Chlamyweb Study I: rationale, design and acceptability of an internet-based chlamydia testing intervention

Lydié, Nathalie; Barbeyrac, Bertille de; Bluzat, Lucile; Roy, Chloé Le; Rahib, Delphine

doi:10.1136/sextrans-2015-052511

Cited by 12 publications

(8 citation statements)

References 23 publications

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“… 13 15 24 25 An observational study linked to the French RCT reported similar findings to our study. 26 In Sweden, a similar online service saw 74.5% of kits returned by a majority of female users and young people aged <25 years. 25 Studies in the UK and the USA have reported high use of online services among BME, low-income groups and MSM and high positivity, but lower return rates.…”

Section: Discussionmentioning

confidence: 99%

Comparing the characteristics of users of an online service for STI self-sampling with clinic service users: a cross-sectional analysis

et al. 2018

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ObjectivesOnline services for self-sampling at home could improve access to STI testing; however, little is known about those using this new modality of care. This study describes the characteristics of users of online services and compares them with users of clinic services.MethodsWe conducted a cross-sectional analysis of routinely collected data on STI testing activity from online and clinic sexual health services in Lambeth and Southwark between 1January 2016 and 31March 2016. Activity was included for chlamydia, gonorrhoea, HIV and syphilis testing for residents of the boroughs aged 16 years and older. Logistic regression models were used to explore potential associations between type of service use with age group, gender, ethnic group, sexual orientation, positivity and Index of Multiple Deprivation (IMD) quintiles. We used the same methods to explore potential associations between return of complete samples for testing with age group, gender, ethnic group, sexual orientation and IMD quintiles among online users.Results6456 STI tests were carried out by residents in the boroughs. Of these, 3582 (55.5%) were performed using clinic services and 2874 (44.5%) using the online service. In multivariate analysis, online users were more likely than clinic users to be aged between 20 and 30 years, female, white British, homosexual or bisexual, test negative for chlamydia or gonorrhoea and live in less deprived areas. Of the individuals that ordered a kit from the online service, 72.5% returned sufficient samples. In multivariate analysis, returners were more likely than non-returners to be aged >20 years and white British.ConclusionNearly half (44.5%) of all basic STI testing was done online, although the characteristics of users of clinic and online services differed and positivity rates for those using the online service for testing were lower. Clinics remain an important point of access for some groups.

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Section: Discussionmentioning

confidence: 99%

Comparing the characteristics of users of an online service for STI self-sampling with clinic service users: a cross-sectional analysis

et al. 2018

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“…Among the 7000 individuals who will receive the kit, we assumed that 70.00% (4900/7000) will return their DBS on filter paper, corresponding to 35% of the eligible Health Barometer participants. The 70.00% (4900/7000) return rate was based on the 68% and 62% participation rates in 2 French home-screening studies for chlamydia infections [ 19 , 22 ] and on the hope that our thorough system of reminders would maximize the rate of return.…”

Section: Methodsmentioning

confidence: 99%

Innovative Approach for Enhancing Testing of HIV, Hepatitis B, and Hepatitis C in the General Population: Protocol for an Acceptability and Feasibility Study (BaroTest 2016)

