‘It’s literally giving them a solution in their hands’: the views of young Australians towards patient-delivered partner therapy for treating chlamydia

2021 ◽  
pp. sextrans-2020-054820
Author(s):  
Elly Layton ◽  
Jane L Goller ◽  
Jacqueline Coombe ◽  
Meredith Temple-Smith ◽  
Jane Tomnay ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Partner Notification ◽  
Index Patient ◽  
Sexual Partners ◽  
Snowball Sampling ◽  
Potential Health ◽  
Relationship Type ◽  
Telephone Interviews ◽  
Barriers And Enablers ◽  
The Relationship

ObjectivesPatient-delivered partner therapy (PDPT) is a method for providing antibiotic treatment for the sexual partners of an index patient with an STI by means of a prescription or medication that the index patient gives to their sexual partner(s). Qualitative research regarding barriers and enablers to PDPT has largely focused on the views of healthcare providers. In this study, we sought to investigate the views of young people (as potential health consumers) regarding PDPT for chlamydia.MethodsSemi-structured telephone interviews were conducted with young Australian men and women. Participants were asked to provide their views regarding PDPT from the perspective of both an index patient and partner. Purposive and snowball sampling was used. Data were analysed thematically.ResultsWe interviewed 22 people (13 women, 9 men) aged 18–30 years, 15 of whom had previously been tested for chlamydia. Despite none having previous knowledge of or experience using PDPT, all viewed it positively and thought it should be widely available. Participants reported that they would be willing to give PDPT to their sexual partners in situations where trust and comfort had been established, regardless of the relationship type. Protecting their partners’ privacy was essential, with participants expressing reluctance to provide their partners’ contact details to a doctor without consent. Beyond logistical benefits, PDPT was viewed as a facilitator to partner notification conversations by offering partners a potential solution. However, most interviewees indicated a preference to consult with a healthcare provider (GP or pharmacist) before taking PDPT medication. Participants indicated that legitimacy of information when navigating a chlamydia diagnosis was crucial and was preferably offered by healthcare providers.ConclusionsThough PDPT is unlikely to fully replace partners’ interactions with healthcare providers, it may facilitate partner notification conversations and provide partners greater choice on how, when and where they are treated.

60. THE RIGHT THING TO DO: PATIENTS' VIEWS AND EXPERIENCES OF TELLING PARTNERS ABOUT CHLAMYDIA

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 308
Author(s):  
M. J. Temple-Smith ◽  
C. A. Hopkins ◽  
C. K. Fairley ◽  
J. E. Tomnay ◽  
N. L. Pavlin ◽  
...  
Keyword(s):  
Quantitative Methods ◽  
Partner Notification ◽  
Sexual Partners ◽  
Initial Diagnosis ◽  
Men And Women ◽  
Telephone Interviews ◽  
The Right ◽  
The Relationship ◽  
Better Than

Partner notification for patients diagnosed with chlamydia is recommended to assist in controlling the increasing incidence of this often asymptomatic but treatable infection. Few studies, however, have ascertained the views on partner notification from those who are often expected to perform it - the individuals who have been diagnosed with chlamydia. As part of a larger combined qualitative-quantitative methods study of partner notification, 40 in-depth telephone interviews were conducted with people diagnosed with chlamydia from clinics in Victoria, ACT and Queensland. Reactions to chlamydia diagnosis, as well as reasons for, and feelings about, telling their sexual partners about this infection were explored. Common reactions to initial diagnosis were surprise, shock and shame, as well as relief about being able to put a name to symptoms. Many spoke of relief on learning the condition was treatable. Both men and women commonly saw partner notification as a social duty, and cited concerns about their own health and the health of others as a reason for telling partners and ex-partners about the diagnosis. An infrequent reason offered for partner notification was to confront a partner to clarify fidelity. Reasons for not contacting a partner were typically fear of reaction, or a lack of contact details. Although participants reported sexual partners exhibiting a variety of reactions when told of the diagnosis, results showed that for almost everyone, the experience of notifying their partner was better than they had expected. Views about taking antibiotics to the partner varied according to the currency of the relationship, with some feeling it could be offered as appeasement, and others feeling it might be seen as intrusive. Overall, the findings from this study suggest that partner notification by people diagnosed with chlamydia is achievable, with many of these results likely to be transferable to other settings.

61. GP PERSPECTIVES ON PARTNER NOTIFICATION FOR CHLAMYDIA

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 308
Author(s):  
N. Pavlin ◽  
R. Parker ◽  
C. A. Hopkins ◽  
M. J. Temple-Smith ◽  
C. K. Fairley ◽  
...  
Keyword(s):  
Financial Incentives ◽  
Health Workers ◽  
Partner Notification ◽  
Aboriginal Health ◽  
Index Patient ◽  
Role Of Government ◽  
Practice Nurses ◽  
Telephone Interviews ◽  
Computer Based ◽  
Privacy And Confidentiality

As part of a larger, combined qualitative-quantitative study of partner notification, 40 semi-structured in-depth telephone interviews were conducted with General Practitioners (GPs), from Victoria, ACT and Queensland, who had diagnosed at least one case of chlamydia in the last year. Rural doctors and those who had experience working with Aboriginal patients were over-sampled to ensure their views were represented in the study. The interviews explored GPs' current practices with regard to partner notification for chlamydia, barriers they perceived to partner notification for chlamydia in the general practice setting and what resources/incentives they felt would improve partner notification for chlamydia. The GPs in our study primarily ask the index patient to carry out partner notification themselves. It was relatively rare for GPs to have experience of notifying partners on the patient's behalf. Half of the GPs report that they only encourage notification of the patient's current/immediate past partners. There was considerable confusion amongst the GPs interviewed as to the role of government partner notification officers. Many thought that support from a government agency would allow partner notification to occur more effectively. Some were under the impression that this process is automatically activated when they 'notify' that they have diagnosed someone with chlamydia. Some of the main barriers perceived include confusion about issues of privacy and confidentiality with regard to partner notification and the sense that there is a lack of clarity as to what is expected of them in terms of partner notification for chlamydia. Most GPs feel that access to decision support tools and clear guidelines would be helpful. Financial incentives for doing partner notification were seen as particularly important to fund allied health workers' time rather than to pay GPs themselves e.g. for practice nurses and Aboriginal health workers. GPs were enthusiastic about computer based resources to aid in partner notification

scholarly journals 314. Healthcare Providers’ Views on HCV Testing and Counseling Among Sexual Partners of Hepatitis C-Infected Persons

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S166-S167
Author(s):  
Katherine Dunham ◽  
Jessica McDonald ◽  
Anna Yousaf ◽  
Joshua A Barocas ◽  
Marguerite A Neill ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Healthcare Providers ◽  
Partner Notification ◽  
Sexual Partners ◽  
Convenience Sample ◽  
Boston University ◽  
Counseling And Testing ◽  
Control And Prevention ◽  
Hcv Testing ◽  
Outbreak Situation

Abstract Background Current hepatitis C virus (HCV) counseling guidelines from the Centers for Disease Control and Prevention (CDC) do not recommend that HCV-infected-patients notify their partners or encourage them to get tested. Because there is a small but present risk of HCV acquisition through sex, sexual partners should be encouraged to receive HCV counseling and testing. We aimed to assess healthcare professionals’ knowledge of and attitudes toward current counseling and testing recommendations for HCV-infected patients. Methods A 15-question, anonymous survey was designed and distributed to a convenience sample of healthcare providers (MDs, NPs, PAs) who work with Brown University or Boston University-affiliated hospitals. Questionnaires included demographic information as well as questions regarding providers’ current counseling practices and knowledge of current recommendations for HCV counseling. Descriptive statistics were used to analyze the survey data. Results Of the 55 respondents (a 20% response rate), 73% believed that current CDC HCV testing guidelines already recommend partners of HCV-infected patients be tested for HCV infection. Furthermore, 80% of respondents believed recommendations should be revisited to explicitly include that HCV-infected patients encourage their partners to get tested. When counseling patients with HCV, 44% of respondents reported they always ask whether the patient’s partners have been tested for HCV and 42% reported they sometimes do. Similarly, 42% reported they always suggest that the HCV-infected patient’s partners be tested for HCV. If sufficient resources were available, 75% of respondents reported that they would support active partner notification for HCV during an HCV outbreak situation and 72% said they would support active partner notification in a non-outbreak situation where there is still high HCV incidence. Conclusion Our survey shows that healthcare providers believe that current HCV-counseling and testing recommendations could be revisited, with specific attention given to the promotion of HCV testing for partners of HCV-infected patients. Disclosures All authors: No reported disclosures.

