Assessing Patient Opinions About Electronic Messaging for Gonorrhea and Chlamydia Result Notification and Partner Services, Durham, North Carolina

Cope, Anna B.; Seña, Arlene C.; Eagle, C. C. P.; Pol, Adam; Rahman, Mohammad; Peterman, Thomas A.

doi:10.1097/olq.0000000000001021

Cited by 7 publications

(11 citation statements)

References 13 publications

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“…As technology advances and people become even more technologically savvy, timely notification of test results by electronic notification will improve the STD control and prevention activities. Earlier studies have found that results notification by text messages has been successfully used to notify patients of their STD results in other settings; thus, reducing the staff time spent calling patients with results and recommendations to return for treatment 9–12 . Electronic notification is generally acceptable to patients 12,13 and has been shown to reduce time to notification of positive results 9–11,14,15 .…”

Section: Discussionmentioning

confidence: 99%

Electronic Messaging for Gonorrhea and Chlamydia Test Result Notification, Improving Treatment and Patient Satisfaction

et al. 2021

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Background: Approximately 20% of chlamydia (CT) and gonorrhea (GC) cases in Louisiana are diagnosed at Parish Health Units. Patient notification of CT and GC test results involves nurses' phone calls and letters to positive patients, which is time-consuming and inefficient. Methods:In December 2018, electronic results notification was implemented in Caddo Parish Health Unit using Chexout software to notify enrolled patients via text or email when test results are ready to view in a patient portal. We compared the timeliness of GC/CT results notification and treatment pre-Chexout (December 2017 to November 2018) and post-Chexout (December 2018 to November 2019) implementation. A random sample of patients was interviewed to assess acceptability.Results: During December 2018 to November 2019, 5432 patients were tested for CT/GC, 3924 (72%) enrolled in Chexout, and notifications were sent to 3884 (99%). Among CT-positives, 472 of 568 (83%) viewed results in the portal compared with 2451 of 3356 (73%) CT-negatives. Among GC-positives, 300 of 353 (85%) viewed results compared with 2657 of 3571 (74%) GC-negatives. Treatment success for CT improved from 493 of 670 (74%) to 506 of 568 (89%), and for GC, from 332 of 409 (81%) to 325 of 353 (92%). Mean time to treatment decreased for CT (13.4-10.7 days) and GC (11.3-9.2 days). Enrolled patients found Chexout notification satisfactory in 168 of 169 (99%) and easy to use in 130 of 141 (92%). Reasons for declining electronic notification included lack of personal cell phone for 55 of 86 (64%) and confidentiality concerns for 42 of 86 (49%).Conclusions: Electronic messaging decreased time to notification and increased treatment success. Nurses spent less time notifying patients leaving more time for patient care.

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Section: Discussionmentioning

confidence: 99%

Electronic Messaging for Gonorrhea and Chlamydia Test Result Notification, Improving Treatment and Patient Satisfaction

et al. 2021

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“…Providers described how speaking over the phone or texts with partner(s) alleviated anxieties regarding allergies and resistance of partner(s). Given the increasing interest in and utility of telemedicine9 and emerging use of self-testing approaches to HIV and other STIs,10 community members discussed how self-testing along with mobile platforms, such as a website with a chat feature to a provider, would be helpful to ensure that both the patient and partner(s) understood the diagnosis and treatment. Thus, the provision of HIV self-testing could be offered to partners with an EPT prescription or treatment to offset the concerns about coinfection 11…”

Section: Discussionmentioning

confidence: 99%

Healthcare providers and community perspectives on expedited partner therapy (EPT) for use with gay, bisexual and other men who have sex with men

et al. 2019

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ObjectivesExpedited partner therapy (EPT) is an effective strategy to reduce rates of chlamydia and gonorrhoea infection and ensure sexual partners are treated. Currently, EPT is provided to heterosexual patients; however, EPT is not routinely recommended for use with gay, bisexual and other men who have sex with men (GBMSM) because of concerns about HIV coinfection. The objective of the qualitative study was to understand provider and community views on the use of EPT with GBMSM.MethodsUsing convenience sampling methods, we recruited a sample of 18 healthcare providers and 21 GBMSM to participate in in-depth, semistructured interviews. Interviews were conducted over the phone and included questions about knowledge, experiences and potential barriers and facilitators to the use of EPT with GBMSM.ResultsMost providers wanted to provide EPT to GBMSM and believed that the potential barriers and concerns to EPT use were not unique to a patient’s sexual orientation. Several providers noted that they were currently providing EPT to GBMSM as part of HIV prevention services. Community members were generally unaware of EPT as a service and most indicated that they would only use EPT if they were in a committed relationship. Barriers included partner allergies and resistance, pharmacy protocols, structural concerns (eg, insurance coverage, pharmacists onsite and transportation) and potential disclosure issues. Facilitators included cultural humility and telemedicine with patients’ partners to overcome these barriers.ConclusionsAcceptability of EPT use for both chlamydia and gonorrhoea was high among providers and community members. Barriers to EPT use, including concerns about patients’ partners’ allergies and resistance, disclosure concerns and linkage to HIV prevention services can be overcome through cultural humility trainings and telemedicine. Changing EPT recommendations at the national level to be inclusive of GBMSM is critical to curtail the rising STI and HIV epidemic.

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“…Barriers to index patient uptake of digital PN interventions include concern that sex partners would not trust (or act on) the digital notification and worries about privacy and confidentiality. 48,54,55 Low trust in the received notification message is also a concern for sex partners and, to some extent, healthcare professionals, [55][56][57] and could affect subsequent care-seeking decisions. 54 There remains considerable potential for digital interventions to enhance PN beyond simply notifying a greater proportion of exposed sex partners rapidly.…”

Section: Digital Partner Notification Interventions For Stis and Hivmentioning

confidence: 99%

Priorities in the implementation of partner services for HIV/STIs in high-income nations: a narrative review of evidence and recommendations

et al. 2022

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Partner notification (PN) remains a crucial prevention tool to reduce sexually transmitted infection (STI) transmission and prevent STI-related morbidity. Although there have been a variety of different approaches taken to facilitate the notification, testing and management of sexual contacts of STIs and HIV, there is an increasing acknowledgement that these interventions are unscalable and have relatively little impact on disease transmission. At the same time, an expanding body of evidence supports a shift in the emphasis of STI outreach-related work from an exclusive focus on PN to an approach that incorporates epidemiologic data collection, case management, and PN, an approach that is sometimes called partner services (PS). In this review, we appraise the current evidence base for different PN interventions for STIs in high-income nations, make recommendations for best practices, present a schema for how public health programs might prioritise PS for different programs, and identify priority research questions related to PN.

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Assessing Patient Opinions About Electronic Messaging for Gonorrhea and Chlamydia Result Notification and Partner Services, Durham, North Carolina

Cited by 7 publications

References 13 publications

Electronic Messaging for Gonorrhea and Chlamydia Test Result Notification, Improving Treatment and Patient Satisfaction

Electronic Messaging for Gonorrhea and Chlamydia Test Result Notification, Improving Treatment and Patient Satisfaction

Healthcare providers and community perspectives on expedited partner therapy (EPT) for use with gay, bisexual and other men who have sex with men

Priorities in the implementation of partner services for HIV/STIs in high-income nations: a narrative review of evidence and recommendations

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