TY - JOUR
T1 - A Research Agenda for Emergency Medicine–based Adolescent Sexual and Reproductive Health
AU - Miller, Melissa K.
AU - Chernick, Lauren S.
AU - Goyal, Monika K.
AU - Reed, Jennifer L.
AU - Ahmad, Fahd A.
AU - Hoehn, Erin F.
AU - Pickett, Michelle S.
AU - Stukus, Kristin
AU - Mollen, Cynthia J.
N1 - Funding Information:
From the 1Department of Pediatrics, Division of Emergency Medical Services, Children's Mercy Hospitals and Clinics, Kansas City, MO; the 2Department of Emergency Medicine and Pediatrics, Columbia University, New York, NY; the 3Department of Pediatrics, Children's National Medical Center, The George Washington University, Washington, DC; the 4Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; the 5Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH; the 6Department of Pediatrics, Washington University School of Medicine, St. Louis, MO; the 7Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI; the 8Department of Pediatrics, Division of Emergency Medicine, Nationwide Children's Hospital, Columbus, OH; and the 9Department of Pediatrics, Division of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA. Received February 18, 2019; revision received April 29, 2019; accepted May 11, 2019. This work was supported in part by the Eunice Kennedy Shriver National Institute of Child Health and Human Development/National Institutes of Health (NIH) Career Development Awards (K23HD083405 to MKM, K23HD075751 to JLR, and K23HD070910 to MKG); The National Center for Advancing Translational Sciences/NIH (UL1TR000040 to LSC); and the National Cancer Institute/NIH diversity supplement award (R01CA181047 to MLP). The funding sources had no role in the design and conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review, or approval of the manuscript. The authors have no potential conflicts to disclose. Supervising Editor: Brian C. Hiestand, MD. Address for correspondence and reprints: Melissa K. Miller, MD; e-mail: [email protected]. ACADEMIC EMERGENCY MEDICINE 2019;26:1357–1368.
Publisher Copyright:
© 2019 by the Society for Academic Emergency Medicine
PY - 2019/12/1
Y1 - 2019/12/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85076194417&partnerID=8YFLogxK
U2 - 10.1111/acem.13809
DO - 10.1111/acem.13809
M3 - Article
C2 - 31148339
AN - SCOPUS:85076194417
SN - 1069-6563
VL - 26
SP - 1357
EP - 1368
JO - Academic Emergency Medicine
JF - Academic Emergency Medicine
IS - 12
ER -