Text Messaging After HIV and Sexually Transmitted Infection Screening: Do Patients' Profiles Matter?

Troude, P.; Ségouin, Christophe; Duteil, Christelle; Shelly, Marc; Rochebrochard, Élise de La

doi:10.1097/olq.0000000000000941

Cited by 6 publications

(20 citation statements)

References 28 publications

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“…One approach to decreasing the FTR is to diversify the options for contacting the patient for their results [ 10 , 11 , 15 ]. The option developed in our centre was to propose SMS notification after screening [ 16 ]. Although the acceptability of this programme appeared good, this study was not able to demonstrate a statistically significant difference in FTR30 between participants (tested positive for at least one STI) and non-participants in the SMS programme.…”

Section: Discussionmentioning

confidence: 99%

“…The impact of SMS notification on failure to return needs to be assessed in a larger sample and diversification of contact options must be pursued to meet the preferences of patients [ 21 – 23 ]. Participation in programmes such as SMS notification may differ according to patients’ profiles, such as age and social characteristics [ 16 ]. Factors related to the screening structure or screening modalities may affect the decision to undertake STI screening [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Up to three messages are sent if the patient fails to return. The SMS programme has been developed to respect medical confidentiality and is presented in detail elsewhere [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

“…The first international trials showed that SMS notification is associated with a shorter time before starting treatment [ 10 , 11 ]. Since August 2016, SMS notification is being tested in a free STI testing centre in Paris [ 16 ]. If at least one result is positive, the SMS invites the patient to return to the centre to obtain their results and receive appropriate guidance and/or treatment.…”

Section: Introductionmentioning

confidence: 99%

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Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre?

et al. 2020

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Background Some patients who test positive for sexually transmitted infections (STIs) fail to return for results and treatment. To target improvement actions, we need to find out who these patients are. This study aimed to explore factors associated with failure to return within 30 days (FTR30) after testing among patients with positive results in a free STI testing centre in Paris. Methods All patients with at least one positive result between October 2016 and May 2017 and who completed a self-administered questionnaire were included in this cross-sectional study (n = 214). The questionnaire included sociodemographic factors, sexual behaviour and history of testing. Factors associated with FTR30 were assessed using logistic regression models. Results More than two-thirds of patients were men (72%), and the median age of patients was 27 years. Most patients were born in metropolitan France (56%) or in sub-Saharan Africa (22%). Men who had sex with men represented 36% of the study population. The FTR30 rate was 14% (95% CI [10–19%]). In multivariate analysis, previous HIV testing in younger persons (aOR: 3.36, 95% CI [1.27–8.84]), being accompanied by another person at the pretest consultation (aOR: 3.45, 95% CI [1.36–8.91]), and lower self-perceived risk of HIV infection (aOR: 2.79, 95% CI [1.07–7.30]) were associated with a higher FTR30. Testing for chlamydia/gonorrhoea without presumptive treatment was associated with a lower FTR30 (aOR: 0.21, 95% CI [0.07–0.59]). Conclusions These factors that affect failure to return are related to the patient’s representations and involvement in the STI screening process. Increasing health literacy and patient empowerment could help to decrease failure to return after being tested positive for HIV/STI. Trial registration Not applicable.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Up to three messages are sent if the patient fails to return. The SMS programme has been developed to respect medical confidentiality and is presented in detail elsewhere [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre?

et al. 2020

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“…There are few studies to date on the efficacy, effectiveness, and efficiency of eHealth platforms for partner notification, which make it difficult to consider potential benefits and harms to determine its ethical balance. STI/HIV results communicated through SMS or phone call are often short and discreet, making it difficult for providers to gauge the receiver's response [27]. For the patient, lack of in-person contact may cede the opportunity to ask and receive additional information or agree to a follow-up visit [28].…”

Section: Ehealth Tool Ethical Considerationsmentioning

confidence: 99%

Ethical Implications of eHealth Tools for Delivering STI/HIV Laboratory Results and Partner Notifications

et al. 2021

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Purpose of Review eHealth tools are increasingly utilized for communication with patients. Although efficacious and cost-effective, these tools face several barriers that challenge their ethical use in sexual health. We reviewed literature from the past decade to pick illustrative studies of eHealth tools that deliver results of laboratory tests for sexually transmitted infections, including the human immunodeficiency virus, as well as partner notifications. We describe ethical implications for such technologies. Recent Findings Our review found that despite widespread research on the use of eHealth tools in delivering laboratory results and partner notifications, these studies rarely measured or reported on the ethical implications. Such implications can be organized according to the four major principles in bioethics: beneficence, patient autonomy, non-maleficence, and justice. The beneficence of eHealth typically measures efficacy in comparison to existing standards of care. Patient autonomy includes the ability to opt in or out of eHealth tools, right-based principles of consent, and sovereignty over healthcare data. To adhere to the principle of non-maleficence, relevant harms must be identified and measured—such as unintentional disclosure of illness, sexual orientation, or sexual activity. Justice must also be considered to accommodate all users equally, irrespective of their literacy level, with easy-to-use platforms that provide clear messages. Summary Based on case studies from this review, we developed a list of recommendations for the ethical development and evaluation of eHealth platforms to deliver STI/HIV results to patients and notifications to partners.

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A nurse-led approach to urgent results management at Sydney Sexual Health Centre demonstrates benefits to client outcomes and cost savings: a time efficiency and health system cost analysis

Scally,

Watts,

Nugent

et al. 2023

Sex. Health

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Background The timely provision of test results to facilitate early access to treatment is an essential component of sexually transmissible infection (STI) control and contributes to a significant proportion of the workload at sexual health services. We aimed to estimate the time to deliver client results and treatment as well as the health system costs of the nurse-led urgent results management model at the Sydney Sexual Health Centre (SSHC) compared to an alternative ‘ordering clinician’ model. Methods We conducted a retrospective analysis of urgent results managed by the results nurse over 2 weeks in 2019 and an observational study over 2 weeks in 2021, where 10 clinicians managed five of their own urgent results. Additional activity data were gathered to determine the annual health system costs for both models. Results In the nurse-led model 211 of 280 clients required notification; 156 (73.9%) were notified on the day their results became available, and the median time to treatment (n = 137) was 1 day. The annual health system cost for the nurse-led model was A$3 922 143. In the ordering clinician model, 17 (42.5%) clients were notified on the same day, and of the 27 clients treated at SSHC, the median time to treatment increased to 4 days. The annual health system cost for the ordering clinician model was A$4 043 667.28 compared with the nurse-led model, and an additional 33.3 h per week of clinician time was required for the same level of service provision. Conclusions This study highlights the strengths of the nurse-led results model at SSHC, demonstrating improved client outcomes for STI notification and treatment times and health systems savings.

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Text Messaging After HIV and Sexually Transmitted Infection Screening: Do Patients' Profiles Matter?

Abstract: Participation in a short message service program after sexually transmitted infection/HIV screening seemed quite good but varied according to patient profile. Several options should be proposed for delivering the results of sexually transmitted infection screening.

Cited by 6 publications

References 28 publications

Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre?

Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre?

Ethical Implications of eHealth Tools for Delivering STI/HIV Laboratory Results and Partner Notifications

A nurse-led approach to urgent results management at Sydney Sexual Health Centre demonstrates benefits to client outcomes and cost savings: a time efficiency and health system cost analysis

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