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The experience of providing young people attending general practice with an online risk assessment tool to assess their own sexual health risk.

Bilardi JE, Sanci LA, Fairley CK, Hocking JS, Mazza D, Henning DJ, Sawyer SM, Wills MJ, Wilson DA, Chen MY - BMC Infect. Dis. (2009)

Bottom Line: The intervention did not result in any significant increases in the proportion of 16 to 24 year old males (2.7% to 3.0%) or females (6.3% to 6.4%) tested for chlamydia.Major reasons for low referral rates reported by practitioners included lack of time, discomfort with raising the issue of testing, and difficulty in remembering to refer patients.Offering an online sexual risk assessment tool in general practice did not significantly increase the proportion of young people tested for chlamydia, with GPs identifying a number of barriers to referring young people to Youth Check Your Risk.

View Article: PubMed Central - HTML - PubMed

Affiliation: Melbourne School of Population Health, The University of Melbourne, Carlton, Victoria 3053, Australia. jbilardi@mshc.org.au

ABSTRACT

Background: Targeted chlamydia screening has been advocated to reduce chlamydia associated reproductive sequelae. General practitioners are well positioned to play a major role in chlamydia control. The primary aim of this pilot study was to measure the effect of offering an online sexual health assessment tool, Youth Check Your Risk, on chlamydia testing rates among young people attending general practices. The secondary aim was to test the acceptability of the tool among general practitioners and young people.

Methods: General practitioners at three practices in Melbourne, Australia, referred patients aged 16 to 24 years to Youth Check Your Risk http://www.checkyourrisk.org.au for use post-consultation between March to October 2007. The proportion of young people tested for chlamydia before and during the implementation of the tool was compared. Acceptability was assessed through a structured interviewer-administered questionnaire with general practitioners, and anonymous online data provided by Youth Check Your Risk users.

Results: The intervention did not result in any significant increases in the proportion of 16 to 24 year old males (2.7% to 3.0%) or females (6.3% to 6.4%) tested for chlamydia. A small increase in the proportion of 16 to 19 year old females tested was seen (4.1% to 7.2%). Of the 2997 patients seen during the intervention phase, 871 (29.1%) were referred to Youth Check Your Risk and 120 used it (13.8%). Major reasons for low referral rates reported by practitioners included lack of time, discomfort with raising the issue of testing, and difficulty in remembering to refer patients.

Conclusion: Offering an online sexual risk assessment tool in general practice did not significantly increase the proportion of young people tested for chlamydia, with GPs identifying a number of barriers to referring young people to Youth Check Your Risk. Future interventions aimed at increasing chlamydia screening in general practice with the aid of an online risk assessment tool need to identify and overcome barriers to testing.

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Related in: MedlinePlus

Youth Check Your Risk Information Card. Information card used to refer young general practice patients to Youth Check Your Risk.
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Figure 1: Youth Check Your Risk Information Card. Information card used to refer young general practice patients to Youth Check Your Risk.

Mentions: GPs were then asked to refer all people aged 16 to 24 years to the YCYR website, regardless of their reason for presentation, by giving them an information card containing the web address (Figure 1). Cards were labelled with a unique access number which patients used to log into the site, ensuring that only patients in the study could access the site and that the number of users from each practice could be identified. Cards and posters advertising the site were also available in the waiting rooms and practice reception areas. Two of the practices were able to provide a private location where young people had the option of accessing the YCYR website on a computer within the practice. One location was a small room used as a sick bay area, located between reception and consulting rooms; the other was in a large room behind reception, designated as a 'staff only' area, where the computer was positioned in a corner to ensure viewing of the screen by users only.


The experience of providing young people attending general practice with an online risk assessment tool to assess their own sexual health risk.

Bilardi JE, Sanci LA, Fairley CK, Hocking JS, Mazza D, Henning DJ, Sawyer SM, Wills MJ, Wilson DA, Chen MY - BMC Infect. Dis. (2009)

Youth Check Your Risk Information Card. Information card used to refer young general practice patients to Youth Check Your Risk.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2664815&req=5

Figure 1: Youth Check Your Risk Information Card. Information card used to refer young general practice patients to Youth Check Your Risk.
Mentions: GPs were then asked to refer all people aged 16 to 24 years to the YCYR website, regardless of their reason for presentation, by giving them an information card containing the web address (Figure 1). Cards were labelled with a unique access number which patients used to log into the site, ensuring that only patients in the study could access the site and that the number of users from each practice could be identified. Cards and posters advertising the site were also available in the waiting rooms and practice reception areas. Two of the practices were able to provide a private location where young people had the option of accessing the YCYR website on a computer within the practice. One location was a small room used as a sick bay area, located between reception and consulting rooms; the other was in a large room behind reception, designated as a 'staff only' area, where the computer was positioned in a corner to ensure viewing of the screen by users only.

Bottom Line: The intervention did not result in any significant increases in the proportion of 16 to 24 year old males (2.7% to 3.0%) or females (6.3% to 6.4%) tested for chlamydia.Major reasons for low referral rates reported by practitioners included lack of time, discomfort with raising the issue of testing, and difficulty in remembering to refer patients.Offering an online sexual risk assessment tool in general practice did not significantly increase the proportion of young people tested for chlamydia, with GPs identifying a number of barriers to referring young people to Youth Check Your Risk.

View Article: PubMed Central - HTML - PubMed

Affiliation: Melbourne School of Population Health, The University of Melbourne, Carlton, Victoria 3053, Australia. jbilardi@mshc.org.au

ABSTRACT

Background: Targeted chlamydia screening has been advocated to reduce chlamydia associated reproductive sequelae. General practitioners are well positioned to play a major role in chlamydia control. The primary aim of this pilot study was to measure the effect of offering an online sexual health assessment tool, Youth Check Your Risk, on chlamydia testing rates among young people attending general practices. The secondary aim was to test the acceptability of the tool among general practitioners and young people.

Methods: General practitioners at three practices in Melbourne, Australia, referred patients aged 16 to 24 years to Youth Check Your Risk http://www.checkyourrisk.org.au for use post-consultation between March to October 2007. The proportion of young people tested for chlamydia before and during the implementation of the tool was compared. Acceptability was assessed through a structured interviewer-administered questionnaire with general practitioners, and anonymous online data provided by Youth Check Your Risk users.

Results: The intervention did not result in any significant increases in the proportion of 16 to 24 year old males (2.7% to 3.0%) or females (6.3% to 6.4%) tested for chlamydia. A small increase in the proportion of 16 to 19 year old females tested was seen (4.1% to 7.2%). Of the 2997 patients seen during the intervention phase, 871 (29.1%) were referred to Youth Check Your Risk and 120 used it (13.8%). Major reasons for low referral rates reported by practitioners included lack of time, discomfort with raising the issue of testing, and difficulty in remembering to refer patients.

Conclusion: Offering an online sexual risk assessment tool in general practice did not significantly increase the proportion of young people tested for chlamydia, with GPs identifying a number of barriers to referring young people to Youth Check Your Risk. Future interventions aimed at increasing chlamydia screening in general practice with the aid of an online risk assessment tool need to identify and overcome barriers to testing.

Show MeSH
Related in: MedlinePlus