et al. 2018

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BackgroundDespite substantial screening for HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) infections in France, a great number of infected persons remain undiagnosed. In this context, Santé publique France experimented with a new screening approach for HBV, HCV, and HIV infection, based on home self-sampling using dried blood spot (DBS) for blood collection.ObjectiveThe objectives of the BaroTest study were to assess the acceptability and feasibility of this approach and to update the prevalence estimates of HBV, HCV, and HIV infections in the general population.MethodsParticipants were enrolled using the 2016 Health Barometer, a national cross-sectional telephone survey based on a large representative sample of the general population aged 15 to 75 years (N=15,000). Upon completion of the questionnaire, any participant in the Health Barometer aged 18 to 75 years, having medical health insurance, and not under guardianship was invited to receive a self-sampling kit delivered by standard postal mail and to return the DBS card to the laboratory. The laboratory was then responsible for reporting the results to the participants. Acceptability of the protocol was based on the percentage of eligible individuals agreeing to receive the self-sampling kit, on the proportion of people returning the DBS card, and on the proportion of participants out of the total eligible population. The feasibility of the approach was based on the number of participants with adequately filled blood spots and the number of participants with blood spots for which at least one virological analysis could be performed. A complex system of reminders was implemented to increase the participation rate. Accordingly, we assumed that 35.00% (4900/14,000) of eligible persons would accept and return their DBS card. As the highest expected prevalence was for HBV infection, estimated at 0.65% in 2004, 5000 persons would make it possible to estimate this prevalence with an accuracy of approximately 0.22%. All indicators can be analyzed according to the characteristics of the participants collected in the Health Barometer questionnaire. BaroTest was approved by the French Ethics Committee (November 11, 2015) and the Commission on Information Technology and Liberties (December 24, 2015). The study has been registered by the French medical authority under number 2015-A01252-47 on November 10, 2015.ResultsThe results on acceptability and feasibility are expected in the last quarter of 2018 and those on the prevalence estimates in the first semester of 2019.ConclusionsThe BaroTest results will help to inform new strategies for HIV, HBV, and HCV screening, and the Health Barometer provides a reliable updated assessment of the burden of HBV, HCV, and HIV infections in the general population in France while reducing the costs typically associated with this type of research.Registered Report IdentifierRR1-10.2196/9797

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“…Individuals may therefore wish to anonymously evaluate for themselves whether they are at increased risk. Access to online, self-administrable, web-based quizzes that enable participants to determine their risk for HIV/STI remain limited in Germany although similar services have been reported within the framework of public sector sexual health care in Canada, the United States, Australia, and some European countries including France and the United Kingdom [4][5][6][7][8][9]. Further, the availability of such Online Risk Tests supports continual surveys that strategize sexual and reproductive health services.…”

Section: Introductionmentioning

confidence: 99%

Online HIV/STI Risk Test (ORT): A prospective cross‐sectional study among sexually active individuals in Germany

Skaletz‐Rorowski

Potthoff

Nambiar

et al. 2022

J Deutsche Derma Gesell

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Background: Our goal was to develop and evaluate an anonymous self-administrable web-based test to determine risk for HIV/STI. Methods: The Online HIV/STI Risk Test was developed and hosted since 12/2017. 11,529 participants completed the test and 10,668 were analyzed. The test included multiple choice questions about sociodemographic data, sexuality, sexual risk behavior, HIV/ STI testing. Participant data was stratified by gender and sexuality and analyzed.Results: 84.5 % were aged 18-39, 7.5 % < 18 and 8.1 % > 40. Males were 53.1 %, female 46.3 % and trans 0.6 %. 12.5 % were men who have sex with men (MSM). 59.1 % and 66.0 % of participants were vaccinated for hepatitis A and B respectively, but 75.1 % unvaccinated for HPV. Prior and repeated instances of HIV or other STI were higher among MSM. Yet, 61.4 % females, 70 % males and 55.4 % MSM had never tested for an STI. Although prevalence of > 3 sexual partners in the last twelve months was highest among MSM, condomless sex was greater among women. 34.5 % of males, 25.6 % of females, and 75 % of MSM engaged in anal sex respectively. Conclusions:The online HIV/STI Risk Test is a useful tool to acquire data on STI risk-behavior for strategizing STI prevention, testing, and vaccination, thus improving sexual health.

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Chlamyweb Study I: rationale, design and acceptability of an internet-based chlamydia testing intervention

Abstract: AFFSAPS n° IDRCB 0211-A01000-41; pre-results.

Cited by 12 publications

References 23 publications

Comparing the characteristics of users of an online service for STI self-sampling with clinic service users: a cross-sectional analysis

Comparing the characteristics of users of an online service for STI self-sampling with clinic service users: a cross-sectional analysis

Innovative Approach for Enhancing Testing of HIV, Hepatitis B, and Hepatitis C in the General Population: Protocol for an Acceptability and Feasibility Study (BaroTest 2016)

Online HIV/STI Risk Test (ORT): A prospective cross‐sectional study among sexually active individuals in Germany

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