001 PP: ONLINE CLINICAL MANAGEMENT PATHWAYS FOR CHLAMYDIA TREATMENT: ENRICHING FORMATIVE EVALUATION OF A COMPLEX E-HEALTH INTERVENTION

C. Aicken, C. Estcourt, J. Gibbs, P. Sonnenberg, C. Mercer, L. Tickle, L. Sutcliffe, S. Sadiq, M. Shahmanesh
2015 BMJ Open  
Novel online clinical management pathways for chlamydia (eSexualHealthClinic) are being developed, enabling people to receive treatment remotely from clinical settings, with minimal contact with healthcare-professionals. Development follows Medical Research Council complex interventions guidance, and is iteratively informed by qualitative research. In a mixed-methods pilot study, the eSexualHealthClinic is being explored for acceptability and preliminary evidence of effectiveness, among people
more » ... ness, among people who tested positive for chlamydia through conventional services. They receive test-results by textmessage, and are offered online care. After completing an automated consultation, they can collect antibiotics from community pharmacies. If they prefer, or if medically appropriate, they are managed in clinic. Objective To describe how the pilot study's qualitative component will deepen our understanding of its quantitative findings, further informing intervention development. Methods Ongoing semi-structured follow-up telephoneinterviews with people who used the eSexualHealthClinic, exploring views and experiences. Interviews are informed by the Theory of Planned Behaviour, also considering expectations and previous experiences of healthcare, emotional and contextual factors, themes from our previous qualitative research, and allowing emergent themes. Since prevention of transmission is paramount for infection control, reasons for delayed treatment are explored. Contribution of qualitative research Interactions with the eSexualHealthClinic are time-logged, and participants are surveyed after completing care. These detailed quantitative data provide limited information on reasons for delays, (dis)
doi:10.1136/bmjopen-2015-uclsymposiumabstracts.12 fatcat:qonijgupvjdhbalhod3zrkucky