Trial reportAnnals of emergency medicine2026
A Randomized Controlled Trial of a Digital Patient Decision Tool to Increase Sexually Transmitted Infection Testing in the Emergency Department.
Trial report in Annals of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- A Team Approach to Patient-Centered Communication in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
STUDY
objectiveTo evaluate the efficacy of a digital patient decision aid, Sexually Transmitted Infection Check in the Emergency Room (STIckER), in increasing sexually transmitted infection testing among adolescents and young adults in the emergency department (ED).
methodsWe conducted a randomized controlled trial in adult and pediatric EDs at a large urban academic medical center. We randomized health care clinicians to deliver either the STIckER digital decision aid or usual care to sexually active adolescents and young adults patients aged 14 to 24 years. The tool, developed through human-centered design, provided personalized sexually transmitted infection testing recommendations and values clarification exercises via smartphone. The primary outcome was documentation of gonorrhea/chlamydia testing. Secondary outcomes included extragenital testing, patient-reported decisionmaking measures, and implementation. We conducted descriptive statistics of patient-level and health care provider-level outcomes by study arms. We estimated the efficacy of STIckER using log-binomial regression.
resultsWe randomized 44 health care clinicians and enrolled 139 adolescents and young adult participants (median age 19 years). Participants in the STIckER arm were 1.76 times more likely to receive gonorrhea/chlamydia testing (95% confidence interval, 1.10 to 3.00) and 4.56 times more likely to receive pharyngeal testing (95% confidence interval, 1.30 to 28.66). Participants in the STIckER arm reported greater clarity about testing options and higher satisfaction with ED care. Adolescents and young adults and health care clinicians rated the tool as highly acceptable, appropriate, and feasible.
conclusionA digital, patient-centered decision aid increased sexually transmitted infection testing among adolescents and young adults in the ED. STIckER is feasible for integration into ED clinical workflows and may represent a scalable strategy to expand equitable sexual health screening in acute care settings.
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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.