scholarly journals Attitudes About the Use of Geosocial Networking Applications for HIV/STD Partner Notification: A Qualitative Study

2019 ◽  
Vol 31 (3) ◽  
pp. 273-285 ◽  
Author(s):  
Marielle Goyette Contesse ◽  
Rob J. Fredericksen ◽  
Dan Wohlfeiler ◽  
Jen Hecht ◽  
Rachel Kachur ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Partner Notification ◽  
Health Department ◽  
Sex Partners ◽  
Health Departments ◽  
Online Focus Groups ◽  
Contact Information ◽  
Geosocial Networking ◽  
Sex With Men

Meeting sex partners through geosocial networking (GSN) apps is common among men who have sex with men (MSM). MSM may choose not to exchange contact information with partners met through GSN apps, limiting their own and health departments' ability to notify partners of HIV/STD exposure through standard notification methods. Using online focus groups (four groups; N = 28), we explored the perspectives of U.S. MSM regarding offer of partner notification features through GSN apps. Most participants were comfortable with HIV/STD partner notification delivered via GSN apps, either by partner services staff using a health department profile or through an in-app anonymous messaging system. While most participants expressed a responsibility to notify partners on their own, app-based partner notification methods may be preferred for casual or hard-to-reach partners. However, participants indicated that health departments will need to build trust with MSM app users to ensure acceptable and effective app-based delivery of partner notification.

scholarly journals Developing HIV assisted partner notification services tailored to Mexican key populations: a qualitative approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heleen Vermandere ◽  
Santiago Aguilera-Mijares ◽  
Liliane Martínez-Vargas ◽  
M. Arantxa Colchero ◽  
Sergio Bautista-Arredondo
Keyword(s):  
Partner Notification ◽  
Key Populations ◽  
Structured Interviews ◽  
Hiv Diagnosis ◽  
Serostatus Disclosure ◽  
Hiv Epidemic ◽  
Contact Information ◽  
Hiv Awareness ◽  
Sex With Men ◽  
The Individual

Abstract Background Assisted partner notification services (APNS) may increase HIV testing, early diagnosis, and treatment, but they are not formally implemented in Mexico, where the HIV epidemic is concentrated in men who have sex with men (MSM) and transwomen (TW). This study aimed to explore the awareness of and need for HIV partner notification, as well as to outline potential strategies for APNS based on identified barriers and facilitators. Methods We conducted semi-structured interviews to explore partner notification with MSM, TW, and counselors. Afterwards, brainstorm sessions were carried out to produce strategies for implementing APNS. Results Most participants reported experiences with informal partner notification and serostatus disclosure, but not with APNS. Only one counselor indicated assisting notification systematically. The main barriers for notifying or disclosing mentioned by both MSM and TW included fear of (violent) reactions, discrimination and lacking contact information of casual partners. Participants thought it was easier to inform a formal partner, conditional of being well informed about HIV. Given current stigma and lack of awareness, it was suggested that APNS should be preceded by HIV awareness efforts, and be provided by counselors or peers to mitigate potential rejection or violent reactions. Conclusions While APNS are not formally implemented in Mexico, all participants supported the service, indicating that APNS could potentially enhance early HIV diagnosis in Mexico. Strategies to implement such services need to be flexible addressing the individual needs of participants, guaranteeing the safety of more vulnerable participants.

scholarly journals Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands

2020 ◽  
Author(s):  
Mart van Dijk ◽  
John B. F. de Wit ◽  
Rebecca Kamps ◽  
Thomas E. Guadamuz ◽  
Joel E. Martinez ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Qualitative Study ◽  
The Netherlands ◽  
Healthcare Providers ◽  
Well Being ◽  
Healthcare Services ◽  
Interpretive Description ◽  
Sex Partners ◽  
Sex With Men ◽  
Incorrect Information

AbstractThe aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally.

scholarly journals Systematic review of Economic studies of Partner Notification and management interventions for sexually transmitted infections including HIV in men who have sex with men

