دورية أكاديمية
أعرض في EDS

Qualitative evaluation of digital vending machines to improve access to STI and HIV testing in South West England: using a Person-Based Approach.

التفاصيل البيبلوغرافية
العنوان: Qualitative evaluation of digital vending machines to improve access to STI and HIV testing in South West England: using a Person-Based Approach.
المؤلفون: Gobin M; Population Health Sciences, University of Bristol, Bristol, UK maya.gobin@bristol.ac.uk., Horwood J; Population Health Sciences, University of Bristol, Bristol, UK.; National Institute for Health and Care Research (NIHR) Health Protection Research Unit (HPRU) in Behavioural Sciences and Evaluation and NIHR Applied Research Collaboration (ARC) West, University of Bristol, Bristol, UK., Stockwell S; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Denford S; Population Health Sciences, University of Bristol, Bristol, UK.; National Institute for Health and Care Research (NIHR) Health Protection Research Unit (HPRU) in Behavioural Sciences and Evaluation and NIHR Applied Research Collaboration (ARC) West, University of Bristol, Bristol, UK., Copping J; Bristol City Council, Bristol, UK., Lawson L; South Gloucestershire Council, South Gloucestershire, UK., Hayward S; North Somerset Council, North Somerset, UK., Harryman L; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Kesten JM; National Institute for Health and Care Research (NIHR) Health Protection Research Unit (HPRU) in Behavioural Sciences and Evaluation and NIHR Applied Research Collaboration (ARC) West, University of Bristol, Bristol, UK.
المصدر: BMJ open [BMJ Open] 2024 Jun 11; Vol. 14 (6), pp. e084786. Date of Electronic Publication: 2024 Jun 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Sexually Transmitted Diseases*/diagnosis , Qualitative Research* , HIV Infections*/diagnosis , Health Services Accessibility* , HIV Testing*/methods, Humans ; England ; Male ; Female ; Adult ; Young Adult ; Self-Testing ; Adolescent ; Patient Acceptance of Health Care/statistics & numerical data
مستخلص: Objectives: To report the development, implementation, acceptability and feasibility of vending machines offering HIV and sexually transmitted infection (STI) testing kits.
Design: A qualitative study using the Person-Based Approach with patient and public involvement workshops and stakeholder involvement and interviews with machine users, sexual health service (SHS) staff, venue staff and local authority sexual health commissioners. Transcripts were analysed thematically.
Setting: Bristol, North Somerset and South Gloucestershire (BNSSG).
Participants: 15 machine users, 5 SHS staff, 3 venue staff and 3 local authority commissioners.
Intervention: Four vending machines dispensing free HIV self-testing and STI self-sampling kits in publicly accessible venues across BNSSG were introduced to increase access to testing for groups at higher risk of HIV and STI infection who are less likely to access SHS clinic testing services (young people, people from black communities, and gay, bisexual and other men who have sex with men).
Results: Machine users reported the service was convenient, easy to use and accessible; however, concerns regarding privacy related to machine placement within the venues and issues of maintenance were raised. Promotional material was inclusive and informative; however, awareness of the service through the promotional campaign was limited. Vending machines were acceptable to venue staff once clear processes for their management were agreed with the SHS. SHS staff identified challenges with the implementation of the service related to the limited involvement of the whole SHS team in the planning and development.
Conclusions: The codeveloped vending machine service was acceptable, addressing some barriers to testing. Resources and protected staff time are needed to support greater involvement of the whole SHS team and service providers in venues. Adopting a similarly robust coproduction approach to the implementation of the machines could avoid the challenges reported. The placement of the machines to assure users privacy and repeated, targeted promotion could encourage service use among target groups.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
References: BMJ. 2017 Nov 30;359:j5395. (PMID: 29192020)
Sex Transm Infect. 2024 Feb 19;100(2):91-97. (PMID: 38302411)
Int J STD AIDS. 2022 Jun;33(7):680-686. (PMID: 35502984)
Prev Sci. 2017 Aug;18(6):640-648. (PMID: 27591993)
Lancet HIV. 2017 Jun;4(6):e241-e250. (PMID: 28219619)
Lancet Public Health. 2022 Jan;7(1):e36-e47. (PMID: 34995541)
BMJ Sex Reprod Health. 2018 Aug 10;:. (PMID: 30097465)
Soc Sci Med. 2021 Jun;279:113945. (PMID: 34010779)
Int J Environ Res Public Health. 2018 Jun 22;15(7):. (PMID: 29932158)
J R Soc Med. 2016 Oct;109(10):368-371. (PMID: 27729594)
BMJ Qual Saf. 2012 Oct;21(10):876-84. (PMID: 22543475)
Sex Transm Infect. 2022 Jun 14;:. (PMID: 35701146)
Sex Transm Infect. 2023 Aug;99(5):293-295. (PMID: 37137709)
Sex Transm Infect. 2019 Dec;95(8):557-561. (PMID: 31101723)
PLoS One. 2014 Jul 30;9(7):e103790. (PMID: 25076208)
J Acquir Immune Defic Syndr. 2018 Aug 15;78(5):505-512. (PMID: 29697595)
Mhealth. 2018 Oct 31;4:51. (PMID: 30505849)
Pilot Feasibility Stud. 2015 Oct 26;1:37. (PMID: 27965815)
Int J STD AIDS. 2020 Apr;31(5):420-425. (PMID: 32188345)
Sex Transm Infect. 2017 Mar;93(2):445-448. (PMID: 27811311)
Qual Health Res. 2016 Nov;26(13):1753-1760. (PMID: 26613970)
BMC Public Health. 2013 Aug 08;13:735. (PMID: 23924387)
BMJ Open. 2021 Oct 22;11(10):e050109. (PMID: 34686552)
فهرسة مساهمة: Keywords: HIV & AIDS; Health Services Accessibility; Sexually Transmitted Disease
تواريخ الأحداث: Date Created: 20240611 Date Completed: 20240611 Latest Revision: 20240614
رمز التحديث: 20240614
مُعرف محوري في PubMed: PMC11168124
DOI: 10.1136/bmjopen-2024-084786
PMID: 38862218
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2024-084786