The proposed research hypothesizes that point-of-care testing (POCT) for sexually transmitted infections (STIs) gonorrhea and chlamydia will be a feasible, acceptable, and appropriate implementation strategy for improving HIV testing and Pre-exposure prophylaxis (PrEP) delivery in youth, by increasing opportunities for clinician-patient counseling, decreasing loss to follow up, and allowing for same-day HIV prevention service provision. This hypothesis will be tested in a pragmatic non-randomized trial comparing clinical (HIV testing and PrEP counseling and prescription) and implementation (feasibility, acceptability, and appropriateness) outcomes between adolescents receiving POCT compared to laboratory-based testing at three clinics within a large pediatric health system.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
6,460
Point-of-care testing for sexually transmitted infections.
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
RECRUITINGRates of HIV Test Completion
Rates of HIV test completion on the day of gonorrhea/chlamydia testing will be compared between those who receive point-of-care vs. lab-based STI testing.
Time frame: Day 1 - Measured on date of STI testing
Number of participants who received PrEP counseling
PrEP counseling will be measured using visit note data from the date of the STI testing encounter
Time frame: Day 1 - Same day as STI testing encounter
Time to STI treatment
Days between STI test order and delivery of antibiotics for STI treatment, measured using EHR data
Time frame: Time from STI diagnosis to treatment, up to 9 months
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