2021 ◽  
Author(s):  
Chidubem Okeke Ogwulu ◽  
Zainab Abdali ◽  
Eleanor V Williams ◽  
Claudia Estcourt ◽  
Alison Howarth ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sexually Transmitted Infections ◽  
Partner Notification ◽  
Economic Research ◽  
Economic Evaluations ◽  
Sex Partners ◽  
Sexually Transmitted ◽  
Life Years ◽  
Sex With Men ◽  
Economic Studies

Objectives: Men who have sex with men (MSM) are disproportionately affected by sexually transmitted infections (STIs). Partner notification (PN) to identify, test and treat sex partners of MSM with bacterial STIs is challenging because MSM often report larger numbers of sex partners and a higher proportion of one-off partners who may be difficult to engage. However, one-off partners contribute disproportionately to onward transmission. Economic research on PN has typically focused on heterosexual people and evidence of effectiveness of PN in MSM is scant. We conducted a systematic review of economic studies of PN interventions in MSM to inform the development of a novel PN intervention for MSM with one-off partners. Method: Six electronic databases were searched up to June 2020. Cost studies and full economic evaluations, which focused on PN and/or testing and treatment (in the context of PN) of sex partners of MSM with STIs, and/or HIV, were included. A two-stage categorisation process was used for study selection and a narrative synthesis was reported. Results: Twenty-six studies of a possible 1909 met the selection criteria. Sixteen focused on MSM but only three of these were on PN. Few studies reported on patients characteristics and settings. Most studies were cost-utility analyses with outcomes reported as quality-adjusted life years (QALYs) which were derived from studies on heterosexual people. Conclusions: None of the identified studies specifically addressed cost-effectiveness of PN in MSM. The few studies identified as potentially relevant relied on costs and QALYs data from studies in heterosexual people, which may be inappropriate given the different patterns of sexual partnerships reported by these two groups. The lack of evidence on efficient PN approaches for MSM, a group with a high burden of infection, supports the need for new interventions tailored to the needs and preferences of MSM with parallel economic evaluation.

scholarly journals p4.119 How Can we improve partner notification following hiv diagnosis? – a qualitative study of men who have sex with men in melbourne

2017 ◽  
Author(s):  
Jane Tomnay ◽  
Alana Hulme-Chambers ◽  
Jade Bilardi ◽  
Christopher Fairley ◽  
Sarah Huffam ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Partner Notification ◽  
Hiv Diagnosis ◽  
Sex With Men

scholarly journals Why parents refuse childhood vaccination: a qualitative study using online focus groups

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Irene A Harmsen ◽  
Liesbeth Mollema ◽  
Robert AC Ruiter ◽  
Theo GW Paulussen ◽  
Hester E de Melker ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Childhood Vaccination ◽  
Online Focus Groups

scholarly journals Intervention Development Protocol for a novel, co-produced, sexually transmitted infection partner notification intervention for men who have sex with men

2020 ◽  
Author(s):  
Jean M McQueen ◽  
Melvina Woode Owusu ◽  
Fiona Mapp ◽  
Claudia S Estcourt ◽  
Merle Symonds ◽  
...  
Keyword(s):  
Service Providers ◽  
Evidence Synthesis ◽  
Partner Notification ◽  
Complex Interventions ◽  
Sex Partners ◽  
Programme Theory ◽  
Sexually Transmitted ◽  
Community Interest ◽  
Multi Level ◽  
Sex With Men

