University of Missouri-Kansas City School of Medicine, Kansas City, MO.
M Denise DowdChildren's Mercy Kansas City, Kansas City, MO; University of Missouri-Kansas City School of Medicine, Kansas City, MO.
Stephani L StancilChildren's Mercy Kansas City, Kansas City, MO; University of Missouri-Kansas City School of Medicine, Kansas City, MO.
Elizabeth MillerUniversity of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
Catherine L SatterwhiteUS Department of Health and Human Services, Washington, DC.
José BauermeisterUniversity of Pennsylvania, Philadelphia, PA.
Kathy GogginChildren's Mercy Kansas City, Kansas City, MO; University of Missouri-Kansas City School of Medicine, Kansas City, MO; University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA; University of Missouri-Kansas City School of Pharmacy, Kansas City, MO.
Children's Mercy Hospital · USUnited States Department of Health and Human Services · USUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
Childrens Mercy Hospital Fellowship Program in Pediatric PharmacologyT32HD069038 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Laura B Ramsey, Jonathan Wagner · 2011 to 2026
$3.1M
Enhanced Intervention to Improve Adolescent Outcomes: A Clinical TrialK23HD083405 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI MILLER, MELISSA KRISTINE · 2016 to 2019
$587k
NCATS NIH HHS UL1 TR002366NICHD NIH HHS K23 HD083405NICHD NIH HHS T32 HD069038
6 · The paper itself

Abstract

objectiveTo test the hypothesis that our motivational sexual health intervention (SexHealth) would increase health service uptake when compared with control. STUDY

designIn a randomized controlled trial at a pediatric emergency department, sexually active adolescents received either the SexHealth intervention or printed materials (control). SexHealth, delivered by a health educator, was a tablet-based, interactive intervention that included motivational techniques to promote sexual health, condom skills training, and tailored service recommendations. We assessed feasibility (eg, intervention completion, recommendations discussed, intervention duration), acceptability (ie, proportion enrolled and rating intervention as satisfactory), and efficacy; secondary outcomes were sexual and care-seeking behaviors at 6 months. The efficacy outcome was completion of ≥1 service at the index visit (ie, counseling, condoms, emergency contraception for immediate or future use, pregnancy/sexually transmitted infection/HIV testing, sexually transmitted infection treatment, and clinic referral).

resultsWe enrolled 91 participants (intervention = 44; control = 47). The intervention demonstrated high feasibility: 98% completed the intervention; 98% of recommendations were discussed; duration was 24.6 minutes, and acceptability: 87% of eligible adolescents enrolled and 93% rated the intervention as fairly to very satisfactory. Compared with controls, intervention participants were more likely to complete ≥1 service (98% vs 70%, P < .001) including HIV testing (33% vs 6%, P = .02) and emergency contraception (80% vs 0%, P = .01). There were no meaningful differences between arms in behaviors at follow-up.

conclusionsSexHealth was feasible to implement, acceptable to youth, and resulted in increased uptake of health services during the emergency department visit. Additional strategies may be needed to extend intervention effects over time. CLINICAL

trial registrationClinicalTrials.gov; NCT03341975.

Indexed as

Adolescent BehaviorAdolescent Health ServicesEmergency Service, HospitalMotivational InterviewingPatient Acceptance of Health CareSexual BehaviorAdolescentFeasibility StudiesFemaleHumansMalePilot Projects

Identifiers

PMID34144031
PMCPMC12885160
OpenAlexW3167609440

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.