Modernizing Operations to Improve Efficiency and Refine the Role and Mission of Sexually Transmitted Infection Clinics

Dombrowski, Julia C.; Golden, Matthew R.

doi:10.1097/olq.0b013e31827de342

Cited by 15 publications

(21 citation statements)

References 20 publications

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“…It is unclear whether other settings, which may require additional time or resources to initiate this computerized system, would enroll the same number of individuals at a comparable cost. On the other hand, our findings should be an additional impetus for creating such electronic systems in clinics that have a research mission; prior studies suggest that selfinterviews increase data completeness and can be used to prompt improved clinical care (30)(31)(32)(33)(34)(35)(36). Third, as mentioned above, these men provided consent for a single-visit, crosssectional study where all research procedures were completed on the computer.…”

Section: Discussionmentioning

confidence: 68%

Evaluation of a Computer-Based Recruitment System for Enrolling Men Who Have Sex With Men Into an Observational HIV Behavioral Risk Study

Khosropour¹,

Dombrowksi²,

Manhart³

et al. 2016

Am. J. Epidemiol.

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Enrolling large numbers of high-risk men who have sex with men (MSM) into human immunodeficiency virus (HIV) prevention studies is necessary for research with an HIV outcome, but the resources required for in-person recruitment can be prohibitive. New methods with which to efficiently recruit large samples of MSM are needed. At a sexually transmitted disease clinic in Seattle, Washington, in 2013-2014, we used an existing clinical computer-assisted self-interview that collects patients' medical and sexual history data to recruit, screen, and enroll MSM into an HIV behavioral risk study and compared enrollees with men who declined to enroll. After completing the clinical computer-assisted self-interview, men aged ≥18 years who reported having had sex with men in the prior year were presented with an electronic study description and consent statement. We enrolled men at 2,661 (54%) of 4,944 visits, including 1,748 unique individuals. Enrolled men were younger (mean age = 34 years vs. 37 years; P < 0.001) and reported more male sex partners (11 vs. 8; P < 0.001) and more methamphetamine use (15% vs. 8%; P < 0.001) than men who declined to enroll, but the HIV test positivity of the two groups was similar (1.9% vs. 2.0%; P = 0.80). Adapting an existing computerized clinic intake system, we recruited a large sample of MSM who may be an ideal population for an HIV prevention study.

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Section: Discussionmentioning

confidence: 68%

Evaluation of a Computer-Based Recruitment System for Enrolling Men Who Have Sex With Men Into an Observational HIV Behavioral Risk Study

Khosropour¹,

Dombrowksi²,

Manhart³

et al. 2016

Am. J. Epidemiol.

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“…STI clinics have used a variety of tools for their "express" testing intake process, including kiosks, tablets (that use computer-assisted self-interviewing), and paper forms reviewed by a staff member (ie, nurse, health educator, etc.). [27][28] Student health centers should select an intake format that best fits with their clinic structure while keeping in mind that many students are not comfortable with an "in person" process. Furthermore, individuals identified as ineligible for self-collection STI testing services through the intake process should be notified of their ineligibility and encouraged to schedule an appointment with a health care provider; while eligible individuals should be directed to complete a behavioral risk assessment (again using the kiosk, tablet, or paper form).…”

Section: Discussionmentioning

confidence: 99%

College students’ comfort with and intention to use self-collection services for STI testing

Lindley

Sharif

Chowdhury

2020

Journal of American College Health

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Objective: Sexually transmitted infections (STIs) are at unprecedented levels; yet most college students have never been tested. Offering asymptomatic individuals the option to collect their own samples for STI testing is an effective strategy to increase testing coverage. This study explores students' perceptions of self-collection services. Participants: Four hundred and thirty-four (434) students from a large public university completed an online survey in February 2018. Methods: The cross-sectional survey assessed students' human immunodeficiency virus (HIV)/STI testing behaviors, comfort with self-collection procedures, and intention to use self-collection services if offered on campus. Results: Most students (88%) said they would use self-collection test kits they could take home, followed by self-collection in a private room at student health services (59%). Students were most comfortable with testing procedures involving less human interaction and collecting specimens themselves. Cost, accuracy, confidentiality of tests, and provision of clear "how to" instructions, topped students' concerns. Conclusion: Offering self-collection options may increase STI testing among asymptomatic college students.

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“…Based on the above information, researchers developed "express" testing, which they reserved for asymptomatic clients who were not STI/HIV cases or contacts, did not want contraception (emergency or not), and were not seeking services related to sexual assault (Borrelli et al, 2008;Dombrowski et al, 2012;Knight et al, 2013;Rietmeijer, 2013;Rukh et al, 2014;Samos et al, 2013;Wong et al, 2008;Xu et al, 2013). The uptake was remarkable.…”

Section: Express Testingmentioning

confidence: 98%

“Express testing” in STI clinics: extant literature and preliminary implementation data

O’Byrne

Phillips

Campbell

et al. 2016

Applied Nursing Research

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Modernizing Operations to Improve Efficiency and Refine the Role and Mission of Sexually Transmitted Infection Clinics

Cited by 15 publications

References 20 publications

Evaluation of a Computer-Based Recruitment System for Enrolling Men Who Have Sex With Men Into an Observational HIV Behavioral Risk Study

Evaluation of a Computer-Based Recruitment System for Enrolling Men Who Have Sex With Men Into an Observational HIV Behavioral Risk Study

College students’ comfort with and intention to use self-collection services for STI testing

“Express testing” in STI clinics: extant literature and preliminary implementation data

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