Computer-Assisted Self Interviewing in Sexual Health Clinics

Fairley, Christopher K.; Sze, Jun Kit; Vodstrcil, Lenka A; Chen, Marcus Y

doi:10.1097/olq.0b013e3181f7d505

Cited by 57 publications

(46 citation statements)

References 20 publications

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“…Clinical diagnoses and laboratory, demographic, and behavioral data for each consultation for acute NGU were recorded in a standardized format in the electronic medical record. From June 2008, clients also completed a computer-assisted self-interview, recording detailed sexual behavior, a method that has been previously shown to be reliable and acceptable (14,15). Responses were also routinely verified by the clinician at the time of the consultation.…”

Section: Methodsmentioning

confidence: 99%

Characteristics of Acute Nongonococcal Urethritis in Men Differ by Sexual Preference

et al. 2014

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N ucleic acid amplification techniques (NAAT) have allowed greater understanding of the variety of pathogens involved in acute nongonococcal urethritis (NGU) (1). This has included the recent recognition of Mycoplasma genitalium, herpes simplex virus (HSV), and adenoviruses as urethral pathogens (2-5), although in a significant proportion of cases no urethral pathogen is currently identified. The role of Ureaplasma urealyticum in NGU has been somewhat controversial, but recent evidence implicates specific biovars and possibly higher bacterial loads as causally associated with acute NGU (6-8). Sporadic case reports implicate other bacteria such as Haemophilus species (Haemophilus influenzae and Haemophilus parainfluenzae), Streptococcus species (Streptococcus pneumoniae and Streptococcus pyogenes), and Moraxella catarrhalis in acute NGU, following orogenital sex (9-11); however, their etiologic role has not been established in case-control studies.Diagnostic and management approaches to acute NGU do not differentiate between men who have sex with men (MSM) and men who have sex with women (MSW). Yet sexual behaviors differ considerably between these groups, and it is therefore likely that the spectrum of pathogens varies. In support of this, a previous case-control study of NGU in our service found that Chlamydia trachomatis or M. genitalium were more likely to be associated with female partners, while viruses, such as HSV and adenovirus, were associated with a recent history of male sexual partners (2). Further elucidation of the etiology of this common syndrome, and developing an understanding of how sexual practices influence the detection of urethral pathogens, could improve the management of men and their partners (1,12,13). In this study, we examined behavioral, demographic, and laboratory characteristics of a large series of MSW and MSM with acute urethral symptoms over a 6-year period. We aimed to determine if there were key differences between MSW and MSM with acute NGU in the spectrum of pathogens involved and whether there were differences in sexual behavior preceding the acquisition of NGU. MATERIALS AND METHODSStudy population. We retrospectively reviewed the electronic case record database of Melbourne Sexual Health Centre, the main public sexually transmitted diseases clinic in Melbourne, Australia, from January 2006 to December 2011. Patients were required to have the diagnosis of acute NGU entered into the electronic medical record, with one or more of the following acute urethral symptoms for less than 1 month's duration: urethral discharge and urethral irritation, discomfort, or itch; patients also needed to fulfill the conventional laboratory definition of urethritis, namely, 5 or more polymorphic neutrophilic lymphocytes/high-powered field (Ն5 polymorphonuclear leukocytes [PMNL]/high-powered field [HPF]) on urethral Gram stain. Importantly, only a single first episode of acute NGU per case over the study period was included. All subsequent

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Section: Methodsmentioning

confidence: 99%

Characteristics of Acute Nongonococcal Urethritis in Men Differ by Sexual Preference

et al. 2014

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“…This expansion means that much younger and much older individuals, as well as those at social/economic disadvantage typically considered to be ‘high risk’ or ‘hard to recruit,’ are likely already connected to a data collection device,2 and are already accustomed to the physical aspects of data entry (eg, entering text, using fingers to swipe pages or mark boxes, or submitting forms). Among all participants, daily use may decrease or eliminate study-training time,20 and facilitate communication with study personnel 4. Electronic diaries can also permit individuals more flexibility to complete data submission in a time and place of their choosing, potentially increasing comfort in disclosing sensitive information.…”

Section: Advantages Of Electronic Diary Platformsmentioning

confidence: 99%

The benefits of electronic diaries in understanding the experience of health

Hensel

2014

Sex Transm Infect

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“…10 In particular, mobile electronic devices enable daily reporting, which may dramatically reduce recall bias and minimise social desirability bias. 11 In parallel, improved technology has enhanced validity of nucleic acid amplification testing for STI assessment. Also, single-dose therapy to treat prevalent cases provides assurance that subsequent infections are truly incident cases.…”

Section: Introductionmentioning

confidence: 99%

Condom effectiveness against non-viral sexually transmitted infections: a prospective study using electronic daily diaries

et al. 2012

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Objectives To prospectively evaluate the protective value of consistent and correct use of latex condoms against the acquisition of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Methods Patients (N=929) attending clinics that treat sexually transmitted infections (STIs) were prospectively followed for up to six months. Urine STI nucleic acid amplification testing was performed at baseline, three months, and six months. Participants were instructed to respond to daily prompts from a hand-held device by completing a report for each penile-vaginal sexual intercourse event. Generalized estimating equation models examined associations of consistent as well as consistent and correct condom use with STI incidence over 3-month intervals. Results Consistent condom use was not significantly associated with STI incidence (Estimated Odds Ratio [EOR]=.75; 95% confidence interval [CI]=.43-1.30; P=.31). However, individuals who used condoms both correctly and consistently were estimated to have 59% lower odds of acquiring an STI (EOR = .41; 95% CI = .19-.90; P = .026), compared to those who did not. Conclusions The correct as well as the consistent use of condoms greatly reduces the odds of non-viral STI acquisition.

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Computer-Assisted Self Interviewing in Sexual Health Clinics

Abstract: The potential public health advantages of the widespread use of CASI are discussed.

Cited by 57 publications

References 20 publications

Characteristics of Acute Nongonococcal Urethritis in Men Differ by Sexual Preference

Characteristics of Acute Nongonococcal Urethritis in Men Differ by Sexual Preference

The benefits of electronic diaries in understanding the experience of health

Condom effectiveness against non-viral sexually transmitted infections: a prospective study using electronic daily diaries

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