ABSTRACTIntroductionThe number of bacterial sexually transmitted infections diagnosed among men who have sex with men (MSM) continues to rise annually. Innovative public health interventions are needed to address this. Partner notification (PN), is important in reducing STI transmission by identifying, testing and treating the sex partners of people with STIs. Outcomes of PN in MSM are sub-optimal; some MSM with STIs report high numbers of “one-off” sex partners (where sex occurs on one occasion only) who appear to contribute disproportionately to community transmission but are poorly reached by current PN interventions.Aims/ObjectivesThis paper describes the protocol for development of a novel, co-produced, multi-level, PN intervention for MSM with “one-off” partners. The process described will ensure the intervention is evidence-based, theoretically informed and acceptable to users, service providers, commissioners and those with community interest.Methods and AnalysisOur three-phase approach draws on the revised Medical Research Council (MRC) guidance for developing and evaluating complex interventions. First, we combine evidence synthesis with stakeholder engagement to understand the barriers and enablers to PN to co-produce preliminary intervention ideas. Next, we further develop our intervention ideas and adapt our emerging programme theory by collecting detailed data through focus groups and interviews with purposively sampled stakeholders. Data analysis using the theoretical domains framework and the behaviour change wheel will detail the relationship between putative causal mechanisms and optimal intervention components involved in enhancing PN amongst MSM. Finally, we refine our programme theory, map and clarify our intervention and its intersecting components. We will share our intervention with a panel of expert clinicians, third sector organisations and a lay audience of MSM to detail a co-produced PN intervention.OutcomeCo-produced intervention and programme theory suitable for testing in a future feasibility study.Ethics and disseminationThis protocol received ethical approval from Glasgow Caledonian University HLS/NCH/19/059. Findings will be published with open access licenses.SUMMARYPartner notification for men who have sex with men is suboptimal this paper describes a protocol to develop a co-produced multi-level partner notification intervention.

A Qualitative Study of Means to Improve Partner Notification After an HIV Diagnosis Among Men Who Have Sex with Men in Australia

2017 ◽  
Vol 31 (6) ◽  
pp. 269-274 ◽  
Author(s):  
Jane E. Tomnay ◽  
Alana Hulme-Chambers ◽  
Jade Bilardi ◽  
Christopher K. Fairley ◽  
Sarah Huffam ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Partner Notification ◽  
Hiv Diagnosis ◽  
Sex With Men

59. General medicine residents' perception of the mini-CEXs

2007 ◽  
Vol 30 (4) ◽  
pp. 61
Author(s):  
S. Malhotra ◽  
R. Hatala ◽  
C.-A. Courneya
Keyword(s):  
Internal Medicine ◽  
Medical Education ◽  
Focus Group ◽  
Qualitative Study ◽  
Focus Groups ◽  
General Medicine ◽  
Clinical History ◽  
Phenomenological Approach ◽  
Medical Teacher ◽  
The Impact

The mini-CEX is a 30 minute observed clinical encounter. It can be done in the outpatient, inpatient or emergency room setting. It strives to look at several parameters including a clinical history, physical, professionalism and overall clinical competence. Trainees are rated using a 9-point scoring system: 1-3 unsatisfactory, 4-6 satisfactory and 7-9 superior. Eight months after the introduction of the mini-CEX to the core University of British Columbia Internal Medicine Residents, a one hour semi-structured focus group for residents in each of the three years took place. The focus groups were conducted by an independent moderator, audio-recorded and transcribed. Using a phenomenological approach the comments made by the focus groups participants were read independently by three authors, organized into major themes. In doing so, several intriguing common patterns were revealed on how General Medicine Residents perceive their experience in completing a mini-CEX. The themes include Education, Assessment and Preparation for the Royal College of Physicians and Surgeons Internal Medicine exam. Resident learners perceived that the mini-CEX process provided insight into their clinical strengths and weaknesses. Focus group participants favored that the mini-CEX experience will benefit them in preparation, and successful completion of their licensing exam. Daelmans HE, Overmeer RM, van der Hem-Stockroos HH, Scherpbier AJ, Stehouwer CD, van der Vleuten CP. In-training assessment: qualitative study of effects on supervision and feedback in an undergraduate clinical rotation. Medical Education 2006; 40(1):51-8. De Lima AA, Henquin R, Thierer J, Paulin J, Lamari S, Belcastro F, Van der Vleuten CPM. A qualitative study of the impact on learning of the mini clinical evaluation exercise in postgraduate training. Medical Teacher January 2005; 27(1):46-52. DiCicco-Bloom B, Crabtree BF. The Qualitative Research Interview. Medical Education 2006; 40:314-32.

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