OBJECTIVES: We sought to determine the effectiveness of a systems-based intervention designed to increase Chlamydia trachomatis (CT) screening among adolescent boys. METHODS: An intervention aimed at increasing CT screening among adolescent girls was extended to adolescent boys (14-18 years). Ten pediatric clinics in a health maintenance organization with an ethnically diverse population were randomized. Experimental clinics participated in a clinical practice improvement intervention; control clinics received traditional information on screening. RESULTS: The intervention significantly increased CT screening at the experimental sites from 0% (baseline) to 60% (18-month posttest); control sites evidenced a change only from 0% to 5%. The overall prevalence of CT was 4%. CONCLUSIONS: Although routine CT screening is currently recommended only for young sexually active women, the present results show that screening interventions can be successful in the case of adolescent boys, among whom CT is a moderate problem.
RCT Entities:
OBJECTIVES: We sought to determine the effectiveness of a systems-based intervention designed to increase Chlamydia trachomatis (CT) screening among adolescent boys. METHODS: An intervention aimed at increasing CT screening among adolescent girls was extended to adolescent boys (14-18 years). Ten pediatric clinics in a health maintenance organization with an ethnically diverse population were randomized. Experimental clinics participated in a clinical practice improvement intervention; control clinics received traditional information on screening. RESULTS: The intervention significantly increased CT screening at the experimental sites from 0% (baseline) to 60% (18-month posttest); control sites evidenced a change only from 0% to 5%. The overall prevalence of CT was 4%. CONCLUSIONS: Although routine CT screening is currently recommended only for young sexually active women, the present results show that screening interventions can be successful in the case of adolescent boys, among whom CT is a moderate problem.
Authors: Mary-Ann B Shafer; Kathleen P Tebb; Robert H Pantell; Charles J Wibbelsman; John M Neuhaus; Ann C Tipton; Sharon Brown Kunin; Timothy H Ko; David M Schweppe; David A Bergman Journal: JAMA Date: 2002-12-11 Impact factor: 56.272
Authors: William C Miller; Carol A Ford; Martina Morris; Mark S Handcock; John L Schmitz; Marcia M Hobbs; Myron S Cohen; Kathleen Mullan Harris; J Richard Udry Journal: JAMA Date: 2004-05-12 Impact factor: 56.272
Authors: S K Brodine; M A Shafer; R A Shaffer; C B Boyer; S D Putnam; F S Wignall; R J Thomas; B Bales; J Schachter Journal: J Infect Dis Date: 1998-10 Impact factor: 5.226
Authors: Kathleen P Tebb; Mary-Ann Shafer; Charles J Wibbelsman; Samantha Pecson; Ann C Tipton; John M Neuhaus; Timothy H Ko; Robert H Pantell Journal: J Adolesc Health Date: 2004-03 Impact factor: 5.012
Authors: R Allison; D M Lecky; K Town; C Rugman; E J Ricketts; N Ockendon-Powell; K A Folkard; J K Dunbar; C A M McNulty Journal: BMC Fam Pract Date: 2017-03-21 Impact factor: 2.497