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• W1997269446 abstract "As children transition into adolescence, their comprehensive care needs change. But, not all pediatric primary care providers have the knowledge and skills necessary to provide comprehensive care to patients as they mature into adolescence. We implemented a training series for pediatric primary care providers (the target audience) and clinic staff throughout the New York City Health and Hospitals Corporation, the largest municipal hospital system in the country. The purpose of this investigation is to evaluate changes in chlamydia screening rates among adolescent patients following the training sessions. Sites were offered the opportunity to schedule up to three one-hour on-site training sessions covering three different topics: minors' rights to confidential care, providing adolescent-friendly sexual and reproductive health care services and screening and treatment guidelines for sexually transmitted infections among adolescents. Trainings occurred from October 2013 to March 2014. We compared screening rates for two 12 month periods (T1: 7/1/2012-6/30/2013; T2: 7/1/2013-6/30/2014). We also calculated odds ratios to assess the association between sites' participation in training and their screening rates for chlamydia. Five hundred thirty-one staff (primary care providers: 57%) from 13 sites (representing 76% of HHC's acute care & diagnostic and treatment facilities) received training. During T2, these sites provided primary care services to 25,430 patients aged 16 to 24. On average, 41% of these patients had been screened for chlamydia during the previous 12 months, which was unchanged from T1. Four sites did not hold any training sessions from the series. They cared for 6,488 patients aged 16 to 24 during the same period. On average, 31% of these patients had been screened for chlamydia during the previous 12 months, a decrease over T1 when the screening rate was 34%. Sites that held any trainings were more likely to experience increases in chlamydia screening rates than sites that participated in no trainings. Odds ratios ranged from 5.6 (for sites that only received training in minors' rights to confidential care) to 31.6 (for sites that only received training in providing adolescent-friendly sexual and reproductive health care services). However, results were not statistically significant. This held true regardless of the number, types or combinations of trainings held. One hour training sessions covering sexual and reproductive health care services for adolescents were not associated with changes in annual chlamydia screening rates. Ensuring staff awareness of sexual and reproductive healthcare guidelines is important but likely insufficient for improving population-level chlamydia screening rates. Accomplishing this may require more intensive group-, individual-, or structural-level strategies to influence actual practice." @default.
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• W1997269446 date "2015-02-01" @default.
• W1997269446 modified "2023-09-27" @default.
• W1997269446 title "151. The Impact of a Multi-site Training Series on Chlamydia Screening Rates Among Adolescent Primary Care Patients in a Public Hospital System" @default.
• W1997269446 doi "https://doi.org/10.1016/j.jadohealth.2014.10.155" @default.
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