Staff’s experiences of a pilot implementation of the SEXual health Identification Tool for assessing sexual ill health among visitors to Swedish youth clinics: A focus group study

Hammarström, Sofia; Lindroth, Malin; Nilsén, Per; Nolskog, Peter; Bernhardsson, Susanne

doi:10.1016/j.srhc.2021.100643

Cited by 7 publications

(10 citation statements)

References 33 publications

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“…The SEXIT tool is an example of an evidence-based tool that is already used at many YHCs. SEXIT has been found feasible and acceptable by YHC healthcare providers, and encourages communication about sexual health between young people and healthcare providers [ 13 , 14 ]. This study’s participants said that young people would need to know the reason to use the ePRO and had at the same time hopes that the ePRO would entail benefits making it worth to use.…”

Section: Discussionmentioning

confidence: 99%

“…Young people have stated that using a PRO before a healthcare appointment allowed them more time to talk about what is most important to them during the appointment [ 10 ]. Examples of PROs for young people that are feasible, accepted, and used clinically are the SEXual health Identification Tool (SEXIT), developed to identify Swedish young people exposed to or at risk of poor sexual health [ 13 , 14 ], and YouthCHAT, with purpose to identify psychosocial and mental health issues in young people in New Zealand [ 11 , 15 , 16 ]. As PROs/ePROs are increasingly recognized for their utility, platforms of PROs/ePROs are being created, for example the Patient-Reported Outcome Measurement Information System® (PROMIS®) [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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An electronic patient-reported outcome created based on my needs is worth using: an explorative qualitative study investigating young people’s opinions for a health assessment tool

Lostelius

Mattebo

Söderlund

et al. 2022

J Patient Rep Outcomes

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Background Young people in different healthcare settings are positive about using electronic patient-reported outcomes (ePROs), which are meant to increase the effectiveness and safety of interventions from the patient’s perspective. Sweden offers free healthcare to young people aged 12–25 years at 275 youth health clinics (YHCs), whose goals are to strengthen young people and promote sexual, physical, and mental health. YHCs need effective ways to identify the overall picture of young people’s health and health-related problems. To our knowledge, there is no ePRO for YHCs that provides an overview of young people’s health from several health perspectives. The aim of this study was to explore young people’s view on content and design of an ePRO to provide an overview of their health and health related problems when visiting a YHC, and their opinion on what healthcare needs to consider when using the ePRO. This was an explorative qualitative study. The participants were included from five YHCs, in different socioeconomic areas in central Sweden. Fifteen participants were included: 10 girls, three boys, and two non-binary participants with an age range of 16–22 years. Data were collected using a semi-structured interview guide and individual interviews, and inductive content analysis was performed. Results One main theme, “ePRO created based on my needs is worth using” and two sub-themes, “Appealing content and design” and “Trusting healthcare”, emerged. The participants wanted that an ePRO should include overall questions about mental-, physical-, and sexual health and social support. Participants also believed the ePRO must disclose the risks of self-harm or suicide. The participants noted the importance of emotional and digital security when using the ePRO and having a confidential conversation with a healthcare provider. To share health information means to trust to gain health. Conclusions The study participants' views on content and design can form the basis for designing an ePRO for young people. Their thoughts on safety and treatment in healthcare can be considered in the development process. This study is the starting point for developing an ePRO for young people at YHCs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An electronic patient-reported outcome created based on my needs is worth using: an explorative qualitative study investigating young people’s opinions for a health assessment tool

Lostelius

Mattebo

Söderlund

et al. 2022

J Patient Rep Outcomes

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show abstract

“…To our knowledge, few studies have reported how a questionnaire can help HCPs when having dialogues with young people about both risk‐taking and violence. Previous studies confirm the feasibility and acceptance of using a questionnaire when seeking to identify sexual risk‐taking [21,22,26] as well as the effectiveness of use of a questionnaire in distinguishing exposure to violence [4]. Exposure to physical, emotional and sexual violence has wide negative health effects [3,27,28].…”

Section: Discussionmentioning

confidence: 83%

“…SEXIT includes topics about sexual history, consumption of alcohol and drugs and experiences of violence. Previous small‐scale studies indicate that SEXIT is feasible and acceptable for use in clinical settings both by professionals and young people [ 21 , 22 ]. Since these studies, SEXIT has been further developed to include more items, for example physical and emotional violence [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying sexual risk‐taking and ill health in the meeting with young people‐experiences of using an assessment tool

Kilander

Alehagen

Hammarström

et al. 2022

Scandinavian Caring Sciences

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“…9 The tool was also found to be feasible and valuable from the perspective of the healthcare professionals, by ensuring consistency and quality in assessing visitors. 10,11 Other Swedish studies have suggested that youth clinic visitors react positively to routine enquiry about violence and alcohol consumption 12 and that women (23-29 years of age) are supportive of healthcare professionals asking questions on sexual coercion. 13 International studies have concluded that adolescents would like healthcare providers to address sexuality issues, and that they prefer to discuss sensitive topics directly.…”

Section: Introductionmentioning

confidence: 99%

Ask me, listen to me, treat me well and I shall tell: a qualitative study of Swedish youths’ experiences of systematic assessment of sexual health and risk-taking (SEXIT)

Hammarström

Bernhardsson

Nilsén

et al. 2022

Sexual and Reproductive Health Matters

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Sexual ill health among young people, in terms of sexually transmitted infections (STIs), unintended pregnancy, transactional sex and sexual violence, is a global public health concern. To that end, the SEXual health Identification Tool (SEXIT) was developed. The purpose of this study was to explore the visitors' experiences of a youth clinic visit when SEXIT was used. A purposively selected sample of 20 participants (16-24 years of age) was recruited from three Swedish youth clinics using SEXIT. Participants were interviewed individually in March and April 2016, and data were analysed using inductive qualitative content analysis. The analysis resulted in four main categories describing the participants' experiences of using SEXIT: "Issues of concern" includes descriptions of the items in SEXIT as important; "Enabling disclosure" describes how SEXIT serves as an invitation to talk and facilitates disclosure of negative experiences; "Road to change" captures experiences of the conversation with the healthcare professional; and "Managing power imbalance" describes experiences regarding the response and attitudes of the healthcare professional as well as the participants' fears of being judged. The categories are connected by the overarching theme "Ask me, listen to me, treat me well and I shall tell". This study contributes knowledge on young people's experiences of a tool-supported dialogue on sexual health and risk-taking initiated by the healthcare professional. Structured questions in a written format, as a basis for dialogue, are appreciated and experienced as a functioning way of addressing sexual ill health and risk-taking at Swedish youth clinics.

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Staff’s experiences of a pilot implementation of the SEXual health Identification Tool for assessing sexual ill health among visitors to Swedish youth clinics: A focus group study

Cited by 7 publications

References 33 publications

An electronic patient-reported outcome created based on my needs is worth using: an explorative qualitative study investigating young people’s opinions for a health assessment tool

An electronic patient-reported outcome created based on my needs is worth using: an explorative qualitative study investigating young people’s opinions for a health assessment tool

Identifying sexual risk‐taking and ill health in the meeting with young people‐experiences of using an assessment tool

Ask me, listen to me, treat me well and I shall tell: a qualitative study of Swedish youths’ experiences of systematic assessment of sexual health and risk-taking (SEXIT)

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