Trial reportAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2022
A multi-media digital intervention to improve the sexual and reproductive health of female adolescent emergency department patients.
Trial report in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Effects of Digital Health Interventions to Promote Safer Sex Behaviors Among Youth: Systematic Review and Bayesian Network Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- A Randomized Controlled Trial of a Digital Intervention to Improve the Sexual Health of Adolescent and Young Adult Male Emergency Department Patients.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Trial
- Inclusion of underserved young people in digital public health interventions for mental health, sexual health and substance use: A systematic review and intervention component analysis.Internet interventions · 2026Review
- Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- The behavioural and cognitive impacts of digital educational interventions in the emergency department: A systematic review.PLOS digital health · 2025Article
- Improving pre-exposure prophylaxis uptake among Black women in the United States: insights from conducting public health research within emergency department setting.Frontiers in sociology · 2025Article
- A Digital Sexual Health Intervention for Urban Adolescent and Young Adult Male Emergency Department Patients: User-Centered Design Approach.JMIR formative research · 2024Article
- Contraception Initiation in the Emergency Department: Adolescent Perspectives.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Expanding Access to Contraception for Adolescents-Reproductive Justice and the Emergency Department.JAMA network open · 2024Article
- Expanding Contraceptive Access for Teens-Leveraging the Pediatric Emergency Department.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Feasibility of a Contraception Intervention for Hospitalized Adolescents and Young Adults.Hospital pediatrics · 2023Article
- A human-centered designed outreach strategy for a youth contraception navigator program.PEC innovation · 2022Article
- Use of Digital Health Interventions in Sub-Saharan Africa for Health Systems Strengthening Over the Last 10 Years: A Scoping Review Protocol.Frontiers in digital health · 2022Article
- Digital knowledge translation tools for sexual and reproductive health information to adolescents: an evidence gap-map.Therapeutic advances in reproductive healthReview
- Designing illustrative social media stories to promote adolescent peer support and healthy sexual behaviors.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAdolescent females presenting to emergency departments (EDs) inconsistently use contraceptives. We aimed to assess implementation outcomes and potential efficacy of a user-informed, theory-based digital health intervention developed to improve sexual and reproductive health for adolescent females in the ED.
methodsWe conducted a pilot-randomized controlled trial of sexually active female ED patients age 14-19 years. Participants were randomized to the intervention Dr. Erica (Emergency Room Interventions to improve the Care of Adolescents) or usual care. Dr. Erica consists of an ED-based digital intervention along with 3 months of personalized and interactive multimedia messaging. We assessed the feasibility, adoption, and fidelity of Dr. Erica among adolescent female users. Initiation of highly effective contraception was the primary efficacy outcome.
resultsWe enrolled 146 patients; mean (±SD) age was 17.7 (±1.27) years and 87% were Hispanic. Dr. Erica demonstrated feasibility, with high rates of consent (84.4%) and follow-up (82.9%). Intervention participants found Dr. Erica acceptable, liking (98.0%, on Likert scale) and recommending (83.7%) the program. A total of 87.5% adopted the program, responding to at least one text; a total of 289 weblinks were clicked. Dr. Erica demonstrated fidelity; few participants opted out (6.9%) and failed to receive texts (1.4%). Contraception was initiated by 24.6% (14/57) in the intervention and 21.9% (14/64) in the control arms (absolute risk difference [ARD] = 2.7%, 95% confidence interval [CI] = -12.4% to 17.8%). Participants receiving Dr. Erica were more likely to choose a method to start in the future (65.9% [27/41]) than controls (30.0% [15/50]); ARD = 35.9%, 95% CI = 16.6% to 55.1%).
conclusionsA personalized, interactive digital intervention was feasible to implement, acceptable to female ED patients and demonstrated high fidelity and adoption. This ED-based intervention shows potential to improve contraception decision making.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.