对障碍的定性探索,以及改善干预措施,在英格兰使用行为变化轮子重新测试克拉米迪亚
Melissa Cabecinha, Tom Witney1, John Saunders
1Infection & Population Health, Institute for Global Health, University College London, London, UK.
对克拉米迪亚病毒再检测建议的认识和理解较低,阻碍了年轻人对其的接受. 诸如例行讨论和提醒之类的干预措施可以提高克拉米迪亚查率.
科学领域:
- 公共卫生 公共卫生
- 性健康 性的健康
- 健康 行为 健康行为
背景情况:
- 克拉米迪亚是英格兰最常见的性传播感染,重复感染会给健康带来重大风险.
- 国家指导方针建议在治疗后3-6个月重新测试克拉米迪亚病毒,但其发病率仍然很低 (10-14%).
研究的目的:
- 在英格兰的年轻人中探索克拉米迪亚再检测的障碍.
- 通过使用行为变化轮 (BCW) 确定改善克拉米迪亚再检测率的干预措施.
主要方法:
- 质量半结构面试与22名年龄在16-24岁的人进行,他们被诊断出患有克拉米迪亚.
- 从整个英格兰的性健康服务中招聘.
- 使用BCW进行感应性主题分析和分类.
主要成果:
- 关键障碍包括对重复测试建议的认识低,以及对"重复测试"一词的各种解释.
- 之前的测试经验影响了参与者重新测试的意愿.
- 潜在的干预措施:在诊断时进行例行讨论,重新测试提醒和自选自取样套件.
结论:
- 解决低意识问题和澄清"重新测试"概念对于改善吸收至关重要.
- 干预措施,如明确的指导,提醒和自取样套件,可以提高理解并简化流程.
- 未来的战略需要利益相关者和患者的参与,评估现实世界的影响.
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