{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T06:45:17Z","timestamp":1775889917910,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23MH119976"],"award-info":[{"award-number":["K23MH119976"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To increase\n                      <jats:italic>Chlamydia trachomatis<\/jats:italic>\n                      screening in adolescents 15\u201319\u2009years of age from 7.8% to 15% following a 6\u2010week implementation of universal chlamydia screening at three paediatric primary care (PPC) sites.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pre\u2010implementation (1 January 2022\u201319 October 2022) and post\u2010implementation (20 October 2022\u20131 June 2023) screening rates were tracked through run charts and compared via Chi\u2010square testing. Universal opt\u2010out chlamydia screening with universal urine collection for 15\u2010 to 19\u2010year\u2010old was implemented at well visits, along with patient and staff education, and sexually transmitted infection treatment protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Chlamydia trachomatis<\/jats:italic>\n                      screening increased from 7.8% to 34.1% with implementation of universal opt\u2010out chlamydia screening. Proportions of patients screened increased significantly among White individuals, males and privately insured individuals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      A universal\n                      <jats:italic>C. trachomatis<\/jats:italic>\n                      screening project can be feasibly implemented in pediatric primary care and successfully increase adolescent chlamydia screening rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession<\/jats:title>\n                    <jats:p>\n                      Implementing a universal opt\u2010out\n                      <jats:italic>C. trachomatis<\/jats:italic>\n                      screening project is feasible in PPC and can help achieve the public health goal of chlamydia identification and treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>\n                      These findings will be impactful for both paediatric primary care and adolescent patients. The universal, opt\u2010out\n                      <jats:italic>C. trachomatis<\/jats:italic>\n                      screening approach facilitated screening increases, improved equity in screening and led to increased case detection and treatment which has vast significance for those patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This manuscript is submitted using the SQUIRE 2.0 guidelines for quality improvement reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Contribution<\/jats:title>\n                    <jats:p>Patient contribution included de\u2010identified data collection of chlamydia screening rates of eligible adolescents 15\u201319\u2009years old who attended routine well visits at the three PPC locations. The data were reviewed on a dashboard, then stratified by race, ethnicity, payor and sex assigned at birth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16595","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T07:34:54Z","timestamp":1730705694000},"page":"8028-8035","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescent Chlamydia Screening in Pediatric Primary Care: A Quality Improvement Project"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6003-6414","authenticated-orcid":false,"given":"Leigh","family":"Foppert","sequence":"first","affiliation":[{"name":"Center for Healthcare Quality and Analytics Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Bowles","sequence":"additional","affiliation":[{"name":"The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haley","family":"Belardo","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosie","family":"Zeno","sequence":"additional","affiliation":[{"name":"The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Hosley","sequence":"additional","affiliation":[{"name":"The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Wood","sequence":"additional","affiliation":[{"name":"Division of Adolescent Medicine Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_2_17_2_1","first-page":"1","article-title":"Teenagers in the United States: Sexual Activity, Contraceptive Use, and Childbearing, 2015\u20132019","volume":"196","author":"Abma J. 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