Intervention to Increase Discussion of Sexual Health and Sexually Transmitted Infection Screening in Primary Care, Focusing on Adolescents and Young Adults

Abstract: Background: In the U.S. and around the world, sexually transmitted infections (STIs) are rising in alarming numbers. The Centers for Disease Control recommends risk assessment and appropriate screening to prevent long term complications. Local problem: In the local setting, primary care providers inconsistently discuss sexual health as part of their yearly wellness exams and do not regularly offer or order STI screening. Methods: This quality improvement project was designed to promote discussion of sexual health, assessment of risk for STI and increase STI screening, among eligible patients at a suburban primary care clinic. Providers’ patterns of discussion of sexual health, pattern of ordering STI screening, comfort in screening guidelines and willingness to order screening were analyzed. Additionally, rates of STI screening post-intervention and provider’s experience discussing sexual health were analyzed. Intervention: The intervention encompassed the implementation of the Five P’s questionnaire to facilitate discussion of sexual health and identification of patients at risk of STI as part of the yearly wellness visit for adolescents and young adults ages 18-25. Results: The introduction of the Five P’s questionnaire began to have a clinical impact in provider patterns in discussion of sexual health and assessment of STI risk, compared with previous screening practices at a suburban primary care clinic. Conclusion: A validated, structured tool can facilitate discussion of sexual health and can lead primary care providers to identify patients at risk for STI.

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Work Title Intervention to Increase Discussion of Sexual Health and Sexually Transmitted Infection Screening in Primary Care, Focusing on Adolescents and Young Adults
Access
Open Access
Creators
  1. Diana Harrison
Keyword
  1. DNP Project
  2. Sexually Transmitted Infections
  3. STI
  4. Sexually Transmitted Diseases
  5. STDs
  6. Primary Care
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Project
Acknowledgments
  1. Dr. Sandra Halbruner DNP
  2. Dr. Sheldon Fields PhD
  3. Dr. Jocelyn Anderson PhD
Publication Date March 27, 2023
Subject
  1. Quality improvement Project
Language
  1. English
Geographic Area
  1. Greater Philadelphia Area
Deposited March 27, 2023

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Version 1
published

  • Created
  • Updated
  • Added Creator Diana Harrison
  • Added Creator Dr. Sandra Halbruner DNP
  • Added Creator Dr. Sheldon Fields PhD
  • Added Creator Dr. Jocelyn Anderson PhD
  • Added Intervention to Increase Discussion of Sexual Health and Sexually Transmitted Infection Screening in Primary Care, Focusing on Adolescents and Young Adults-Diana P Harrison.pdf
  • Updated Publication Date, License Show Changes
    Publication Date
    • 2023-3-27
    • 2023-03-27
    License
    • https://rightsstatements.org/page/InC/1.0/
  • Published

Version 2
published

  • Created
  • Updated Acknowledgments Show Changes
    Acknowledgments
    • Dr. Sandra Halbruner DNP, Dr. Sheldon Fields PhD, Dr. Jocelyn Anderson PhD
  • Deleted Creator Dr. Sandra Halbruner DNP
  • Deleted Creator Dr. Sheldon Fields PhD
  • Deleted Creator Dr. Jocelyn Anderson PhD
  • Published

Version 3
published

  • Created
  • Updated Description Show Changes
    Description
    • Abstract
    • Abstract:
    • Background: In the U.S. and around the world, sexually transmitted infections (STIs) are rising in alarming numbers. The Centers for Disease Control recommends risk assessment and appropriate screening to prevent long term complications.
    • Local problem: In the local setting, primary care providers inconsistently discuss sexual health as part of their yearly wellness exams and do not regularly offer or order STI screening.
    • Methods: This quality improvement project was designed to promote discussion of sexual health, assessment of risk for STI and increase STI screening, among eligible patients at a suburban primary care clinic. Providers’ patterns of discussion of sexual health, pattern of ordering STI screening, comfort in screening guidelines and willingness to order screening were analyzed. Additionally, rates of STI screening post-intervention and provider’s experience discussing sexual health were analyzed.
    • Intervention: The intervention encompassed the implementation of the Five P’s questionnaire to facilitate discussion of sexual health and identification of patients at risk of STI as part of the yearly wellness visit for adolescents and young adults ages 18-25.
    • Results: The introduction of the Five P’s questionnaire began to have a clinical impact in provider patterns in discussion of sexual health and assessment of STI risk, compared with previous screening practices at a suburban primary care clinic.
    • Conclusion: A validated, structured tool can facilitate discussion of sexual health and can lead primary care providers to identify patients at risk for STI.
  • Published
  • Updated Publisher Show Changes
    Publisher
    • Diana P Harrison

Version 4
published

  • Created
  • Deleted Intervention to Increase Discussion of Sexual Health and Sexually Transmitted Infection Screening in Primary Care, Focusing on Adolescents and Young Adults-Diana P Harrison.pdf
  • Added Intervention to Increase Discussion of Sexual Health and Sexually Transmitted Infection Screening in Primary Care Focusing on Adolescents and Young Adults_Diana Harrison .pdf
  • Updated License Show Changes
    License
    • https://rightsstatements.org/page/InC/1.0/
    • https://creativecommons.org/licenses/by-nc-nd/4.0/
  • Updated License Show Changes
    License
    • https://creativecommons.org/licenses/by-nc-nd/4.0/
    • https://www.gnu.org/licenses/gpl.html
  • Updated License Show Changes
    License
    • https://www.gnu.org/licenses/gpl.html
    • https://rightsstatements.org/page/NoC-US/1.0/
  • Updated License Show Changes
    License
    • https://rightsstatements.org/page/NoC-US/1.0/
    • https://rightsstatements.org/page/InC/1.0/
  • Published

Version 5
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  • Created
  • Updated License Show Changes
    License
    • https://rightsstatements.org/page/InC/1.0/
    • https://creativecommons.org/licenses/by-nc-nd/4.0/
  • Published