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A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health.
Miller, Melissa K; Chernick, Lauren S; Goyal, Monika K; Reed, Jennifer L; Ahmad, Fahd A; Hoehn, Erin F; Pickett, Michelle S; Stukus, Kristin; Mollen, Cynthia J.
Afiliación
  • Miller MK; Department of Pediatrics, Division of Emergency Medical Services, Children's Mercy Hospitals and Clinics, Kansas City, MO.
  • Chernick LS; Department of Emergency Medicine and Pediatrics, Columbia University, New York, NY.
  • Goyal MK; Department of Pediatrics, Children's National Medical Center, The George Washington University, Washington, DC.
  • Reed JL; Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • Ahmad FA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
  • Hoehn EF; Department of Pediatrics, Washington University School of Medicine, St. Louis, MO.
  • Pickett MS; Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • Stukus K; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
  • Mollen CJ; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Acad Emerg Med ; 26(12): 1357-1368, 2019 12.
Article en En | MEDLINE | ID: mdl-31148339
OBJECTIVE: The objective was to identify key questions for emergency medicine (EM)-based adolescent sexual and reproductive health and to develop an evidence-based research agenda. METHODS: We recruited national content experts to serve as advisory group members and used a modified Delphi technique to develop consensus around actionable research questions related to EM-based adolescent reproductive and sexual health care. Author subgroups conducted literature reviews and developed the initial list of research questions, which were iteratively refined with advisory members. External stakeholders then independently rated each item for its importance in expanding the evidence base (1 = not important to 5 = very important) via electronic survey. RESULTS: Our final list of 24 research questions included items that intersected all sexual and reproductive health topics as well as questions specific to human immunodeficiency virus/sexually transmitted infections (HIV/STIs), pregnancy prevention, confidentiality/consent, public health, and barriers and facilitators to care. External stakeholders rated items related to HIV/STI, cost-effectiveness, brief intervention for sexual risk reduction, and implementation and dissemination as most important. CONCLUSIONS: We identified critical questions to inform EM-based adolescent sexual and reproductive health research. Because evidence-based care has potential to improve health outcomes while reducing costs associated with HIV/STI and unintended pregnancy, funders and researchers should consider increasing attention to these key questions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud del Adolescente / Salud Reproductiva / Salud Sexual / Investigación sobre Servicios de Salud Tipo de estudio: Guideline Límite: Adolescent / Female / Humans / Male / Pregnancy Idioma: En Revista: Acad Emerg Med Asunto de la revista: MEDICINA DE EMERGENCIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud del Adolescente / Salud Reproductiva / Salud Sexual / Investigación sobre Servicios de Salud Tipo de estudio: Guideline Límite: Adolescent / Female / Humans / Male / Pregnancy Idioma: En Revista: Acad Emerg Med Asunto de la revista: MEDICINA DE EMERGENCIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos