scholarly journals Prevention challenges with current perceptions of HIV burden among HIV‐negative and never‐tested men who have sex with men in the Netherlands: a mixed‐methods study

2021 ◽  
Vol 24 (8) ◽  
Author(s):  
Hanne ML Zimmermann ◽  
Ward PH Bilsen ◽  
Anders Boyd ◽  
Maria Prins ◽  
Frenk Harreveld ◽  
...  
PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0139320 ◽  
Author(s):  
Sarah M. Peitzmeier ◽  
Faiza Yasin ◽  
Rob Stephenson ◽  
Andrea L. Wirtz ◽  
Altanchimeg Delegchoimbol ◽  
...  

10.2196/13743 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e13743 ◽  
Author(s):  
Maria M T Vreugdenhil ◽  
Sander Ranke ◽  
Yvonne de Man ◽  
Maaike M Haan ◽  
Rudolf B Kool

Background In the Netherlands, the health care system and related information technology landscape are fragmented. Recently, hospitals have started to launch patient portals. It is not clear how these portals are used by patients and their health care providers (HCPs). Objective The objective of this study was to explore the adoption, use, usability, and usefulness of a recently introduced patient portal in an academic hospital to learn lessons for the implementation of patient portals in a fragmented health care system. Methods A mixed methods study design was used. In the quantitative study arm, characteristics of patients who used the portal were analyzed, in addition to the utilization of the different functionalities of the portal. In the qualitative study arms, think-aloud observations were made to explore usability. Focus group discussions were conducted among patients and HCPs of the dermatology and ophthalmology outpatient departments. Thematic content analysis of qualitative data was carried out and overarching themes were identified using a framework analysis. Results One year after the introduction of the portal, 24,514 patients, 13.49% of all patients who visited the hospital, had logged in to the portal. Adoption of the portal was associated with the age group 45 to 75 years, a higher socioeconomic status, and having at least one medical diagnosis. Overarching themes from the qualitative analyses were (1) usability and user-friendliness of the portal, (2) HCP-patient communication through the portal, (3) usefulness of the information that can be accessed through the portal, (4) integration of the portal in care and work processes, and (5) HCP and patient roles and relationships. Conclusions One year after the introduction of the patient portal, patients and HCPs who used the portal recognized the potential of the portal to engage patients in their care processes, facilitate patient-HCP communication, and increase patient convenience. Uncertainties among patients and HCPs about how to use the messaging functionality and limited integration of the portal in care and work processes are likely to have limited portal use and usefulness.


2018 ◽  
Vol 22 (12) ◽  
pp. 3905-3915 ◽  
Author(s):  
Cristina Rodriguez-Hart ◽  
◽  
Cory Bradley ◽  
Danielle German ◽  
Rashelle Musci ◽  
...  

Author(s):  
Rosa Naomi Minderhout ◽  
Martine C. Baksteen ◽  
Mattijs E. Numans ◽  
Marc A. Bruijnzeels ◽  
Hedwig M.M. Vos

Author(s):  
Ada van den Bos-Boon ◽  
Susan Hekman ◽  
Robert-Jan Houmes ◽  
Lilian Vloet ◽  
Saskia Gischler ◽  
...  

2015 ◽  
Vol 17 (4) ◽  
pp. e100 ◽  
Author(s):  
Kathryn E Muessig ◽  
Cedric H Bien ◽  
Chongyi Wei ◽  
Elaine J Lo ◽  
Min Yang ◽  
...  

2021 ◽  
pp. sextrans-2020-054911
Author(s):  
Clarisse Sri-Pathmanathan ◽  
Definate Nhamo ◽  
Takudzwa Mamvuto ◽  
Gwendoline Chapwanya ◽  
Fern Terris-Prestholt ◽  
...  

ObjectivesSelf-testing for STIs such as HIV and syphilis may empower sexual minorities and expand uptake of STI testing. While much is known about HIV self-testing (HIVST), less is known about syphilis self-testing, particularly in low-income settings. The objective of this study is to determine context-specific facilitators and barriers for self-testing and to assess the usability of syphilis self-testing in Zimbabwe among men who have sex with men (MSM).MethodsThis mixed methods study was conducted in Harare as part of a larger syphilis self-testing trial. The study included in-depth interviews (phase I) followed by usability testing and a second interview (phase II). In-depth interviews were conducted with MSM and key informants prior to syphilis self-testing. The same MSM then used the syphilis self-test, quantitatively assessed its usability and participated in a second in-depth interview. Phase I data were analysed using a thematic approach, guided by an adapted social ecological model conceptual framework. Phase II interviews were analysed using rapid assessment procedure methodology, and usability was assessed using a pre-established index, adapted from existing HIVST scales.ResultsTwenty MSM and 10 key informants were recruited for phase I in-depth interviews, and 16 of these MSM participated in phase II by completing a syphilis self-test kit. Facilitating factors for self-testing included the potential for increased privacy, convenience, autonomy, and avoidance of social and healthcare provider stigma. Barriers included the fear to test and uncertainty about linkage to care and treatment. Data from the Usability Index suggested high usability (89.6% on a 0–100 scale) among the men who received the self-test.ConclusionsMSM in Zimbabwe were willing to use syphilis self-test kits and many of the barriers and facilitators were similar to those observed for HIVST. Syphilis self-testing may increase syphilis test uptake among sexual minorities in Zimbabwe and other low-income and middle-income countries.


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