With whom did you have sex? Evaluation of a partner notification training for STI professionals using motivational interviewing

Coul, Eline Op de; Spijker, Ralph; Aar, Fleur van; Weert, Yolanda van; Bruin, Marijn de

doi:10.1016/j.pec.2013.08.025

Cited by 9 publications

(16 citation statements)

References 14 publications

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“…Care providers are generally trained in Motivational Interviewing (MI). MI targets the intrinsic motivation of people to change behaviour by supporting people to examine and resolve ambivalence to their needs and abilities [ 44 ]. MI is already used in PN, yet its use can be explored to reach trusted social networks but even more, to reach non-trusted networks.…”

Section: Discussionmentioning

confidence: 99%

Chlamydia trachomatis testing among young people: what is the role of stigma?

et al. 2015

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BackgroundTo reach young people for Chlamydia trachomatis (CT) testing, new web-based strategies are used to offer testing via young people’s sexual and social networks. The success of such peer-driven strategies depends on whether individuals disclose their own testing and encourage others to get tested. We assessed whether public- and self-stigma would hamper these behaviours, by comparing anticipations and experiences relating to these issues in young men and women who already tested or never tested for CT.MethodsParticipants were recruited at an STI clinic and two schools in the Netherlands. Semi-structured interviews were analysed from 23 sexually active heterosexual young people between 16–24 years using qualitative content analysis with a framework approach.ResultsBoth tested and never tested participants perceived public stigma and anticipated shame and self-stigma in relation to testing. Maintaining good health was identified as main reason for testing. Never tested and tested participants anticipated that they would feel shame and receive stigmatizing reactions from people outside their trusted network if they would disclose their testing, or encourage them to test. From a selected group of trusted peers, they anticipated social support and empathy. When tested participants disclosed their testing to trusted peers they did not experience stigma. Due to the fact that no one disclosed their testing behaviour to peers outside their trusted network, stigma was avoided and therefore tested participants reported no negative reactions. Similarly, regarding the encouragement of others to test, most tested participants did not experience negative reactions from sex partners and friends.ConclusionsYoung people perceive public stigma and anticipate self-stigma and shame in relation to CT testing, disclosure and encouraging others to test. People do test for CT, including those who anticipate stigma. To avoid stigmatizing reactions, stigma management strategies are applied, such as selective disclosure and the selective encouragement of others to test (i.e. only in a small trusted peer network). Care strategies that deploy sexual and social networks of individuals can reach into small networks surrounding a person. These strategies could be improved by exploring methods to reach high-risk network members outside the small trusted circle of a person.

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Section: Discussionmentioning

confidence: 99%

Chlamydia trachomatis testing among young people: what is the role of stigma?

et al. 2015

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“…For example, this could involve the development of PN protocols that encourage the notification of sexual, and possibly also social, networks. Furthermore, attention should focus on Motivational Interviewing, which has been shown to improve skills and behaviour of health care professionals in dealing with patients’ resistance towards PN [ 26 ]. PN training using MI as a useful tool should therefore be included in the education of health care professionals.…”

Section: Discussionmentioning

confidence: 99%

“…PN training using MI as a useful tool should therefore be included in the education of health care professionals. In addition to this, recall of sex partners is likely to increase when professionals are better trained to motivate patients to contact sex partners, or when care professionals are more proactive in helping patients in the notification process (i.e., provider referral)[ 4 , 5 , 18 , 22 , 26 ]. Since no feedback on the effectiveness of PN outcomes and PN techniques used is available, future efforts should also include developing ways to provide feedback to staff, which in turn could have a positive effect on their feelings of responsibility, and address their feelings of being ineffective.…”

Section: Discussionmentioning

confidence: 99%

Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals

Theunissen

Schipper

Hoebe

et al. 2014

BMC Health Serv Res

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BackgroundPartner notification (PN) is an essential case-finding tool in the management of sexually transmitted infections (STIs). Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis (Ct).MethodsWe conducted semi-structured interviews among 22 health care professionals (response rate 52%) from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20’s to late 50’s, and all but one were female.ResultsAll health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills (i.e. Motivational Interviewing) and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.ConclusionsHealth care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.

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“…Another weakness identified among the participants of this research was the emphasis on providing information, without discussing the individual needs and the most appropriate strategies for each case. This attitude was evident among professionals who do not receive training in this area, culminating in a minor proactivity in the notification process (11) .…”

Section: Discussionmentioning

confidence: 99%

Difficulties and facilities for notification of sexual partners with sexually transmitted infections

Cavalcante¹,

Lima²,

Pinheiro³

et al. 2017

Rev Rene

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Objective: to understand the difficulties and facilities of professionals to notify sexual partners with sexually transmitted infections. Methods: qualitative study carried out with 19 professionals from four referral services in sexually transmitted infections. A semistructured interview was conducted and the statements were analyzed through Content Analysis technique. Results: the difficulties identified were: diversity of types of sexual relationships, resistance of the index patient, emphasis on information transmission, ineffective verbal communication, insufficient time and absence of monitoring. The facilities were: respect for patient autonomy, counseling free of judgments, effective verbal communication, motivation and negotiation, written communication, confidential environment, partnership with the multiprofessional team, communication through card to evaluate effectiveness of notification. Conclusion: based on the competencies, communication was identified as a facilitator of empowerment of the index patient in the process of to reveal the infection to the contacts, and weaknesses emerged in the conduct of cases about the knowledge, planning, implementation, partnership and evaluation.

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With whom did you have sex? Evaluation of a partner notification training for STI professionals using motivational interviewing

Cited by 9 publications

References 14 publications

Chlamydia trachomatis testing among young people: what is the role of stigma?

Chlamydia trachomatis testing among young people: what is the role of stigma?

Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals

Difficulties and facilities for notification of sexual partners with sexually transmitted infections

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