Development of a digital intervention to increase condom use amongst those selftesting for chlamydia

开发数字干预措施以增加衣原体自我检测者中安全套的使用

• 批准号: MR/N010922/1
• 负责人: Katie Newby
• 金额: $ 18.14万
• 依托单位: Coventry University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2015
• 资助国家: 英国
• 起止时间: 2015 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FN010922%2F1
• 关键词: Development; digital; intervention; increase; condom

The Department of Health has made reducing the rates of Sexually Transmitted Infections (STIs) a priority. This is particularly so amongst young people, as larger numbers are affected in this age group compared to others. STIs can lead to serious health consequences for individuals, and the cost to the NHS of treatment is high. The best way for sexually active people to avoid STIs is to use a condom but young people report inconsistent use. In an effort to reduce the rate of one particularly widespread STI called chlamydia, young people aged 15-24 years old are able to access free testing from a number of clinical and community services. As part of this initiative, self-testing for this group is available online via a number of internet providers. After inputting some basic personal information, users of this service receive a small unmarked box in the post containing a testing kit. After taking a sample - urine (males and females) or vaginal swab (females only) - and returning this in the box, users with a negative result receive a text or email message to this effect within 2-5 days. Those with a positive result receive an email or text asking them to contact their local chlamydia screening coordinator who discusses the result with them and arranges treatment. On average 130,000 young people are tested via this route every year. Those tested are at high risk of future STIs and include groups which other services have found difficult to engage, such as young men and those from deprived backgrounds. These websites typically provide little or no advice to users about protecting themselves against future STIs. Furthermore, information from one of the internet testing providers (freetest.me) indicates that approximately 40% of those testing have used the service before. This suggests that the experience of testing in itself does not lead to a change in behaviour. This study will develop a digital intervention to increase condom use amongst users of internet testing websites in order to prevent future STIs. It will be shown to users in between sending off their sample and receiving their test results. This has been identified as a potentially important 'teachable moment' when users are receptive to information about changing their sexual behaviour. It will be brief and highly tailored to the individual user. At the start of the intervention users will be asked to indicate from a list of options, what their main reasons for not using condoms are. They will then receive a number of relevant 'chunks' of the intervention. If for example they report that purchasing condoms is embarrassing, they could be linked up to a scheme which posts out packs of condoms upon receipt of a text request. We will be developing the intervention with young people. Over a number of stages, we will identify the main barriers to condom use for our target group and develop content to address each of these. We will test our intervention with young people before we finalise it to make sure that it is simple, easy to use and engaging. Changes will be made accordingly if necessary. At the end of this study we will apply for further funding to test whether the intervention works.

卫生部已将减少性传播感染率作为一项优先事项。在年轻人中尤其如此，因为与其他年龄组相比，这个年龄组受影响的人数更多。性传播感染可对个人造成严重的健康后果，国民保健制度的治疗费用很高。性活跃人群避免性传播感染的最佳方法是使用避孕套，但年轻人报告说使用避孕套的情况不一致。为了降低一种特别普遍的性传播感染衣原体的发病率，15-24岁的年轻人能够从一些临床和社区服务机构获得免费检测。作为这一举措的一部分，这一群体的自我测试可以通过一些互联网提供商在线进行。在输入一些基本的个人信息后，这项服务的用户会收到一个没有标记的小盒子，里面装着一个测试工具包。在采集样本——尿液（男性和女性）或阴道拭子（仅女性）——并将其放入盒子后，结果为阴性的用户将在2-5天内收到短信或电子邮件。结果呈阳性的人会收到一封电子邮件或短信，要求他们联系当地的衣原体筛查协调员，由后者与他们讨论结果并安排治疗。每年平均有13万年轻人通过这一途径接受检测。接受检测的人未来感染性传播感染的风险很高，其中包括其他服务难以接触的群体，如年轻男子和来自贫困背景的人。这些网站通常很少或根本不向用户提供关于保护自己免受未来性传播感染的建议。此外，来自互联网测试提供商之一（freetest.me）的信息表明，大约40%的测试者以前使用过该服务。这表明，测试本身的经验不会导致行为的改变。这项研究将开发一种数字干预措施，以增加互联网检测网站用户使用避孕套，以防止未来的性传播感染。它将在发送样品和接收测试结果之间显示给用户。当用户接受有关改变性行为的信息时，这被认为是一个潜在的重要“教育时刻”。它将是简短的，高度量身定制的个人用户。在干预开始时，使用者将被要求从选项列表中指出他们不使用避孕套的主要原因是什么。然后，他们将接受一些相关的干预“块”。例如，如果他们报告说购买避孕套很尴尬，他们可能会被链接到一个计划中，该计划会在收到短信请求后发布避孕套包。我们将对年轻人进行干预。在多个阶段，我们将确定目标群体使用避孕套的主要障碍，并制定内容来解决这些障碍。在我们最终确定之前，我们将在年轻人中测试我们的干预措施，以确保它简单，易于使用和吸引人。如有必要，将作出相应的更改。在本研究结束时，我们将申请进一步的资金来测试干预是否有效。

项目成果

Wrapped: Development and specification of an intervention to increase condom use amongst young people accessing chlamydia self-testing websites

包装：制定和规范干预措施，以增加访问衣原体自检网站的年轻人使用安全套的情况

• DOI: 10.3389/conf.fpubh.2017.03.00015
• 发表时间: 2017
• 作者: Newby, K.V.

An Intervention to Increase Condom Use Among Users of Chlamydia Self-Sampling Websites (Wrapped): Intervention Mapping and Think-Aloud Study.

• DOI: 10.2196/11242
• 发表时间: 2019-05-01
• 期刊: JMIR formative research
• 影响因子: 2.2
• 作者: Newby, Katie;Crutzen, Rik;Das, Satyajit
• 通讯作者: Das, Satyajit