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• W2605303477 abstract "Long-acting reversible contraceptives (LARC) are highly recommended as contraceptive methods for adolescents, who are at high risk of both unintended pregnancy and sexually transmitted infections (STI). STI testing at the time of intrauterine device placement is an important part of preventing pelvic inflammatory disease. Adolescents are often difficult to confidentially contact to provide important medical results and recommendations. Text-messaging has been shown to be effective for health promotion with adolescents, and text-messaging STI results has been proven effective with adults. In our Adolescent Medicine and Gynecology clinic, patients and staff identified a need for text-messaging communication to provide prompt, reliable and confidential STI results to adolescents following LARC placement. The aim of this project was to demonstrate feasibility of such a process. This project was approved through the Seattle Children’s Hospital Office of Quality and Safety as a Continuous Process Improvement project. A reliable method for text-messaging of STI test results was developed with input from the hospital’s ethics, legal services, risk management, and health information management services. Following approval, we began text messaging of STI results using a web-based texting system. Nurses met with adolescents at the time of LARC placement to confirm their interest in receiving results via text. If the patient agreed, nurses collected the adolescent’s phone number and cell phone carrier at the time of LARC placement. Negative results were communicated using the message “Everything is OK ADO clinic” and positive results were communicated as “Please call the ADO clinic at 206-987-2028 #4.” 50 adolescents were provided STI test results via text-message during our 4-month project period. Of these, one patient was positive for chlamydia. She responded to our text-message twenty minutes after it was sent, and treatment and follow-up was arranged. Nurses were able to provide results within the same business day that the providers requested patient notification. Nurses reported no problems with the new method, and also received positive feedback from patients. There were no reported incidents of breach of confidentiality due to text messaging. This project demonstrates the feasibility of using text messaging for confidential, efficient, and effective delivery of STI test results to adolescents following LARC placement. We perceived high patient and nurse satisfaction with this method of communication. This project was undertaken as a pilot project, and further research should compare patient satisfaction, nursing satisfaction, and effectiveness of communication between text-messaging and traditional methods." @default.
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• W2605303477 date "2017-04-01" @default.
• W2605303477 modified "2023-10-14" @default.
• W2605303477 title "Text-Message Delivery of Sexually Transmitted Infection Test Results to Adolescents Following Long-Acting Reversible Contraceptive Placement" @default.
• W2605303477 doi "https://doi.org/10.1016/j.jpag.2017.03.071" @default.
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