{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:53:27Z","timestamp":1791978807436,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,7,3]],"date-time":"2016-07-03T00:00:00Z","timestamp":1467504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>The Project Connect Health Systems Intervention (Project Connect) uses a systematic process of collecting community and healthcare infrastructure information to craft a referral guide highlighting local healthcare providers who provide high quality sexual and reproductive healthcare. Previous self\u2010report data on healthcare usage indicated Project Connect was successful with sexually experienced female youth, where it increased rates of human immunodeficiency virus (<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>) and sexually transmitted disease (<jats:styled-content style=\"fixed-case\">STD<\/jats:styled-content>) testing and receipt of contraception. This adaption of Project Connect examined its effectiveness in a new context and via collection of clinic encounter\u2010level data.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Project Connect was implemented in 3 high schools. (only 2 schools remained open throughout the entire project period). Participant recruitment and data collection occurred in 5 of 8 participating health clinics. Students completed Youth Surveys (N\u2009=\u2009608) and a Clinic Survey (paired with medical data abstraction in 2 clinics [N\u2009=\u2009305]).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Students were more likely than nonstudents to report having reached a clinic via Project Connect. Nearly 40% of students attended a Project Connect school, with 32.7% using Project Connect to reach the clinic. Students were most likely to have been referred by a school nurse or coach.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Project Connect is a low\u2010cost, sustainable structural intervention with multiple applications within schools, either as a standalone intervention or in combination with ongoing efforts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12414","type":"journal-article","created":{"date-parts":[[2016,7,4]],"date-time":"2016-07-04T00:10:42Z","timestamp":1467591042000},"page":"595-603","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effectiveness of an Adaptation of the Project Connect Health Systems Intervention: Youth and Clinic\u2010Level Findings"],"prefix":"10.1111","volume":"86","author":[{"given":"Penny S.","family":"Loosier","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention  1600 Clifton Road, MS\u2010E02, Atlanta GA 30333"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelli","family":"Doll","sequence":"additional","affiliation":[{"name":"HIV Care and Prevention Section, Michigan Department of Health and Human Services  Lansing, MI 48913"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Lepar","sequence":"additional","affiliation":[{"name":"Center for Data Management and Translational Research, Michigan Public Health Institute  Okemos, MI 48864"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Ward","sequence":"additional","affiliation":[{"name":"Center for Data Management and Translational Research, Michigan Public Health Institute  Okemos, MI 48864"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ginger","family":"Gamble","sequence":"additional","affiliation":[{"name":"Center for Data Management and Translational Research, Michigan Public Health Institute  Okemos, MI 48864"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia J.","family":"Dittus","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, 1600 Clifton Road, MS\u2010E44  Atlanta, GA 30333"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,3]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Sexually Transmitted Disease Surveillance 2013","author":"US Centers for Disease Control and Prevention","year":"2014"},{"issue":"1","key":"e_1_2_7_3_1","first-page":"43","article-title":"Trends in teen pregnancy rates from 1996\u20102006: a comparison of Canada, Sweden, U.S.A., and England\/Wales","volume":"19","author":"McKay A","year":"2010","journal-title":"Can J Hum Sex"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000194584.80513.4a"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2014.04.009"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1363\/4122509"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839913499347"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2601"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.04.017"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0967"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.00240.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181e50044"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.04.005"},{"key":"e_1_2_7_14_1","unstructured":"US Centers for Disease Control and Prevention. The Project Connect Implementation Guide. Available at:http:\/\/www.cdc.gov\/std\/projects\/connect\/guide.htm. Accessed October 15 2015."},{"key":"e_1_2_7_15_1","unstructured":"Michigan Department of Health and Human Services. Michigan Sexually Transmitted Diseases Database sexually transmitted disease section Division of HIV\/AIDS\u2010STD 2010. Available at:http:\/\/www.mdch.state.mi.us\/pha\/osr\/CHI\/STD_H\/SD10ST3A.ASP. Accessed May 3 2016."},{"key":"e_1_2_7_16_1","unstructured":"Family PACT welcome page. Family PACT web site. Available at:http:\/\/www.familypact.org\/. Accessed December 30 2014."},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839913499347"},{"key":"e_1_2_7_18_1","unstructured":"Get Tested. National STD and HIV Testing. Available at:http:\/\/gettested.cdc.gov\/. Accessed January 21 2015."},{"key":"e_1_2_7_19_1","unstructured":"Adolescent Pregnancy Prevention Campaign of North Carolina. The Playbook. Available at:http:\/\/www.appcnc.org\/projects\u2010services\/the\u2010playbook. Accessed January 15 2015."},{"key":"e_1_2_7_20_1","unstructured":"City of New York. Teens in NYC\u2026 sexual health and pregnancy: clinics for teens. Available at:http:\/\/www.nyc.gov\/html\/doh\/teen\/html\/sexual\u2010health\u2010pregnancy\/clinics.shtml. Accessed January 15 2015."},{"key":"e_1_2_7_21_1","unstructured":"Georgia Campaign for Adolescent Power and Potential. gPower. Available at:http:\/\/www.gpowernow.org\/. Accessed January 15 2015."},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000058"},{"key":"e_1_2_7_23_1","unstructured":"DeRosaC. Project connect provider intervention: adoption by the Los Angeles County Department of Public Health. 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