Factors Affecting Employee Creativity in Taiwan's Hakka Clothing Industry

2013 ◽  
Vol 41 (2) ◽  
pp. 271-282 ◽  
Author(s):  
Hsiu-Ju Hsu
Keyword(s):  
Work Environment ◽  
Personal Characteristics ◽  
Creative Industries ◽  
Clothing Industry ◽  
Snowball Sampling ◽  
Employee Creativity ◽  
Factors Affecting ◽  
Telephone Interviews ◽  
Cultural And Creative Industries ◽  
The Relationship

I investigated the relationship among employee creativity, personal characteristics, and work environment characteristics in Taiwan's Hakka cultural and creative industries, specifically the clothing industry. I used snowball sampling to find participants who completed a questionnaire that was either self-administered or administered through telephone interviews, from which I obtained 86 responses for the analysis. I then performed analysis of variance, correlation analysis, and t test. The results reveal that employee creativity was significantly correlated to both personal cognitive style and work environment characteristics. However, the results do not reveal any significant differences in employee creativity with regard to demographic factors.

Healing experience for family caregivers after an intensive care unit death

2019 ◽  
pp. bmjspcare-2018-001561 ◽  
Author(s):  
Susan DeSanto-Madeya ◽  
Dan Willis ◽  
Julie McLaughlin ◽  
Aristotle Boslet
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Caregivers ◽  
Phenomenological Study ◽  
Healthcare Providers ◽  
Loved One ◽  
Hermeneutic Phenomenological ◽  
Telephone Interviews ◽  
Hermeneutic Phenomenological Study ◽  
Purposive Sample

ObjectivesFamily caregivers suffer a high burden of emotional and psychological distress following the death of a loved one in the intensive care unit and often struggle to heal in the weeks following their loss. The purpose of this hermeneutic phenomenological study was to describe and interpret the experience of healing for family caregivers six weeks following the death of a loved one in the ICU.MethodsSemi-structured telephone interviews were conducted with a purposive sample of twenty-four family caregivers six weeks following the death of their loved ones in the ICU. Qualitative analysis techniques were used to identify common themes central to the experience of healing across all interviews.ResultsSeven themes were interpreted from the data: searching for clarity from a time of uncertainty; riding an emotional rollercoaster; seeking peace in one’s decisions; moving forward with each new day; taking comfort in the memories; valuing layers of support; and discovering life on one’s own.ConclusionBy identifying and gaining an understanding of healing following the death of a loved one in the ICU, nursing and other healthcare providers have an opportunity to promote healing and positively impact family caregiver’s bereavement.

scholarly journals What is stopping us? An implementation science study of kangaroo care in British Columbia’s neonatal intensive care units

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Coutts ◽  
Alix Woldring ◽  
Ann Pederson ◽  
Julie De Salaberry ◽  
Horacio Osiovich ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthcare Provider ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Healthcare Providers ◽  
Neurodevelopmental Outcomes ◽  
Kangaroo Care ◽  
Optimal Care ◽  
Barriers And Enablers ◽  
Provider Beliefs

