A randomised controlled trial of computer-assisted interviewing in sexual health clinics

Richens, John; Copas, Andrew; Sadiq, S Tariq; Kingori, Patricia; McCarthy, Ona; Jones, Victoria; Hay, P; Miles, Kevin; Gilson, Richard; Imrie, John; Pakianathan, Mark

doi:10.1136/sti.2010.043422

Cited by 56 publications

(55 citation statements)

References 22 publications

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“…Participants may be more comfortable entering responses to sexual health questions online than being interviewed face to face. 237 Computer-assisted self-interview 243 and mobile phone-mediated interactive recording systems 244 can lead to greater reporting of risky sexual behaviours than traditional methods, such as a pen-and-paper questionnaire, thereby reducing reporting bias. Electronic formats can also improve the internal consistency of data and enhance data completeness by requiring all questions to be answered.…”

Section: Privacy and Validity Of Datamentioning

confidence: 99%

Sexual health promotion for young people delivered via digital media: a scoping review

et al. 2015

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BackgroundYoung people are at risk of poor sexual health and are, therefore, in need of comprehensive, effective sexual health education. Young people are confident and constant users of digital technology, such as the internet and mobile phones, and there are many innovative possibilities for sexual health education involving these technologies.ObjectivesTo summarise evidence on effectiveness, cost-effectiveness and mechanism of action of interactive digital interventions (IDIs) for sexual health; optimal practice for intervention development; contexts for successful implementation; research methods for digital intervention evaluation; and the future potential of sexual health promotion via digital media.DesignLiterature review of evidence on digital interventions for sexual health for young people, integrating the findings with the views of young people, parents and experts in digital media/sexual health. IDIs are defined as digital media programmes that provide health information and tailored decision support, behaviour-change support and/or emotional support. We focus on sexual well-being for young people aged 13–24 years in the UK.ResultsThere are many imaginative IDIs for sexual health promotion, but few interventions address issues that are important to young people, such as sexual pleasure and relationships. It is vital to collaborate with young people and to use Behaviour-Change Theory in designing interventions. We located 19 randomised controlled trials of IDIs for sexual health promotion for young people, finding a moderate effect on sexual health knowledge [standardised mean difference (SMD) 0.54, 95% confidence interval (CI) 0.17 to 0.92], a small effect on confidence (self-efficacy) (SMD 0.11, 95% CI 0.02 to 0.20) and a positive effect on sexual behaviour (odds ratio 1.28, 95% CI 1.01 to 1.61), but no significant effects on safer sex intention or biological outcomes. One study suggests that IDIs may be as good as face-to-face interventions for sexual health knowledge and safer sex intention. There are no existing data on the cost-effectiveness of IDIs for sexual health promotion. The impact of an IDI will be determined by the proportion of the target population reached, intervention efficacy, adoption in a setting, how well it is delivered and maintenance/sustainability. All of these elements must be addressed for IDIs to be successful. More collaboration is needed to capitalise on the knowledge of users and stakeholders, the design and software skills of the commercial sector and the theoretical expertise and evaluation skills of academia.ConclusionsIDIs are effective for knowledge acquisition and sexual behaviour, and could usefully contribute to sexual health education in schools, in clinic settings and online; however, there are obstacles to overcome, such as access to information technology and ensuring the quality and safety of interventions.Future workMore evidence is needed on the best designs for interventions (e.g. choice of behaviour-change mechanisms and interactive features) and the best models of delivery (e.g. setting, modes of delivery, methods of facilitation and support for engagement) to improve sexual behaviour, biological outcomes and sexual well-being in a cost-effective way.FundingThe National Institute for Health Research Public Health Research programme.

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Section: Privacy and Validity Of Datamentioning

confidence: 99%

Sexual health promotion for young people delivered via digital media: a scoping review

et al. 2015

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“…18 This study showed that those randomized to CASI or to a clinician doing computer interviews more commonly reported concurrent relationships, anal sex, and a higher number of partners than to a clinician undertaking a paper history. Interestingly, the responses to CASI and a clinician doing computer interviews were very similar.…”

Section: Studies Comparing Casi To Interview or Clinician Collected Smentioning

confidence: 95%

Computer-Assisted Self Interviewing in Sexual Health Clinics

Fairley¹,

Sze²,

Vodstrcil³

et al. 2010

Sexually Transmitted Diseases

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“…Previous research shows that computer-assisted sexual history taking in a sexual health clinic setting increases the response rate to sensitive sexual information with 40% compared with paper and pen, and produced more complete data (Richens et al, 2010). In particular, the question concerning sexual behaviour with persons of the same sex had a three times higher response rate (Spark et al, 2015).…”

Section: Collection Of Informationmentioning

confidence: 99%

“…Adding some specific questions to the general history taking, entered by the patient on an electronic or paper form might be an option: computerassisted self-interview (CASI) or computer-assisted personal interview (CAPI). In case of CASI, the patient enters the information in a private setting, whereas with the CAPI, the information is entered by the clinician during a face-to-face interview (Richens et al, 2010). This patient entered information is evaluated by the GP, who decides whether to probe sexual history further or not.…”

Section: Collection Of Informationmentioning

confidence: 99%

Collecting and registering sexual health information in the context of HIV risk in the electronic medical record of general practitioners: a qualitative exploration of the preference of general practitioners in urban communities in Flanders (Belgium)

Vos

Pype

Deblonde

et al. 2015

Prim Health Care Res Dev

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Background and aim: Current health-care delivery requires increasingly proactive and inter-professional work. Therefore, collecting patient information and knowledge management is of paramount importance. General practitioners (GPs) are well placed to lead these evolving models of care delivery. However, it is unclear how they are handling these changes. To gain an insight into this matter, the HIV epidemic was chosen as a test case. Methods: Data were collected and analysed from 13 semi-structured interviews with GPs, working in urban communities in Flanders. Findings: GPs use various types of patient information to estimate patients' risk of HIV. The way in which sexual health information is collected and registered, depends on the type of information under discussion. General patient information and medical history data are often automatically collected and registered. Proactively collecting sexual health information is uncommon. Moreover, the registration of the latter is not obvious, mostly owing to insufficient space in the electronic medical record (EMR). Conclusions: GPs seem willing to systematically collect and register sexual health information, in particular about HIV-risk factors. They expressed a need for guidance together with practical adjustments of the EMR to adequately capture and share this information.

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A randomised controlled trial of computer-assisted interviewing in sexual health clinics

Abstract: CASI and CAPI can generate greater recording of risky behaviour than traditional PAPI. Increased disclosure did not increase STI diagnoses. Safeguards may be needed to ensure that clinicians are prompted to act upon disclosures made during self-interview.

Cited by 56 publications

References 22 publications

Sexual health promotion for young people delivered via digital media: a scoping review

Sexual health promotion for young people delivered via digital media: a scoping review

Computer-Assisted Self Interviewing in Sexual Health Clinics

Collecting and registering sexual health information in the context of HIV risk in the electronic medical record of general practitioners: a qualitative exploration of the preference of general practitioners in urban communities in Flanders (Belgium)

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