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A qualitative analysis of adolescent and caregiver acceptability of universally offered gonorrhea and chlamydia screening in the pediatric emergency department

Reed, Jennifer L, M.D.

Abstract Details

2017, MS, University of Cincinnati, Medicine: Clinical and Translational Research.
Objective: To qualitatively explore adolescent and parent/guardian attitudes about benefits and barriers to universally offered gonorrhea (GC) and chlamydia (CT) screening and modalities for assessing interest in screening in the pediatric ED. Methods: A convenience sample of forty 14-21 year-olds and parents/guardians of adolescents presenting to an urban and community pediatric ED with any chief complaint, participated in individual, semi-structured, confidential interviews. Topics included support of universally offered GC/CT screening, barriers and benefits to screening, and modalities for assessing interest in screening. Data were analyzed using framework analysis. Results: Almost all adolescents (37/40, 93%) and parents (39/40, 98%) support offering ED GC/CT screening. Benefits include earlier diagnosis/treatment, convenience and transmission prevention (cited by both groups) and improved education and long-term health (cited by parents/guardians). Barriers include concerns about confidentiality and cost (cited by both groups), embarrassment (cited by adolescents), and nondisclosure to parents/guardians (cited by parents/guardians). Adolescents prefer that the request for GC/CT screening be presented in a private room using tablet technology. Both note that the advantages to tablets included confidentiality and adolescents’ familiarity with technology. Adolescents note that tablet use would address concerns about bringing up GC/CT screening with clinicians, while parents/guardians note that tablets may increase screening but expressed concern about the lack of personal interaction. Conclusions: Universally offered GC/CT screening in a pediatric ED is acceptable to the adolescents and parents/guardians in this study. Offering a tablet-based method to assess interest in screening may increase participation.
Erin Haynes, Dr.P.H. (Committee Chair)
Evaline Alessandrini, M.D. (Committee Member)
Jessica Kahn (Committee Member)
24 p.

Recommended Citations

Citations

  • Reed, M.D., J. L. (2017). A qualitative analysis of adolescent and caregiver acceptability of universally offered gonorrhea and chlamydia screening in the pediatric emergency department [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin14907017879557

    APA Style (7th edition)

  • Reed, M.D., Jennifer. A qualitative analysis of adolescent and caregiver acceptability of universally offered gonorrhea and chlamydia screening in the pediatric emergency department. 2017. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin14907017879557.

    MLA Style (8th edition)

  • Reed, M.D., Jennifer. "A qualitative analysis of adolescent and caregiver acceptability of universally offered gonorrhea and chlamydia screening in the pediatric emergency department." Master's thesis, University of Cincinnati, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin14907017879557

    Chicago Manual of Style (17th edition)