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Related Experiment Video

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A Pilot Study of Integrated Digital Tools at a School-Based Health Center Using the RE-AIM Framework.

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Summary

Mobile health tools like RAAPS and Health-E You improved adolescent sexual and reproductive health education and care. Despite workflow challenges, staff supported continued use for their educational impact and potential to reduce health disparities.

Keywords:
Health-E You appRAAPSRE-AIM frameworkadolescents and young adultsmobile healthschool-based health centerssexual and reproductive healthunderserved communities

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Area of Science:

  • Public Health
  • Health Informatics
  • Adolescent Health

Background:

  • Adolescents and young adults (AYAs) face significant barriers to sexual and reproductive health (SRH) services, particularly those from underserved communities.
  • School-Based Health Centers (SBHCs) are critical access points for AYAs, but often require innovative approaches to enhance SRH care delivery.

Purpose of the Study:

  • To evaluate the implementation of integrated mobile health technologies, Rapid Adolescent Prevention Screening (RAAPS) and Health-E You app, within an SBHC setting.
  • To assess the feasibility, effectiveness, and staff/patient experience of using these digital tools to promote SRH care among AYAs.

Main Methods:

  • A multi-method pilot study utilizing the RE-AIM framework.
  • Implementation of RAAPS electronic screening tool and Health-E You app for AYAs (sex-assigned female at birth).
  • Collection of quantitative usage data and qualitative data via interviews and observations; thematic analysis was performed.

Main Results:

  • 35% of 60 AYAs used the integrated tool; 88% completed the Health-E You app only.
  • Staff reported enhanced SRH discussions and improved identification of sensitive issues.
  • Implementation challenges included workflow disruptions, rooming delays, and limited integration with electronic medical records, impacting appointment times.

Conclusions:

  • The integrated RAAPS and Health-E You app platform shows educational value and potential for improving SRH care for vulnerable AYAs.
  • Operational and technical barriers require attention for successful scaling and sustained implementation in SBHCs.
  • These digital tools offer a promising avenue to address SRH disparities and enhance care delivery in school-based settings.