PDF(Pubmed)
Abstract：
BACKGROUND: Chlamydia remains prevalent worldwide and is considered a global public health problem. However, testing rates among young sexually active people remain low. Effective clinical management relies on screening asymptomatic patients. However, attending face-to-face consultations of testing for sexually transmitted infections is associated with stigmatization and anxiety. Self-testing technology (STT) allows patients to test themselves for chlamydia and gonorrhea without the presence of health care professionals. This may result in wider access to testing and increase testing uptake. Therefore, the sexual health clinic at Odense University Hospital has designed and developed a technology that allows patients to get tested at the clinic through self-collected sampling without a face-to-face consultation.
OBJECTIVE: This study aimed to (1) pilot-test STT used in clinical practice and (2) investigate the experiences of patients who have completed a self-test for chlamydia and gonorrhea.
METHODS: The study was conducted as a qualitative study inspired by the methodology of participatory design. Ethnographic methods were applied in the feasibility study and the data analyzed were inspired by the action research spiral in iterative processes using steps, such as plan, act, observe, and reflect. The qualitative evaluation study used semistructured interviews and data were analyzed using a qualitative 3-level analytical model.
RESULTS: The findings from the feasibility study, such as lack of signposting and adequate information, led to the final modifications of the self-test technology and made it possible to implement it in clinical practice. The qualitative evaluation study found that self-testing was seen as more appealing than testing at a face-to-face consultation because it was an easy solution that both saved time and allowed for the freedom to plan the visit independently. Security was experienced when the instructions balanced between being detail-oriented while also being simple and illustrative. The anonymity and discretion contributed to preserving privacy and removed the fear of an awkward conversation or being judged by health care professionals thus leading to the reduction of intrusive feelings.
CONCLUSIONS: Accessible health care services are crucial in preventing and reducing the impact of sexually transmitted infections and STT may have the potential to increase testing uptake as it takes into account some of the barriers that exist. The pilot test and evaluation have resulted in a fully functioning implementation of STT in clinical practice.
OBJECTIVE: This study aimed to (1) pilot-test STT used in clinical practice and (2) investigate the experiences of patients who have completed a self-test for chlamydia and gonorrhea.
METHODS: The study was conducted as a qualitative study inspired by the methodology of participatory design. Ethnographic methods were applied in the feasibility study and the data analyzed were inspired by the action research spiral in iterative processes using steps, such as plan, act, observe, and reflect. The qualitative evaluation study used semistructured interviews and data were analyzed using a qualitative 3-level analytical model.
RESULTS: The findings from the feasibility study, such as lack of signposting and adequate information, led to the final modifications of the self-test technology and made it possible to implement it in clinical practice. The qualitative evaluation study found that self-testing was seen as more appealing than testing at a face-to-face consultation because it was an easy solution that both saved time and allowed for the freedom to plan the visit independently. Security was experienced when the instructions balanced between being detail-oriented while also being simple and illustrative. The anonymity and discretion contributed to preserving privacy and removed the fear of an awkward conversation or being judged by health care professionals thus leading to the reduction of intrusive feelings.
CONCLUSIONS: Accessible health care services are crucial in preventing and reducing the impact of sexually transmitted infections and STT may have the potential to increase testing uptake as it takes into account some of the barriers that exist. The pilot test and evaluation have resulted in a fully functioning implementation of STT in clinical practice.
摘要：
背景：衣原体在世界范围内仍然普遍存在，被认为是全球公共卫生问题。然而,年轻性活跃人群的检测率仍然很低。有效的临床管理依赖于筛查无症状患者。然而,参加性传播感染检测的面对面咨询与污名化和焦虑相关.自我测试技术（STT）允许患者在没有医疗保健专业人员在场的情况下测试衣原体和淋病。这可能导致更广泛的测试访问和增加测试吸收。因此,欧登塞大学医院的性健康诊所设计并开发了一种技术，该技术使患者无需面对面咨询即可通过自我收集的采样在诊所进行测试。
目的：本研究旨在（1）对临床实践中使用的STT进行试点测试，（2）调查完成衣原体和淋病自我测试的患者的经验。
方法：该研究是作为受参与式设计方法启发的定性研究进行的。在可行性研究中应用了人种学方法，分析的数据受到了迭代过程中使用步骤的行动研究螺旋的启发，比如计划,Act,观察,和反思。定性评估研究使用半结构化访谈，并使用定性3级分析模型对数据进行分析。
结果：可行性研究的结果，例如缺乏路标和足够的信息，导致了自检技术的最终修改，并使其在临床实践中得以实施。定性评估研究发现，自我测试比面对面咨询的测试更具吸引力，因为这是一个简单的解决方案，既节省了时间，又允许独立计划访问的自由。当指令在注重细节的同时又简单和说明性之间取得平衡时，就体验到了安全性。匿名和自由裁量权有助于保护隐私，并消除了对尴尬对话或被医疗保健专业人员判断的恐惧，从而减少了侵入性感觉。
结论：无障碍医疗服务对于预防和减少性传播感染的影响至关重要，STT可能有可能增加检测的使用，因为它考虑到了一些存在的障碍。试点测试和评估已导致STT在临床实践中的充分实施。
目的：本研究旨在（1）对临床实践中使用的STT进行试点测试，（2）调查完成衣原体和淋病自我测试的患者的经验。
方法：该研究是作为受参与式设计方法启发的定性研究进行的。在可行性研究中应用了人种学方法，分析的数据受到了迭代过程中使用步骤的行动研究螺旋的启发，比如计划,Act,观察,和反思。定性评估研究使用半结构化访谈，并使用定性3级分析模型对数据进行分析。
结果：可行性研究的结果，例如缺乏路标和足够的信息，导致了自检技术的最终修改，并使其在临床实践中得以实施。定性评估研究发现，自我测试比面对面咨询的测试更具吸引力，因为这是一个简单的解决方案，既节省了时间，又允许独立计划访问的自由。当指令在注重细节的同时又简单和说明性之间取得平衡时，就体验到了安全性。匿名和自由裁量权有助于保护隐私，并消除了对尴尬对话或被医疗保健专业人员判断的恐惧，从而减少了侵入性感觉。
结论：无障碍医疗服务对于预防和减少性传播感染的影响至关重要，STT可能有可能增加检测的使用，因为它考虑到了一些存在的障碍。试点测试和评估已导致STT在临床实践中的充分实施。
