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Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views

OBJECTIVES: The aim of the study was to gather the views of sexual health clinic staff and male clinic users regarding digital sexual health promotion and online trial procedures. METHODS: The Men’s Safer Sex website was offered on tablet computers to men in the waiting rooms of three sexual health...

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Autores principales: Bailey, JV, Tomlinson, N, Hobbs, LJ, Webster, R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001223/
https://www.ncbi.nlm.nih.gov/pubmed/29942593
http://dx.doi.org/10.1177/2055207617704272
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author Bailey, JV
Tomlinson, N
Hobbs, LJ
Webster, R
author_facet Bailey, JV
Tomlinson, N
Hobbs, LJ
Webster, R
author_sort Bailey, JV
collection PubMed
description OBJECTIVES: The aim of the study was to gather the views of sexual health clinic staff and male clinic users regarding digital sexual health promotion and online trial procedures. METHODS: The Men’s Safer Sex website was offered on tablet computers to men in the waiting rooms of three sexual health clinics, in a feasibility online randomised controlled trial (RCT). Interviews were conducted with 11 men who had participated in the trial and with nine clinic staff, to explore their views of the website and views of the online trial. Interviews were audio-recorded and transcribed, and we conducted a thematic analysis of interviews and of 281 free text comments from the online RCT outcome questionnaires. RESULTS: Clinic users and staff felt that digital interventions such as the Men’s Safer Sex website are useful, especially if NHS endorsed. Pre-appointment waiting time presents a good opportunity for intervention but clinic users and staff felt that a website should supplement rather than replace face-to-face healthcare. The RCT procedures fitted well around clinical activities, but men did not self-direct to the tablet computers. Staff were more concerned about consent and confidentiality than clinic users, and staff and patients were frustrated by multiple technical problems. The trial outcome questionnaire was thought-provoking and could constitute an intervention in itself. Participants felt that clinics would need to promote a digital intervention and/or offer the site routinely to promote engagement. CONCLUSION: Digital interventions could usefully supplement in-person sexual health care, but there are important obstacles in terms of IT access in NHS settings, and in promoting engagement.
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spelling pubmed-60012232018-06-25 Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views Bailey, JV Tomlinson, N Hobbs, LJ Webster, R Digit Health Qualitative Study OBJECTIVES: The aim of the study was to gather the views of sexual health clinic staff and male clinic users regarding digital sexual health promotion and online trial procedures. METHODS: The Men’s Safer Sex website was offered on tablet computers to men in the waiting rooms of three sexual health clinics, in a feasibility online randomised controlled trial (RCT). Interviews were conducted with 11 men who had participated in the trial and with nine clinic staff, to explore their views of the website and views of the online trial. Interviews were audio-recorded and transcribed, and we conducted a thematic analysis of interviews and of 281 free text comments from the online RCT outcome questionnaires. RESULTS: Clinic users and staff felt that digital interventions such as the Men’s Safer Sex website are useful, especially if NHS endorsed. Pre-appointment waiting time presents a good opportunity for intervention but clinic users and staff felt that a website should supplement rather than replace face-to-face healthcare. The RCT procedures fitted well around clinical activities, but men did not self-direct to the tablet computers. Staff were more concerned about consent and confidentiality than clinic users, and staff and patients were frustrated by multiple technical problems. The trial outcome questionnaire was thought-provoking and could constitute an intervention in itself. Participants felt that clinics would need to promote a digital intervention and/or offer the site routinely to promote engagement. CONCLUSION: Digital interventions could usefully supplement in-person sexual health care, but there are important obstacles in terms of IT access in NHS settings, and in promoting engagement. SAGE Publications 2017-04-11 /pmc/articles/PMC6001223/ /pubmed/29942593 http://dx.doi.org/10.1177/2055207617704272 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Qualitative Study
Bailey, JV
Tomlinson, N
Hobbs, LJ
Webster, R
Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views
title Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views
title_full Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views
title_fullStr Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views
title_full_unstemmed Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views
title_short Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views
title_sort challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: staff and patient views
topic Qualitative Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001223/
https://www.ncbi.nlm.nih.gov/pubmed/29942593
http://dx.doi.org/10.1177/2055207617704272
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