Abstract Background The goal of the Neonatal Intensive Care Unit (NICU) is to provide optimal care for preterm and sick infants while supporting their growth and development. The NICU environment can be stressful for preterm infants and often cannot adequately support their neurodevelopmental needs. Kangaroo Care (KC) is an evidence-based developmental care strategy that has been shown to be associated with improved short and long term neurodevelopmental outcomes for preterm infants. Despite evidence for best practice, uptake of the practice of KC in resource supported settings remains low. The aim of this study was to identify and describe healthcare providers’ perspectives on the barriers and enablers of implementing KC. Methods This qualitative study was set in 11 NICUs in British Columbia, Canada, ranging in size from 6 to 70 beds, with mixed levels of care from the less acute up to the most complex acute neonatal care. A total of 35 semi-structured healthcare provider interviews were conducted to understand their experiences providing KC in the NICU. Data were coded and emerging themes were identified. The Consolidated Framework for Implementation Research (CFIR) guided our research methods. Results Four overarching themes were identified as barriers and enablers to KC by healthcare providers in their particular setting: 1) the NICU physical environment; 2) healthcare provider beliefs about KC; 3) clinical practice variation; and 4) parent presence. Depending on the specific features of a given site these factors functioned as an enabler or barrier to practicing KC. Conclusions A ‘one size fits all’ approach cannot be identified to guide Kangaroo Care implementation as it is a complex intervention and each NICU presents unique barriers and enablers to its uptake. Support for improving parental presence, shifting healthcare provider beliefs, identifying creative solutions to NICU design and space constraints, and the development of a provincial guideline for KC in NICUs may together provide the impetus to change practice and reduce barriers to KC for healthcare providers, families, and administrators at local and system levels.

scholarly journals Twin Study of the Relationship between Childhood Negative Emotionality and Hyperactivity/Inattention Problems

2021 ◽  
Vol 24 (1) ◽  
pp. 7-13
Author(s):  
Yoon-Mi Hur ◽  
Hoe-Uk Jeong
Keyword(s):  
Genetic Factors ◽  
Environmental Influences ◽  
Model Fitting ◽  
Negative Emotionality ◽  
Phenotypic Correlation ◽  
Environmental Correlation ◽  
South Korean ◽  
Telephone Interviews ◽  
Opposite Sex ◽  
The Relationship

AbstractThe present study aimed to determine the genetic and environmental etiology of the association between childhood negative emotionality (NE) and hyperactivity/inattention problems (HIP) using South Korean elementary school twins (mean age = 10.19 years, SD = 1.79 years). Telephone interviews were given to mothers of 919 twins (229 monozygotic males: 112 pairs and 5 individuals; 148 dizygotic males: 73 pairs and 2 individuals; 180 monozygotic females: 87 pairs and 6 individuals; 103 dizygotic females: 50 pairs and 3 individuals; 259 opposite-sex dizygotic twins: 127 pairs and 5 individuals) to assess their children’s NE and HIP. Consistent with prior studies, the phenotypic correlation between NE and the HIP was moderate (r = .29; 95% CI = .24, .34). Model-fitting analysis revealed that additive genetic and nonshared environmental influences on NE were .45 (95% CI [.34, .54]) and .55 (95% CI [.46, .66]), respectively, and that additive and nonadditive genetic, and nonshared environmental influences on HIP were .08 (95% CI [.03, .26]), .41 (95% CI [.21, .51]) and .51 (95% CI = .42, .61), respectively. In addition, the additive genetic correlation between NE and HIP was 1.0 (95% CI [.52, 1.00]), indicating that additive genetic factors are entirely shared between the two phenotypes. Nonadditive genetic influences were unique to HIP and not responsible for the NE-HIP association. Nonshared environmental correlation was significant but modest (re = .18, 95% CI [.06, .30]).

Social Support as a Mediator of the Personality-Physical Functioning Relationship in a National Sample of African Americans: A Two-Wave Longitudinal Study

2021 ◽  
pp. 009579842110379
Author(s):  
Eddie M. Clark ◽  
Lijing Ma ◽  
Beverly R. Williams ◽  
Crystal L. Park ◽  
Cheryl L. Knott ◽  
...  
Keyword(s):  
Social Support ◽  
African Americans ◽  
Personality Traits ◽  
Physical Functioning ◽  
Factor Model ◽  
Five Factor Model ◽  
Healthcare Providers ◽  
National Sample ◽  
National Probability Sample ◽  
The Relationship

