Development of a Sexual Health Screening Tool for Adolescent Emergency Department Patients.

TitleDevelopment of a Sexual Health Screening Tool for Adolescent Emergency Department Patients.
Publication TypeJournal Article
Year of Publication2016
AuthorsGoyal MK, Shea JA, Hayes KL, Badolato GM, Chamberlain JM, Zaoutis TE, Fein J
JournalAcad Emerg Med
Volume23
Issue7
Pagination809-15
Date Published2016 Jul
ISSN1553-2712
KeywordsAdolescent, Delphi Technique, Emergency Service, Hospital, Female, Health Surveys, Humans, Interviews as Topic, Mass Screening, Qualitative Research, Reproductive Health, Sexual Behavior, Sexually Transmitted Diseases
Abstract

OBJECTIVE: The objective was to develop a content-valid audio computer-assisted self-interview (ACASI) sexual health survey (SHS) that is understandable and acceptable to adolescents and can be feasibly implemented in a pediatric emergency department (ED) for sexually transmitted infection (STI) risk assessment.

METHODS: Multistep iterative qualitative study utilizing a Delphi panel of key informants for survey development and content validity, cognitive interviews with end-users to evaluate understanding, and pilot testing with end-users to evaluate acceptability and feasibility.

RESULTS: We developed a 20-item questionnaire through an iterative modified Delphi process with experts in adolescent and pediatric emergency medicine. All items were assessed as understandable by >90% of adolescents during the cognitive interviews. All respondents found the SHS easy to use. A total of 76.5% preferred answering questions related to sexual health through the SHS compared to face-to-face interviews. Mean (±SD) length of survey completion was 17.5 (±6.7) minutes and 88.6% of participants found survey length to be "just right." With respect to feasibility testing, there was no statistically significant difference in median ED LOS between those who piloted the SHS and those who did not (230.0 minutes vs. 219.0 minutes; p = 0.7).

CONCLUSIONS: We developed a content-valid ACASI for the identification of adolescents at risk for STIs that was understandable, acceptable, and easy to use by adolescent patients and feasible for implementation in the pediatric ED. Future planned steps include the evaluation of the SHS in providing clinical decision support for targeted STI screening in the ED.

DOI10.1111/acem.12994
Alternate JournalAcad Emerg Med
PubMed ID27126128
PubMed Central IDPMC4938750
Grant ListK23 HD070910 / HD / NICHD NIH HHS / United States