Safetxt: a pilot randomised controlled trial of an intervention delivered by mobile phone to increase safer sex behaviours in young people

McCarthy, Ona; French, Rebecca; Baraitser, Paula; Roberts, Ian; Rathod, Sujit D; Devries, Karen; Bailey, Julia; Edwards, Phil; Wellings, Kaye; Michie, Susan; Free, Caroline

doi:10.1136/bmjopen-2016-013045

Cited by 9 publications

(8 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…perceive different sources as more or less reliable, trusted, and credible;10. have members of the target group been given an opportunity to offer feedback about their needs, preferences, and experiences regarding the intervention. Adolescents (N = 13) Trial 123456789101Belzer 2015 (USA)YYNY2Bull 2016 (USA)YYYYYYYYY3Castano 2012 (USA)NY?YYN4Delamere 2006 (Ireland)5Garofalo 2016 (USA)NYYYYY6Gold 2011 (Australia)NYYY7Jeffries 2016 (USA)NN?8Lim 2012 (Australia)NNNY9McCarthy 2016 (UK)NNNYY10Reed 2014 (USA)NY11Rokicki 2017 (Ghana)Y...…”

Section: Appendicesmentioning

confidence: 99%

Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis

Ames

Glenton

Lewin

et al. 2019

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

BackgroundGovernments and health systems are increasingly using mobile devices to communicate with patients and the public. Targeted digital client communication is when the health system transmits information to particular individuals or groups of people, based on their health or demographic status. Common types of targeted client communication are text messages that remind people to go to appointments or take their medicines. Other types include phone calls, interactive voice response, or multimedia messages that offer healthcare information, advice, monitoring, and support.ObjectivesTo explore clients' perceptions and experiences of targeted digital communication via mobile devices on topics related to reproductive, maternal, newborn, child, or adolescent health (RMNCAH).Search methodsWe searched MEDLINE (OvidSP), MEDLINE In‐Process & Other Non‐Indexed Citations (OvidSP), Embase (Ovid), World Health Organization Global Health Library, and POPLINE databases for eligible studies from inception to 3‐6 July 2017 dependant on the database (See appendix 2).Selection criteriaWe included studies that used qualitative methods for data collection and analysis; that explored clients' perceptions and experiences of targeted digital communication via mobile device in the areas of RMNCAH; and were from any setting globally.Data collection and analysisWe used maximum variation purposive sampling for data synthesis, employing a three‐step sampling frame. We conducted a framework thematic analysis using the Supporting the Use of Research Evidence (SURE) framework as our starting point. We assessed our confidence in the findings using the GRADE‐CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach. We used a matrix approach to explore whether potential implementation barriers identified in our synthesis had been addressed in the trials included in the related Cochrane Reviews of effectiveness.Main resultsWe included 35 studies, from a wide range of countries on six continents. Nineteen studies were conducted in low‐ and middle‐income settings and sixteen in high‐income settings. Some of the studies explored the views of people who had experienced the interventions, whereas others were hypothetical in nature, asking what people felt they would like from a digital health intervention. The studies covered a range of digital targeted client communication, for example medication or appointment reminders, prenatal health information, support for smoking cessation while pregnant, or general sexual health information.Our synthesis showed that clients' experiences of these types of programmes were mixed. Some felt that these programmes provided them with feelings of support and connectedness, as they felt that someone was taking the time to send them messages (moderate confidence in the evidence). They also described sharing the messages with their friends and family (moderate confidence).However, clients also pointed to problems when using these programmes. Some clients had poor access to cell networks and t...

show abstract

Section: Appendicesmentioning

confidence: 99%

Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis

Ames

Glenton

Lewin

et al. 2019

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

“…This would not happen if TnT were rolled out in routine practice. Follow-up rates were lower than the 81% in the recent 'Safetxt' pilot trial [22], but most of their participants were white, and/or aged 20e24. Our findings may not apply to such groups.…”

Section: Strengths and Weaknessesmentioning

confidence: 76%

‘Test n Treat’ (TnT): a cluster randomized feasibility trial of on-site rapid Chlamydia trachomatis tests and treatment in ethnically diverse, sexually active teenagers attending technical colleges

