Academic Journal
Mixed-methods evaluation of a novel online STI results service
| Title: | Mixed-methods evaluation of a novel online STI results service |
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| Authors: | Claudia Estcourt, Pam Sonnenberg, Kate Hone, L Tickle, Voula Gkatzidou, Lorna J Sutcliffe, Catherine R H Aicken, S Tariq Sadiq, Jo Gibbs |
| Source: | Sex Transm Infect |
| Publisher Information: | BMJ, 2018. |
| Publication Year: | 2018 |
| Subject Terms: | Adult, Male, Disease Notification/methods, Adolescent, Routine/statistics & numerical data, Sexual Health/statistics & numerical data, Sexually Transmitted Diseases, service delivery, Dermatology, online test results, Ambulatory Care Facilities, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Diagnostic Tests, SDG 3 - Good Health and Well-being, Humans, Mass Screening, Routine, Chlamydia Infections/diagnosis, Disease Notification, sexually transmitted infections, Internet, Text Messaging, clinical sti care, Diagnostic Tests, Routine, chlamydia infection, Chlamydia Infections, 16. Peace & justice, testing, Telephone, 3. Good health, Sexually Transmitted Diseases/diagnosis, Infectious Diseases, Privacy, Female, Digital Communications and Sexual Health, Sexual Health, 0305 other medical science |
| Description: | ObjectivesEvidence on optimal methods for providing STI test results is lacking. We evaluated an online results service, developed as part of an eSexual Health Clinic (eSHC).MethodsWe evaluated the online results service using a mixed-methods approach within large exploratory studies of the eSHC. Participants were chlamydia- positive and negative users of online postal self-sampling services in six National Chlamydia Screening Programme (NCSP) areas and chlamydia-positive patients from two genitourinary medicine (GUM) clinics between 21 July 2014 and 13 March 2015. Participants received a discreetly worded National Health Service ’NHS no-reply’ text message (SMS) informing them that their test results were ready and providing a weblink to a secure website. Participants logged in with their date of birth and mobile telephone or clinic number. Chlamydia-positive patients were offered online management. All interactions with the eSHC system were automatically logged and their timing recorded. Post-treatment, a service evaluation survey (n=152) and qualitative interviews (n=36) were conducted by telephone. Chlamydia-negative patients were offered a short online survey (n=274). Data were integrated.Results92% (134/146) of NCSP chlamydia-positive patients, 82% (161/197) of GUM chlamydia-positive patients and 89% (1776/1997) of NCSP chlamydia-negative participants accessed test results within 7 days. 91% of chlamydia-positive patients were happy with the results service; 64% of those who had tested previously found the results service better or much better than previous experiences. 90% of chlamydia-negative survey participants agreed they would be happy to receive results this way in the future. Interviewees described accessing results with ease and appreciated the privacy and control the two-step process gave them.ConclusionA discreet SMS to alert users/patients that results are available, followed by provision of results via a secure website, was highly acceptable, irrespective of test result and testing history. The eSHC results service afforded users privacy and control over when they viewed results without compromising access. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1472-3263 1368-4973 |
| DOI: | 10.1136/sextrans-2017-053318 |
| Access URL: | https://sti.bmj.com/content/sextrans/94/8/622.full.pdf https://pubmed.ncbi.nlm.nih.gov/29326179 https://openaccess.sgul.ac.uk/id/eprint/109566/1/sextrans-2017-053318.full.pdf https://researchonline.gcu.ac.uk/en/publications/60568b91-7e9a-4e27-b100-16e447eb708a https://doi.org/10.1136/sextrans-2017-053318 https://sti.bmj.com/content/sextrans/94/8/622.full.pdf https://researchonline.gcu.ac.uk/en/publications/mixed-methods-evaluation-of-a-novel-online-sti-results-service https://discovery.ucl.ac.uk/10041875/ https://pubmed.ncbi.nlm.nih.gov/29326179/ https://sti.bmj.com/content/early/2018/01/11/sextrans-2017-053318 https://bura.brunel.ac.uk/handle/2438/15707 https://discovery-pp.ucl.ac.uk/id/eprint/10041875/ |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....9bc4b69b5d1cdd9d4dbbcb935b6b78a2 |
| Database: | OpenAIRE |
| ISSN: | 14723263 13684973 |
|---|---|
| DOI: | 10.1136/sextrans-2017-053318 |