Background: Chlamydia trachomatis is common among sexually active adolescents and young adults and is frequently asymptomatic. Young people have demonstrated a lack of knowledge about Chlamydia with regard to symptoms, testing methods, and treatment and have expressed an interest in having access to more information about Chlamydia. Purpose: The purpose of this study was to explore the availability and type of Chlamydia patient educational materials available in clinics serving adolescents and to elicit teen reactions, attitudes, and opinions toward existing pamphlets. Methods: Following IRB approval, the study was conducted in 2 phases. Phase 1: A one-page community survey about availability, location, and topics of patient education materials was administered to nine clinics providing family planning, sexually transmitted diseases or general adolescent health services in a large city in the Northeast. Chlamydia pamphlets were also requested from each clinic. Phase 2: A representative sample of ten pamphlets was chosen for use in an audio taped focus group interview conducted with nine 15 to 17 year old members of a youth center teen action group. A semi-structured interview guide was used to elicit teen reactions to the Chlamydia pamphlets. The audiotape was transcribed verbatim and textual data were categorized using qualitative content analysis techniques. Data were coded by two investigators into categories of responses based on research questions and spontaneously offered participant comments. Inter-coder agreement was calculated at 81%. Results: Phase 1: All but one clinic provided a Chlamydia pamphlet; however, only one clinic had pamphlets freely accessible to patients. In most clinics, information was provided to patients only if specifically requested or at the discretion of providers. Phase 2: Overall, the Chlamydia pamphlets did not appeal to the adolescents involved in the focus group interview. Favorable features included: up-to-date styling and colors; the word “teen” on the front cover; smaller pamphlet size; use of a large font with a minimum of text; bulleted or question and answer format rather than paragraph form; pictures and diagrams. Additionally, use of the back cover to provide succinct testing site information was recommended by teens. Conclusions: In this study, ready access to Chlamydia information at clinics serving adolescent patients was limited, and existing pamphlets lacked many features appealing to teens. Teens in this study offered many ideas about ways to make pamphlets more interesting to other teens. Creation of pamphlets designed by teens and targeting teens may motivate more at-risk youth to take advantage of Chlamydia screening services. However, widespread access to these pamphlets will also be necessary if they are to be of any benefit. Support: Commonwealth Medicine Mini Grant and NIH 1 K23 AI01750. PII: S1054-139X(04)00377-5 EATING DISORDERS, DISORDERED EATING AND PHYSICAL ACTIVITY