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Increasing Adolescent Sexual Activity Screening Through a Provider-Based Intervention.

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Implementing provider education and EHR modifications significantly increased adolescent sexual health screenings. This strategy is a feasible and cost-effective approach to improving preventive care for young people.

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Area of Science:

  • Pediatric Healthcare
  • Adolescent Medicine
  • Public Health

Background:

  • Adolescent sexual activity necessitates comprehensive pediatric care, including sexual health screenings.
  • Risky sexual behaviors in adolescents underscore the importance of accurate sexual health histories for disease prevention and management.
  • Provider-focused strategies have demonstrated effectiveness in enhancing the delivery of preventive services like sexual health screenings.

Purpose of the Study:

  • To assess the impact of a provider education and electronic health record (EHR) modification initiative on adolescent sexual activity screening rates.
  • To evaluate the feasibility and cost-effectiveness of this intervention in improving provider capacity for adolescent sexual health screenings.

Main Methods:

  • A multi-site initiative involving four school-based health centers and one school-linked center.
  • A biphasic intervention comprising education for advanced practice providers and EHR modifications.
  • Retrospective medical chart review of 2,102 unique patients (ages 9-24) from 2018 to 2021 to compare pre- and post-intervention screening rates.

Main Results:

  • Significant increases in screening rates for adolescent sexual activity were observed post-intervention (all p < .001).
  • The likelihood of screening more than doubled compared to the year prior to the intervention.
  • The intervention demonstrated a significant positive effect on provider willingness and ability to conduct screenings.

Conclusions:

  • The provider education and EHR modification strategy is a feasible and cost-effective method to enhance adolescent sexual health screenings.
  • This initiative successfully improved the rates of essential preventive sexual health services for adolescents within primary care settings.