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Recommendations for developing asynchronous online consultations for chlamydia treatment for underserved populations:
Claudia S Estcourt1, Julie McLeod2, Paul Flowers3
1School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, UK claudia.estcourt@gcu.ac.uk.
Asynchronous online consultations can improve sexual healthcare access for underserved groups. Addressing barriers like digital literacy and privacy concerns enhances usability and safety for chlamydia treatment.
Area of Science:
- Digital Health
- Sexual Health
- Health Equity
Background:
- Underserved populations face significant sexual health disparities and barriers to care.
- Asynchronous online consultations are increasingly used for STI management, such as chlamydia treatment.
- Effective use of online health services requires adequate health and digital literacy.
Purpose of the Study:
- To identify barriers and facilitators to asynchronous online consultations among diverse underserved groups.
- To develop evidence-based recommendations for improving access and usability of these services.
Main Methods:
- Utilized the PROGRESS-Plus framework for purposive sampling of 35 participants from underserved communities in the UK.
- Conducted qualitative semi-structured interviews and thematic analysis.
- Applied the Behaviour Change Wheel to formulate recommendations.
Main Results:
- Key barriers included lack of online healthcare familiarity, privacy concerns, and difficulty with online forms.
- Facilitators comprised familiarity with online services, perceived convenience, privacy, and simple design.
- Recommendations focus on increasing awareness, promoting benefits, and simplifying the user experience.
Conclusions:
- Implementing targeted recommendations can enhance the accessibility, usability, and safety of online consultations for underserved groups.
- These improvements in chlamydia treatment services can benefit all users and potentially other health domains.
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