Patient-Delivered Partner Therapy for Chlamydial Infections

Jotblad, Sharon; Park, Ina U.; Bauer, Heidi M.; Barandas, Aileen; Deal, Melanie; Amey, Annette L.

doi:10.1097/olq.0b013e318237b723

Cited by 14 publications

(4 citation statements)

References 17 publications

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“…While this is the first study to evaluate the relationship between laws and EPT by comparing uptake across states of varying legal environments, our findings are consistent with evaluations of EPT uptake within jurisdictions that have laws authorizing EPT. [12] Potential explanations include the possibility that laws authorizing EPT may diminish provider concern for legal liability, as such laws explicitly make the practice of EPT legal within a jurisdiction. Uptake is also higher in jurisdictions where EPT is deemed permissible versus those in which it is potentially allowable, notwithstanding the existence of an EPT law.…”

Section: Discussionmentioning

confidence: 99%

“…One study found that EPT is routinely utilized by family planning providers in California, and that the vast majority of these providers feel that it improves care. [12] Additionally, rates of partner treatment are higher for both concurrent treatment visits (patient and partner treated concurrently) and EPT as compared to standard patient referral. [13] EPT is cost-effective in certain situations [14], and changes to clinic policies requiring documentation of EPT have been shown to increase EPT’s acceptance.…”

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confidence: 99%

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The Legal Aspects of Expedited Partner Therapy Practice

Cramer

Leichliter²,

Stenger³

et al. 2013

Sexually Transmitted Diseases

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Background Expedited partner therapy (EPT) is a potential partner treatment strategy. Significant efforts have been devoted to policies intended to facilitate its practice. However, few studies have attempted to evaluate these policies. Methods We used data on interviewed gonorrhea cases from 12 sites in the STD Surveillance Network (SSuN) in 2010 (n=3,404). Patients reported whether they had received EPT. We coded state laws relevant to EPT for gonorrhea using Westlaw legal research database, and the general legal status of EPT in SSuN sites from CDC’s website in 2010. We also coded policy statements by medical and other boards. We used chi-squares to compare receipt of EPT by legal/policy variables, patient characteristics and provider type. Variables significant at p<.10 in bivariate analyses were included in a logistic regression model. Results Overall, 9.5% of 2,564 interviewed gonorrhea patients reported receiving EPT for their partners. Receipt of EPT was significantly higher where laws and policies authorizing EPT existed. Where EPT laws for GC existed and EPT was permissible, 13.3% of patients reported receiving EPT as compared to 5.4% where there were no EPT laws and EPT was permissible, and 1.0% where there were no EPT laws and EPT was potentially allowable (p<.01). EPT was higher where professional boards had policy statements supporting EPT (p<.01). Receipt of EPT did not differ by most patient characteristics or provider type. Policy-related findings were similar in adjusted analyses. Conclusions EPT laws and policies were associated with higher reports of receipt of EPT among interviewed gonorrhea cases.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The Legal Aspects of Expedited Partner Therapy Practice

Cramer

Leichliter²,

Stenger³

et al. 2013

Sexually Transmitted Diseases

View full text Add to dashboard Cite

show abstract

“…For example, a study of family planning providers indicated that reimbursement issues from health insurance plans remain a significant barrier to EPT. [20] This barrier remained even though another study found EPT to be cost-effective from a health systems perspective; for a given health insurance plan, EPT was less costly than standard partner referral when approximately one-third or more of partners were on the plan. [21]…”

Section: Policies Focused On Std Prevention Issuesmentioning

confidence: 99%

Sexually Transmitted Disease Prevention Policies in the United States

Leichliter¹,

Seiler²,

Wohlfeiler³

2016

Sexually Transmitted Diseases

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Policies are an important part of public health interventions, including in the area of STD prevention. Similar to other tools used in public health, policies are often evaluated to determine their usefulness. Therefore, we conducted a non-systematic review of policy evidence for sexually transmitted disease prevention. Our review considers assessments or evaluations of STD prevention-specific policies, health care system policies, and other, broader policies that have the potential to impact STD prevention through social determinants of health. We also describe potential policy opportunity in these areas. It should be noted that we found gaps in policy evidence for some areas; thus, additional research would be useful for public health policy interventions for STD prevention.

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“…Despite a growing body of evidence in support of PDPT, PDPT offered within clinical practice has limitations. Mainly, PDPT could result in a missed opportunity to screen for HIV an important barrier identified by both healthcare providers and hypothetical partners (Jotblad et al, 2012; McBride, Goldsworthy, & Fortenberry, 2009; McBride, Goldsworthy, & Fortenberry, 2010). One method to minimize the barrier of a missed opportunity to screen for HIV is the provision of self-administered rapid-HIV test kits with PDPT packs.…”

Section: Introductionmentioning

confidence: 99%

Addressing Missed Opportunities for HIV Testing by Including Rapid HIV Self-testing Kits with Patient-Delivered Partner Therapy

John

2018

Sex Res Soc Policy

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Patient-delivered partner therapy (PDPT) is the practice of providing patients diagnosed with bacterial sexually transmitted infections (STIs) medication to give directly to their partner for treatment, which can result in missed opportunities for partner HIV testing. Fifteen STI clinic patients were asked about their opinions of including HIV self-testing (HIVST) kits with PDPT. Interview data fit well into constructs of the information-motivation-behavioral skills (IMB) model. Patients’ motivations to deliver HIVST kits to their partners included the importance of earlier identification of HIV, convenience, avoidance of STI clinic stigma, and empowerment of individual and partner protection against HIV. Patients described the need for more information with worries about the quality of the HIVST device and questions about how it worked. Patients worried about their partners’ reaction, including the potential for violence, and needed skills to support their partner with HIVST. Public health policies should support the inclusion of HIVST kits with PDPT, but additional intervention research is needed to more fully support patients and their partners with HIVST and PDPT.

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Patient-Delivered Partner Therapy for Chlamydial Infections

Abstract: A majority of providers in this sample reported routinely using PDPT for chlamydia-infected clients; provision of prepackaged medication to clinics facilitated use of PDPT.

Cited by 14 publications

References 17 publications

The Legal Aspects of Expedited Partner Therapy Practice

The Legal Aspects of Expedited Partner Therapy Practice

Sexually Transmitted Disease Prevention Policies in the United States

Addressing Missed Opportunities for HIV Testing by Including Rapid HIV Self-testing Kits with Patient-Delivered Partner Therapy

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