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A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation.

Theunissen K, Hoebe C, Kok G, Crutzen R, Kara-Zaïtri C, de Vries N, van Bergen J, Hamilton R, van der Sande M, Dukers-Muijrers N - Int J Environ Res Public Health (2015)

Bottom Line: Nurses were positive about using the strategy.However, uptake among men and recruitment of sex-partners is low and RDS stopped early.Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.

View Article: PubMed Central - PubMed

Affiliation: Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, 6160 HA, Geleen, The Netherlands. Kevin.Theunissen@ggdzl.nl.

ABSTRACT

Background: With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated.

Methods: Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16-25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers.

Results: Twelve (40%) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29%) requested a test and eight tested. Seven tested for the first time and one (13%) was positive. Most peers were female friends (80%). Nurses were positive about using the strategy.

Conclusions: The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.

No MeSH data available.


Recruitment among index clients and first wave peers.
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ijerph-12-09889-f002: Recruitment among index clients and first wave peers.

Mentions: In total, the 12 participating index clients recruited four sexual (two anonymous) and 31 social (only six anonymous) network members during the first wave (Figure 2). Of the sexual partners two were casual male partners and two were steady partners (one male, one female). The 31 social network members included four best friends and 27 friends; 29 were women. The 12 index clients that recruited their peers reported in total 29 contactable sex partners of whom one was already tested and 15 (52%) had been notified. Of the 14 sex partners (48%) that were not yet notified, four (29%) were recruited via our screening strategy In total this resulted in only 9%, of all sex partners mentioned by the 30 included index clients, that were reached by our screening strategy.


A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation.

Theunissen K, Hoebe C, Kok G, Crutzen R, Kara-Zaïtri C, de Vries N, van Bergen J, Hamilton R, van der Sande M, Dukers-Muijrers N - Int J Environ Res Public Health (2015)

Recruitment among index clients and first wave peers.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555318&req=5

ijerph-12-09889-f002: Recruitment among index clients and first wave peers.
Mentions: In total, the 12 participating index clients recruited four sexual (two anonymous) and 31 social (only six anonymous) network members during the first wave (Figure 2). Of the sexual partners two were casual male partners and two were steady partners (one male, one female). The 31 social network members included four best friends and 27 friends; 29 were women. The 12 index clients that recruited their peers reported in total 29 contactable sex partners of whom one was already tested and 15 (52%) had been notified. Of the 14 sex partners (48%) that were not yet notified, four (29%) were recruited via our screening strategy In total this resulted in only 9%, of all sex partners mentioned by the 30 included index clients, that were reached by our screening strategy.

Bottom Line: Nurses were positive about using the strategy.However, uptake among men and recruitment of sex-partners is low and RDS stopped early.Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.

View Article: PubMed Central - PubMed

Affiliation: Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, 6160 HA, Geleen, The Netherlands. Kevin.Theunissen@ggdzl.nl.

ABSTRACT

Background: With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated.

Methods: Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16-25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers.

Results: Twelve (40%) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29%) requested a test and eight tested. Seven tested for the first time and one (13%) was positive. Most peers were female friends (80%). Nurses were positive about using the strategy.

Conclusions: The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.

No MeSH data available.