Adapting an Electronic STI Risk Assessment Program for Use in Pediatric Primary Care

Area of Science:

• Adolescent health
• Public health
• Digital health

Background:

• Sexually transmitted infections (STIs) remain a significant public health concern among adolescents.
• Current screening and testing rates for STIs in adolescents lag behind recommendations from organizations like the CDC and AAP.
• Pediatric primary care settings offer advantages for STI risk assessment due to privacy, a less stressful environment, and continuity of care.

Purpose of the Study:

• To evaluate the usability of an electronic risk assessment tool for STI screening in pediatric primary care.
• To adapt and implement the electronic tool for use in primary care practices.
• To gather feedback from healthcare providers and adolescents on the tool's design and implementation.

Main Methods:

• Qualitative interviews were conducted with pediatricians, clinic staff, and adolescents across four pediatric practices.
• Quantitative feedback was collected using the System Usability Scale (SUS), with scores ranging from 0 to 100.
• Inductive analysis was used to identify common themes from qualitative data.

Main Results:

• The electronic tool received a high median SUS score of 92.5, significantly above the average usability threshold of 68.
• Participants universally recognized the need for such a screening program.
• The electronic format was perceived to encourage more honest responses from adolescents regarding sensitive topics.

Conclusions:

• The electronic STI risk assessment tool exhibits high usability and is suitable for adaptation in pediatric primary care.
• The tool's positive reception suggests potential for improved adolescent STI screening and testing.
• Modifications based on user feedback will facilitate successful implementation in primary care settings.