Poor uptake of self‐sample collection kits for Chlamydia testing outside primary care

Rose, Sally B.; Lawton, Beverley; Bromhead, Collette; MacDonald, Evelyn Jane; Elley, C Raina

doi:10.1111/j.1753-6405.2010.00600.x

Cited by 6 publications

(12 citation statements)

References 17 publications

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“…Four programs involved study personnel directly inviting people to receive PTKs and were based in England [52,54], Australia [53] and New Zealand [55] (Table 3). Two programs were in pharmacies [52,54], one in general practice [55] and one at a music festival [53].…”

Section: Resultsmentioning

confidence: 99%

“…Two programs were in pharmacies [52,54], one in general practice [55] and one at a music festival [53]. A total of 341 tests were conducted (median: 37).…”

Section: Resultsmentioning

confidence: 99%

“…SMS reminders were used in one program [53]. Test results were notified to participants in two programs [53,55], and one program reported a 92% treatment rate (n=22) [52]. …”

Section: Resultsmentioning

confidence: 99%

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Home-based chlamydia and gonorrhoea screening: a systematic review of strategies and outcomes

et al. 2013

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BackgroundIn many countries, low Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) screening rates among young people in primary-care have encouraged screening programs outside of clinics. Nucleic acid amplification tests (NAATs) make it possible to screen people in homes with self-collected specimens. We systematically reviewed the strategies and outcomes of home-based CT/NG screening programs.MethodsElectronic databases were searched for home-based CT and/or NG screening studies published since January 2005. Screening information (e.g. target group, recruitment and specimen-collection method) and quantitative outcomes (e.g. number of participants, tests and positivity) were extracted. The screening programs were classified into seven groups on the basis of strategies used.ResultsWe found 29 eligible papers describing 32 home-based screening programs. In seven outreach programs, people were approached in their homes: a median of 97% participants provided specimens and 76% were tested overall (13717 tests). In seven programs, people were invited to receive postal test-kits (PTKs) at their homes: a median of 37% accepted PTKs, 79% returned specimens and 19% were tested (46225 tests). PTKs were sent along with invitation letters in five programs: a median of 33% returned specimens and 29% of those invited were tested (15126 tests). PTKs were requested through the internet or phone without invitations in four programs and a median of 32% returned specimens (2666 tests). Four programs involved study personnel directly inviting people to receive PTKs: a median of 46% accepted PTKs, 21% returned specimens and 9.1% were tested (341 tests). PTKs were picked-up from designated locations in three programs: a total of 6765 kits were picked-up and 1167 (17%) specimens were returned for screening. Two programs used a combination of above strategies (2395 tests) but the outcomes were not reported separately. The overall median CT positivity was 3.6% (inter-quartile range: 1.7-7.3%).ConclusionsA variety of strategies have been used in home-based CT/NG screening programs. The screening strategies and their feasibility in the local context need to be carefully considered to maximize the effectiveness of home-based screening programs.

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Section: Resultsmentioning

confidence: 99%

“…Two programs were in pharmacies [52,54], one in general practice [55] and one at a music festival [53]. A total of 341 tests were conducted (median: 37).…”

Section: Resultsmentioning

confidence: 99%

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Home-based chlamydia and gonorrhoea screening: a systematic review of strategies and outcomes

et al. 2013

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“…Several innovative peer-led intervention programs aiming to reach high risk social and sexual networks have been developed using home-collection and/or e-health technologies [ 34 – 37 ]. Moreover, a few studies have assessed peer-led CT screening using home-based testing [ 33 , 38 , 39 ]. Loaring et al .…”

Section: Introductionmentioning

confidence: 99%

“…[ 33 ], showed that in a small study of 12 women and men, women were potentially more willing to provide their social network with test kits, yielding 34% of kits returned by peers for testing. This peer test return rate was 26% for the sexual partners of 637 diagnosed CT positive persons (general practitioner care) in a study by Ostergaard et al [ 38 ], while it was only 4.5% for social peers from 67 indices tested in a primary care setting in a study by Rose et al [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptance of Home-Based Chlamydia Genital and Anorectal Testing Using Short Message Service (SMS) in Previously Tested Young People and Their Social and Sexual Networks

et al. 2015

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BackgroundControl strategies for Chlamydia trachomatis (CT) are most effective when targeting people at highest risk. We assessed test acceptance of home-collection test kits offered by short messaging services (SMS) texts, in high-risk young people, i.e. those who had previously tested CT positive (positive indices), or negative reporting more than 3 sex partners (negative indices), and their sexual and social networks.MethodsYoung (16 to 25 years old) heterosexuals who previously tested positive (n=536) or negative (n=536) in our STI clinic received, 3 to 20 months after their initial screening, an SMS inviting them to re-test. They were offered a free home-collection test kit including a genital (men and women) and anorectal (women only) test, and a test kit to pass on to a friend or sex partner (peer). SMS reminders were sent in case of non-response. We assessed proportions of tests requested and returned, peers tested, and positivity. Associations with the individual’s initial screening result and other factors were explored using logistic regression.ResultsOf 1072 people invited to retest, 34.4% (n=369) requested a test. Of these, 55.8% (n=206) retested. Overall, retest participation was higher in positive (22%) than in negative indices (16%) (p<0.001); it was also higher in women and in those aged >22 years. Positivity was 13% and 7% in positive and negative indices, respectively. One in 3 retesters also had a peer tested. Of tested peers (n=87), 84% were friends, 31% were first-time testers, and 7% tested positive.ConclusionAcceptance of a relatively low-cost strategy for genital and anorectal testing, i.e. using SMS and home-collection test kits, was highest in individuals who previously tested CT positive suggesting that implementation for this group may be considered. By further including a peer-led testing component, undetected CT positives can be identified in the social networks surrounding a high-risk individual.

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Use of Home-Obtained Vaginal Swabs to Facilitate Rescreening for Chlamydia trachomatis Infections

Stoner

Taylor

et al. 2011

Obstetrics &Amp; Gynecology

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Poor uptake of self‐sample collection kits for Chlamydia testing outside primary care

Cited by 6 publications

References 17 publications

Home-based chlamydia and gonorrhoea screening: a systematic review of strategies and outcomes

Home-based chlamydia and gonorrhoea screening: a systematic review of strategies and outcomes

Acceptance of Home-Based Chlamydia Genital and Anorectal Testing Using Short Message Service (SMS) in Previously Tested Young People and Their Social and Sexual Networks

Use of Home-Obtained Vaginal Swabs to Facilitate Rescreening for Chlamydia trachomatis Infections

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