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'It Opened My Eyes'-examining the impact of a multifaceted chlamydia testing intervention on general practitioners
Anna Yeung1, Jane Hocking2, Rebecca Guy3
1Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Family Practice
|April 3, 2018
Summary
The Australian Chlamydia Control Effectiveness Pilot (ACCEPt) moderately normalized chlamydia testing in general practice. Quarterly feedback significantly increased testing rates among young adults, improving intervention implementation.
Area of Science:
- Public Health
- Infectious Diseases
- General Practice
Background:
- Chlamydia trachomatis is Australia's most common notifiable sexually transmitted infection.
- Untreated infections can lead to serious reproductive health issues like pelvic inflammatory disease and infertility.
- General practices are key sites for testing young Australians for chlamydia.
Purpose of the Study:
- To evaluate the effectiveness of the Australian Chlamydia Control Effectiveness Pilot (ACCEPt) intervention in increasing chlamydia testing among 16- to 29-year-olds.
- To understand how general practitioners (GPs) integrated chlamydia testing into routine practice using Normalization Process Theory (NPT).
Main Methods:
- Purposive sampling of 44 GPs at baseline and 24 at midpoint for interviews.
- Analysis of interview data focusing on intervention components and outcomes.
- Interpretation of results through the lens of Normalization Process Theory (NPT).
Main Results:
- GPs shifted from testing based on symptoms/request to testing based on age.
- Quarterly feedback emerged as the most impactful component of the ACCEPt intervention.
- A moderate normalization of chlamydia testing was observed among participating GPs.
Conclusions:
- The ACCEPt intervention successfully facilitated the normalization of chlamydia testing in general practice.
- Normalization Process Theory (NPT) proved valuable in assessing intervention implementation and identifying areas for improvement.
- Specific intervention components demonstrated varying effectiveness, highlighting opportunities for refinement.