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Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial

BACKGROUND: The objective of this study was to compare the costs and outcomes of two sexually transmitted infection (STI) screening interventions targeted at men in football club settings in England, including screening promoted by team captains. METHODS: A comparison of costs and outcomes was under...

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Autores principales: Jackson, Louise J, Roberts, Tracy E, Fuller, Sebastian S, Sutcliffe, Lorna J, Saunders, John M, Copas, Andrew J, Mercer, Catherine H, Cassell, Jackie A, Estcourt, Claudia S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345770/
https://www.ncbi.nlm.nih.gov/pubmed/25512670
http://dx.doi.org/10.1136/sextrans-2014-051715
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author Jackson, Louise J
Roberts, Tracy E
Fuller, Sebastian S
Sutcliffe, Lorna J
Saunders, John M
Copas, Andrew J
Mercer, Catherine H
Cassell, Jackie A
Estcourt, Claudia S
author_facet Jackson, Louise J
Roberts, Tracy E
Fuller, Sebastian S
Sutcliffe, Lorna J
Saunders, John M
Copas, Andrew J
Mercer, Catherine H
Cassell, Jackie A
Estcourt, Claudia S
author_sort Jackson, Louise J
collection PubMed
description BACKGROUND: The objective of this study was to compare the costs and outcomes of two sexually transmitted infection (STI) screening interventions targeted at men in football club settings in England, including screening promoted by team captains. METHODS: A comparison of costs and outcomes was undertaken alongside a pilot cluster randomised control trial involving three trial arms: (1) captain-led and poster STI screening promotion; (2) sexual health advisor-led and poster STI screening promotion and (3) poster-only STI screening promotion (control/comparator). For all study arms, resource use and cost data were collected prospectively. RESULTS: There was considerable variation in uptake rates between clubs, but results were broadly comparable across study arms with 50% of men accepting the screening offer in the captain-led arm, 67% in the sexual health advisor-led arm and 61% in the poster-only control arm. The overall costs associated with the intervention arms were similar. The average cost per player tested was comparable, with the average cost per player tested for the captain-led promotion estimated to be £88.99 compared with £88.33 for the sexual health advisor-led promotion and £81.87 for the poster-only (control) arm. CONCLUSIONS: Costs and outcomes were similar across intervention arms. The target sample size was not achieved, and we found a greater than anticipated variability between clubs in the acceptability of screening, which limited our ability to estimate acceptability for intervention arms. Further evidence is needed about the public health benefits associated with screening interventions in non-clinical settings so that their cost-effectiveness can be fully evaluated.
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spelling pubmed-43457702015-03-18 Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial Jackson, Louise J Roberts, Tracy E Fuller, Sebastian S Sutcliffe, Lorna J Saunders, John M Copas, Andrew J Mercer, Catherine H Cassell, Jackie A Estcourt, Claudia S Sex Transm Infect Health Services Research BACKGROUND: The objective of this study was to compare the costs and outcomes of two sexually transmitted infection (STI) screening interventions targeted at men in football club settings in England, including screening promoted by team captains. METHODS: A comparison of costs and outcomes was undertaken alongside a pilot cluster randomised control trial involving three trial arms: (1) captain-led and poster STI screening promotion; (2) sexual health advisor-led and poster STI screening promotion and (3) poster-only STI screening promotion (control/comparator). For all study arms, resource use and cost data were collected prospectively. RESULTS: There was considerable variation in uptake rates between clubs, but results were broadly comparable across study arms with 50% of men accepting the screening offer in the captain-led arm, 67% in the sexual health advisor-led arm and 61% in the poster-only control arm. The overall costs associated with the intervention arms were similar. The average cost per player tested was comparable, with the average cost per player tested for the captain-led promotion estimated to be £88.99 compared with £88.33 for the sexual health advisor-led promotion and £81.87 for the poster-only (control) arm. CONCLUSIONS: Costs and outcomes were similar across intervention arms. The target sample size was not achieved, and we found a greater than anticipated variability between clubs in the acceptability of screening, which limited our ability to estimate acceptability for intervention arms. Further evidence is needed about the public health benefits associated with screening interventions in non-clinical settings so that their cost-effectiveness can be fully evaluated. BMJ Publishing Group 2015-03 2014-12-15 /pmc/articles/PMC4345770/ /pubmed/25512670 http://dx.doi.org/10.1136/sextrans-2014-051715 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Health Services Research
Jackson, Louise J
Roberts, Tracy E
Fuller, Sebastian S
Sutcliffe, Lorna J
Saunders, John M
Copas, Andrew J
Mercer, Catherine H
Cassell, Jackie A
Estcourt, Claudia S
Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial
title Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial
title_full Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial
title_fullStr Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial
title_full_unstemmed Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial
title_short Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial
title_sort exploring the costs and outcomes of sexually transmitted infection (sti) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the sportsmart pilot randomised controlled trial
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345770/
https://www.ncbi.nlm.nih.gov/pubmed/25512670
http://dx.doi.org/10.1136/sextrans-2014-051715
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