Pelvic Inflammatory Disease (PID) Clinical Trial
Official title:
Technology Enhanced Community Health Nursing (TECH-N) to Prevent Recurrent Sexually Transmitted Infections After Pelvic Inflammatory Disease
The investigators are enrolling 350 young women 13-25 years old diagnosed with pelvic inflammatory disease (PID) in Baltimore and randomize them to receive community health nurse (CHN) clinical support using a single post-PID face-to-face clinical evaluation and short messaging system communication support during the 30. The investigators hypothesize that repackaging the recommended Centers for Disease Control and Prevention (CDC) follow-up visit using a technology-enhanced community health nursing intervention (TECH-N) with integration of an evidence-based sexually transmitted infection (STI) prevention curriculum will reduce rates of short-term repeat infection by improving adherence to PID treatment and reducing unprotected intercourse and be more cost-effective compared with outpatient standard of care (and hospitalization).
Pelvic Inflammatory Disease (PID) remains a serious reproductive health disorder and disease
rates remain unacceptably high among minority adolescent girls and young adult women. Each
episode of this upper reproductive tract infection, usually caused by a sexually transmitted
infection (STI), increases the risk for multiple sequelae including tubal infertility,
ectopic pregnancy, and chronic pelvic pain (CPP). Previous research demonstrates that
inpatient treatment for PID is expensive without incremental increases in effectiveness when
compared with outpatient treatment. The investigators' work and that of others suggest that
additional outpatient cost-effective PID health care supports are needed for this vulnerable
population to improve short and long-term reproductive health outcomes, including recurrent
sexually transmitted infection and PID.
Prior research has also demonstrated that community health nurse (CHN) interventions can
increase access to appropriate resources enhance health care utilization and promote
risk-reducing behavior. The investigators propose that integrating a technology component
conducted by the CHN will increase appeal to adolescent females. The investigators' pilot
data of a text messaging intervention for reproductive health clinical reminders has
demonstrated that use of cell phones to assist urban adolescents residing in high STI
prevalent communities with self-care is both highly acceptable and feasible.
The investigators hypothesize that repackaging the recommended CDC-follow-up visit using a
technology-enhanced community health nursing intervention (TECH-N) with integration of an
evidence-based STI prevention curriculum will reduce rates of short-term repeat infection by
improving adherence to PID treatment and reducing unprotected intercourse and be more
cost-effective compared with outpatient standard of care (and hospitalization). We are
enrolling 350 young women 13-21years old diagnosed with PID in Baltimore and randomizing them
to receive CHN clinical support using a single post-PID face-to-face clinical evaluation and
SMS communication support during the 30-days following the PID diagnosis or optimized
standard of care.
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