The present study investigates whether social support mediates the relationship between personality traits and physical functioning among African Americans over 2.5 years. Data were collected from a national probability sample of African American adults (analytic sample N = 312). Telephone surveys included measures of the five-factor model personality traits, social support, and physical functioning. Personality traits were assessed at Time 1 (T1), and social support and physical functioning were assessed 2.5 years later at Time 2 (T2). Physical functioning was assessed using the SF-12 at T2. Results indicated that T2 social support mediated the relationship between T1 personality traits and T2 physical functioning for the traits of conscientiousness, extraversion, agreeableness, and neuroticism, but not for openness to experience. This information may be useful to healthcare providers and community members in developing strategies targeting personality traits in cultivating social support for health promotion.

scholarly journals Cancer Health Literacy and Willingness to Participate in Cancer Research and Donate Bio-Specimens

2018 ◽  
Vol 15 (10) ◽  
pp. 2091 ◽  
Author(s):  
Margarita Echeverri ◽  
David Anderson ◽  
Anna Nápoles ◽  
Jacqueline Haas ◽  
Marc Johnson ◽  
...  
Keyword(s):  
Cancer Research ◽  
Health Literacy ◽  
Healthcare Providers ◽  
Internal Consistency Reliability ◽  
Diverse Populations ◽  
Willingness To Participate ◽  
Limited Participation ◽  
Non Invasive ◽  
Bonferroni Procedure ◽  
The Relationship

Although it has been well documented that poor health literacy is associated with limited participation in cancer clinical trials, studies assessing the relationships between cancer health literacy (CHL) and participation in research among diverse populations are lacking. In this study, we examined the relationship between CHL and willingness to participate in cancer research and/or donate bio-specimens (WPRDB) among African Americans, Latinos, and Whites. Participants completed the Cancer Health Literacy Test and the Multidimensional Cancer Literacy Questionnaire. Total-scale and subscale scores, frequencies, means, and distributions were computed. Analyses of variance, the Bonferroni procedure, and the Holm method were used to examine significant differences among groups. Cronbach’s alphas estimated scales’ internal consistency reliability. Significant interactions were found between race/ethnicity, gender, and CHL on WPRDB scales and subscale scores, even after education and age were taken into account. Our study confirms that CHL plays an important role that should be considered and researched further. The majority of participants were more willing to participate in non-invasive research studies (surveys, interviews, and training) or collection of bio-specimens (saliva, check cells, urine, and blood) and in studies led by their own healthcare providers, and local hospitals and universities. However, participants were less willing to participate in more-invasive studies requiring them to take medications, undergo medical procedures or donate skin/tissues. We conclude that addressing low levels of CHL and using community-based participatory approaches to address the lack of knowledge and trust about cancer research among diverse populations may increase not only their willingness to participate in research and donate bio-specimens, but may also have a positive effect on actual participation rates.

scholarly journals Me, My Bot and His Other (Robot) Woman? Keeping Your Robot Satisfied in the Age of Artificial Emotion

Robotics ◽  
2018 ◽  
Vol 7 (3) ◽  
pp. 44 ◽  
Author(s):  
Rebekah Rousi
Keyword(s):  
Artificial Intelligence ◽  
Information Technology ◽  
Science Fiction ◽  
Sexual Partners ◽  
Sex Robots ◽  
Artificial Emotions ◽  
The Future ◽  
The Relationship ◽  
And Robotics

With a backdrop of action and science fiction movie horrors of the dystopian relationship between humans and robots, surprisingly to date-with the exception of ethical discussions-the relationship aspect of humans and sex robots has seemed relatively unproblematic. The attraction to sex robots perhaps is the promise of unproblematic affectionate and sexual interactions, without the need to consider the other’s (the robot’s) emotions and indeed preference of sexual partners. Yet, with rapid advancements in information technology and robotics, particularly in relation to artificial intelligence and indeed, artificial emotions, there almost seems the likelihood, that sometime in the future, robots too, may love others in return. Who those others are-whether human or robot-is to be speculated. As with the laws of emotion, and particularly that of the cognitive-emotional theory on Appraisal, a reality in which robots experience their own emotions, may not be as rosy as would be expected.

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