Participant #:
Medical Record Number	Date of Visit:
Interview questions
Parents/guardians
How old are you?
What is your race?
What is your sex?
What type of insurance do you have?
How old is your child?
What is your child's sex?
What is your child's race?
As far as you know, has your child ever been tested for STDs before? If yes, where does your child typically go for STD testing?
Do you think that your child needs STD testing during a future ED visit? Why or why not?
What concerns would you have in regard to an STD screening program? Payment/insurance coverage, confidentiality, other?
What problems do you see with developing a process in the ED aimed at screening all teens aged 14 to 21 y for gonorrhea and chlamydia if they agree to the screening?
What would prevent your child from agreeing to STD screening? Pain or discomfort, time, embarrassment, stigma, confidentiality?
How likely is it that your teen has an STD or may have an STD in the future?
How serious would it be if your teen had an STD?
How serious would it be if your teen has an STD and does know it?
What are the benefits of having an STD screening program in the ED? Easier access to care, convenience, early detection of infection?
What would motivate your teen to agree to STD testing in the ED?
Do you think that your teen would agree to STD testing in the ED if an ED physician or nurse recommended testing? What if the recommendation for testing were on an iPad that your teen was given and he or she could participate through a click on the iPad (or paper) instead of direct interaction with a physician or nurse? Would your teen be comfortable using an iPad?
Would your interest in STD screening change according to the reason for your child's visit? If it were a serious injury or illness vs a minor one?
Ohio law states that teens can be tested for STDs without a parent's permission and any positive results can be shared with the parent only if the teen agrees. Knowing this, what kind of follow-up care would you like if your child did test positive for an STD?
Who would be the best person to approach your child to ask whether he or she would like STD testing? Physician, nurse, other? Would you prefer a person (MD or RN) to approach your child about testing or to have him or her be asked about testing though a computer or iPad?
When would be the best time during your child's ED visit to approach him or her? In triage, in a private examination room? Would it differ according to the approach; for example, a person discussing the testing vs a question on a computer screen?
Would you prefer that a pamphlet be available to your child for reviewing the process before he or she is approached for testing?
As a parent, would you be comfortable if asked to leave the room so that your child could be approached confidentially? If so, how would you suggest keeping this information confidential if a parent is with the teen in the ED?
Is there anything else that we should consider before offering STD testing to teens?
Teens
How old are you?
What is your race?
What is your sex?
What type of insurance do you have?
Have you ever been screened for STDs before? If yes, where do you typically go for STD testing?
Do you think that you need STD testing?
Would you want STD testing during a future ED visit? Why or why not?
What concerns would you have in regard to an STD testing program? Payment/insurance coverage, confidentiality, other?
What problems do you see with developing a process in the ED aimed at screening all teens aged 14 to 21 y for gonorrhea and chlamydia if they agree to the screening?
What would prevent you from agreeing to STD screening? Pain or discomfort, time, embarrassment, stigma, confidentiality?
How likely is it that you may have an STD right now?
How likely is it that you may have an STD in the future?
How serious would it be if you had an STD?
How serious would it be if you had an STD and didn’t know it?
What are the benefits of having an STD screening program in the ED? Easier access to care, convenience, early detection of infection?
What would motivate you to receive STD testing in the ED?
Do you think that you would agree to STD testing in the ED if an emergency physician or nurse recommended testing? What if the recommendation for testing were on an iPad (or paper) and you could agree to participate through a click on the iPad rather than direct interaction with an MD or RN?
Do you think your friends would be more likely to agree to screening if we asked the question on an iPad/computer? Why or why not?
Would your interest in STD screening change according to the reason for your visit? If it were a more serious illness or injury versus a minor one?
Ohio law states that teens can be tested for STDs without a parent’s permission and any positive results can be shared with the parent only if the teen agrees. Knowing this, if you tested positive, you would need treatment. Where would you like to go for treatment? Would you be able to pick up a prescription at a pharmacy without your parent knowing? What other kind of follow-up care would you want?
Who would be the best person to approach you to ask whether you would like STD testing? Physician, nurse, other? Would you prefer a person (MD or RN) to approach you about testing or to be asked about testing through a computer or iPad?
When would be the best time during your ED visit to approach you? In triage, in the private examination room? Would it differ according to the approach; for example, a person discussing the testing vs a question on a computer screen?
Would you prefer that a written pamphlet be available for you to review the process before being approached for testing? Would you think that if you received this pamphlet that your parent would then know that you were asked and possibly agreed to STI testing? Would this be a problem and prevent you from agreeing to testing?
Would you like it if we asked your parent to leave the room so that you could be approached privately (confidentially)? What other ways could we approach you privately? If you answered the questions on an iPad/ computer, would you still prefer that your parent leave the room?
Is there anything else we should consider before offering STD testing to teens?