Oakeshott

Kerry-Barnard

Fleming

et al. 2019

Clinical Microbiology and Infection

View full text Add to dashboard Cite

Objectives: We conducted a cluster-randomized feasibility trial of 90-minute Chlamydia trachomatis tests and same day on-site treatment ('Test n Treat/TnT') in six technical colleges in London, England, to assess TnT uptake rates; follow-up rates; prevalence of C. trachomatis at baseline and 7 months; time to treatment; acceptability of TnT. Methods: Participants completed questionnaires and provided genitourinary samples at baseline and 7 months. Participants were informed that baseline samples would not be tested for 7 months and were advised to get screened independently. Colleges were randomly allocated 1:1 to intervention (TnT) or control (no TnT). One month and 4 months post recruitment, participants at intervention colleges were texted invitations for on-site free C. trachomatis tests. A purposive sample of students who did/did not attend for screening were interviewed (n ¼ 26). Results: Five hundred and nine sexually active students were recruited: median age 17.9 years, 47% male, 50% black ethnicity, 55% reporting two or more sexual partners in the previous year. TnT uptake was 13% (33/259; 95% CI 8.9e17.4%) at 1 month and 10% (26/259; 6.7e14.4%) at 4 months with overall C. trachomatis positivity 5.1% (3/59; 1.1e14.2%). Follow-up at 7 months was 62% (317/509) for questionnaires and 52% (264/509) for samples. C. trachomatis prevalence was 6.2% (31/503) at baseline and 6.1% (16/264) at 7 months. Median time from test to treatment was 15 h. Interviews suggested low test uptake was associated with not feeling at risk, perceptions of stigma, and little knowledge of sexually transmitted infections (STIs). Conclusions: Despite high C. trachomatis rates at baseline and follow-up, uptake of testing was low. Like many countries, England urgently needs better sex education, including making STI testing routine/ normal.

show abstract

“…Partner notification may prove to be an important method of preventing onward transmission, and a randomized trial ("Safetxt") is currently underway investigating the use of digital tools in preventing STD spread. 165 Technological advancements and improved health access are essential components to a behavioral approach, as even in the developed world, it is difficult to properly implement behavioral interventions. 166 Behavioral-cognitive approaches decrease risky behavior and rates of infection with gonorrhea in a targeted population, 167 and provide another option to reduce disease prevalence and thereby antibiotic exposure on a population-level.…”

Section: Methodsmentioning

confidence: 99%

The frontiers of addressing antibiotic resistance in Neisseria gonorrhoeae

Rubin

Ross

Grad

2020

Translational Research

View full text Add to dashboard Cite

Link to publication on Research at Birmingham portal General rightsUnless a licence is specified above, all rights (including copyright and moral rights) in this document are retained by the authors and/or the copyright holders. The express permission of the copyright holder must be obtained for any use of this material other than for purposes permitted by law.• Users may freely distribute the URL that is used to identify this publication.• Users may download and/or print one copy of the publication from the University of Birmingham research portal for the purpose of private study or non-commercial research.• User may use extracts from the document in line with the concept of 'fair dealing' under the Copyright, Designs and Patents Act 1988 (?) • Users may not further distribute the material nor use it for the purposes of commercial gain.Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document.When citing, please reference the published version. Take down policyWhile the University of Birmingham exercises care and attention in making items available there are rare occasions when an item has been uploaded in error or has been deemed to be commercially or otherwise sensitive.

show abstract

Safetxt: a pilot randomised controlled trial of an intervention delivered by mobile phone to increase safer sex behaviours in young people

Cited by 9 publications

References 31 publications

Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis

Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis

‘Test n Treat’ (TnT): a cluster randomized feasibility trial of on-site rapid Chlamydia trachomatis tests and treatment in ethnically diverse, sexually active teenagers attending technical colleges

The frontiers of addressing antibiotic resistance in Neisseria gonorrhoeae

Contact Info

Product

Resources

About