Efficacy of a Technology-Enhanced Community Health Nursing Intervention vs Standard of Care for Female Adolescents and Young Adults With Pelvic Inflammatory Disease: A Randomized Clinical Trial

JAMA Network Open
Maria E TrentArlene Butz

Abstract

Pelvic inflammatory disease (PID) is a common reproductive health disorder that disproportionately affects female adolescents and young adults. Despite data indicating poor adherence and adverse outcomes among those who experience subsequent Neisseria gonorrhoeae and Chlamydia trachomatis infection, few trials have been designed to address this public health need. To examine the efficacy of a technology-enhanced community health nursing (TECH-N) intervention vs standard of care for improving PID self-management behaviors and 90-day longitudinal prevalence of N gonorrhoeae and C trachomatis infection. This randomized clinical trial of the TECH-N intervention was conducted among female patients 13 to 25 years of age diagnosed with mild to moderate PID who were being discharged to outpatient treatment from September 6, 2012, to December 8, 2016, at a large academic medical center. The final analysis of data was completed in November 2018. This study compared the efficacy of the intervention with that of the standard of care using an intention-to-treat analysis. Enrolled participants completed an audio computer-assisted self-interview, provided specimens for N gonorrhoeae and C trachomatis testing, and were randomized to standard t...Continue Reading

References

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Feb 21, 2006·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Maria TrentJonathan M Ellen
Jun 20, 2006·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Maria TrentAllen Walker
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Mar 14, 2008·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Loretta Sweet JemmottAnn O'Leary
Jan 5, 2011·Archives of Pediatrics & Adolescent Medicine·Maria TrentRoberta Ness
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May 24, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Maria TrentKathy Tomaszewski

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