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dc.contributor.authorAicken, CRHen_US
dc.contributor.authorSutcliffe, LJen_US
dc.contributor.authorGibbs, Jen_US
dc.contributor.authorTickle, LJen_US
dc.contributor.authorHone, Ken_US
dc.contributor.authorHarding-Esch, EMen_US
dc.contributor.authorMercer, CHen_US
dc.contributor.authorSonnenberg, Pen_US
dc.contributor.authorSadiq, STen_US
dc.contributor.authorEstcourt, CSen_US
dc.contributor.authorShahmanesh, Men_US
dc.date.accessioned2017-11-02T14:14:23Z
dc.date.available2017-09-07en_US
dc.date.issued2018-06en_US
dc.date.submitted2017-10-30T13:40:59.255Z
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/28595
dc.description.abstractOBJECTIVE: We developed the eSexual Health Clinic (eSHC), an innovative, complex clinical and public health intervention, embedded within a specialist sexual health service. Patients with genital chlamydia access their results online and are offered medical management via an automated online clinical consultation, leading to antibiotic collection from community pharmacy. A telephone helpline, staffed by Sexual Health Advisers, is available to support patients and direct them to conventional services if appropriate. We sought to understand how patients used this ehealth intervention. METHODS: Within exploratory studies of the eSHC (2014-2015), we conducted in-depth interviews with a purposive sample of 36 patients diagnosed with chlamydia, who had chosen to use the eSHC (age 18-35, 20 female, 16 male). Thematic analysis was conducted. RESULTS: Participants described choosing to use this ehealth intervention to obtain treatment rapidly, conveniently and privately, within busy lifestyles that hindered clinic access. They described completing the online consultation promptly, discreetly and with ease. The information provided online was considered comprehensive, reassuring and helpful, but some overlooked it in their haste to obtain treatment. Participants generally described being able to collect treatment from pharmacies discreetly and promptly, but for some, poor awareness of the eSHC by pharmacy staff undermined their ability to do this. Those unsuitable for remote management, who were directed to clinic, described frustration and concern about health implications and clinic attendance. However, the helpline was a highly valued source of information, assistance and support. CONCLUSION: The eSHC is a promising adjunct to traditional care. Its users have high expectations for convenience, speed and privacy, which may be compromised when transitioning from online to face-to-face elements of the eSHC. Managing expectations and improving implementation of the pharmacy process, could improve their experiences. Positive views on the helpline provide further support for embedding this ehealth intervention within a specialist clinical service.en_US
dc.description.sponsorshipThe Electronic Self-testing Instruments for Sexually Transmitted Infection (eSTI2) Consortium is funded under the UKCRC Translational Infection Research (TIR) Initiative supported by the Medical Research Council (Grant Number G0901608) with contributions to the Grant from the Biotechnology and Biological Sciences Research Council, the National Institute for Health Research on behalf of the Department of Health, the Chief Scientist Office of the Scottish Government Health Directorates and the Wellcome Trust. The funders had no role in the conduct or analysis of this research or the writing or decision to submit this article for publication.en_US
dc.format.extent241 - 247en_US
dc.languageengen_US
dc.relation.ispartofSex Transm Infecten_US
dc.rightsThis 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/
dc.subjectchlamydia infectionen_US
dc.subjectcommunication technologiesen_US
dc.subjectcompex interventionsen_US
dc.subjectqualitative researchen_US
dc.subjectsexual healthen_US
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectAmbulatory Careen_US
dc.subjectChlamydia Infectionsen_US
dc.subjectChoice Behavioren_US
dc.subjectData Collectionen_US
dc.subjectFemaleen_US
dc.subjectHealth Services Accessibilityen_US
dc.subjectHumansen_US
dc.subjectInterneten_US
dc.subjectMaleen_US
dc.subjectPatient Acceptance of Health Careen_US
dc.subjectSexual Healthen_US
dc.subjectTelemedicineen_US
dc.subjectYoung Adulten_US
dc.titleUsing the eSexual Health Clinic to access chlamydia treatment and care via the internet: a qualitative interview study.en_US
dc.typeArticle
dc.rights.holder© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
dc.identifier.doi10.1136/sextrans-2017-053227en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/28988193en_US
pubs.issue4en_US
pubs.notesNot knownen_US
pubs.publication-statusPublisheden_US
pubs.volume94en_US
dcterms.dateAccepted2017-09-07en_US


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