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Incorporating SMS Reminders into a School Based STD Screening Program

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Data results and lessons learned from the inclusion of SMS reminders as an expansion of a school-based STD screening program. Presented by Veronica Whycoff from the DC Department of Health at YTH Live …

Data results and lessons learned from the inclusion of SMS reminders as an expansion of a school-based STD screening program. Presented by Veronica Whycoff from the DC Department of Health at YTH Live 2014 session "Advances in STD Diagnosis and Results."


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  • 1. Lessons  Learned:  Incorpora.ng  Text   Message  Reminders  into  a  School   Based  STD  Screening  Program   Veronica  Whycoff,  MSW   DC  Department  of  Health   HIV/AIDS,  Hepa..s,  STD  and  TB   Administra.on      
  • 2. DC School Based STD Screening Program   •  All  DC  Public  High  Schools   Par.cipate   •  In  existence  since  2009   •  Opt  out  program   •  Urine  based  Gonorrhea  and   Chlamydia  screening   •  Results  available  within  a  week   over  the  phone   •  Op.on  to  received  treatment  at   school  within  7-­‐10  days      
  • 3. Chlamydia  Rates  by  Age  and  Sex,  2011    
  • 4. Gonorrhea  Rates  by  Age  and  Sex,  2011    
  • 5. Reported  Chlamydia  Cases  by  Year  of  Report   and  Age  at  Diagnosis,  Washington,  DC  
  • 6.   Reported  Gonorrhea  Cases  by  Year  of  Report   and  Age  at  Diagnosis,  Washington,  DC    
  • 7. School  Based  STD  Screening  Program   Timeline  (Academic  Years)   • Advocacy     • Internal   commitment   2006   • DOH  Wide  Buy   in   • Parents,   Principals,   Teacher  buy  in   2007   • Pilot   • Real  Talk  Text   Messaging   2008   Implementa.on   (22  schools)  2009  
  • 8. School  Based  Screening  Program   Timeline  (  Academic  Years)   • Full  scale   • Clinical  provider   partnership   • HIV  &   Pregnancy   Tes.ng   • Text  Messaging   2010   Added  Peer   Counseling  2011   Addi.onal  text   messaging  at  3   weeks  and  3   months   2012   HIV  tes.ng  in  10   schools  2013  
  • 9.   DC  School  Based  STD  Screening  Program  Results    
  • 10. Text  Messaging  Campaign     •  84%  of  youth  say  text  is  their  preferred  method  of   communica.on   •  64%  of  youth  screened  provided  a  number  for  us  to   text   •  25%  of  those  who  called  in  and  asked  survey   ques.ons    state  they  called  in  because  of  text   message   •  In  2012  added  2  more  text  messages   –  3  weeks  –Don’t  forget  to  get  your  partner  tested   –  3  months-­‐  Retest!    
  • 11.     Our  Successes   HIV  Tes.ng  in   Schools   Expanded  text   messaging   Increased   treatment  rates  
  • 12. Our  Challenges   •  Text  messages  added  but  was  no  connected   to  data  collec.on  opportunity   •  Capacity(  lack  of  man  power,  budget  cuts,   vacant  posi.ons,  interns  and  others  used  to   staff  program)   •  Inconsistent  data  collec.on   •  Data  collec.on  is  not  always  connected  to  the   way  we    work    (  data  collec.on  vs  mee.ng  the   need)  
  • 13. What’s  Next  for  Us?   •  Matching the actions to the data( or tying our actions to data) –  Text message 1 tied to results notification and survey collection –  Text message 2 tied to partner referral –  Text message 3 tied to 3 month follow up screening •  Matching the work to capacity –  Realigning our team and partnerships –  Dedicated time/person for technology add-ons –  Interns as a compliment not an answer –  Student health is where resources need to be concentrated
  • 14. What’s  Next  for  Us?   •  Looking  at  new  ways  to  work   –  Electronic Health Record/Patient Portal for results –  Survey prompt when accessing results will let us know if youth by pass it and will eliminate the issue of staff error –  Phone counseling for high risk youth •  Allows us to counsel, refer and follow up ( closing the screen, treat, and re-screen loop) –  Resource and Referral app in the process of being developed by Education and Behavioral Health Dept.
  • 15. Many  Thanks  to….  
  • 16. Contact  Infoma.on   Veronica  Whycoff,  MSW   STD  Educa.on  and  Outreach  Manager   Veronica.whycoff2@dc.gov