The check is in the mail: piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen

Buhrer-Skinner, Monika, Muller, Reinhold, Bialasiewicz, Seweryn, Sloots, Theo P., Debattista, Joseph, Gordon, Rose, and Buttner, Petra G. (2009) The check is in the mail: piloting a novel approach to Chlamydia trachomatis testing using self-collected, mailed specimen. Sexual Health, 6 (2). 163 169.

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Abstract

Objectives: To develop, implement and evaluate the processes of a novel approach to chlamydia testing that is accessible, confidential, free of charge, easy to use, and allows for self-collection of specimens, their transportation by regular mail and the central management of results.

Methods: A ‘self-collection kit’ was developed including all items and instructions necessary to obtain a sample. A network of distribution sites at locations frequented by the target population has been established. The ‘kits’ can be requested via an advertised website and by phone. Specimens are returned via reply paid mail. A centralised system for the management of results and follow up has been established. Test results are conveyed by the participant’s method of choice. Treatment is organised via a network of health care providers.

Results: Of the first 100 returned kits 99% were safely packed and 86% were sent back with a completely filled out pathology request form. Ninety-two participants provided contact details; 70.7% indicated mobile phone or SMS as the preferred methods to receive results. Seven positive cases were identified and treatment was confirmed for all within 6 days.

Discussion: These findings provide evidence that the presented approach to chlamydia testing is easy to implement, achieves excellent follow-up and treatment rates, and therefore opens important new channels to otherwise difficult to access high-risk populations, such as young people and geographically and socially isolated populations.

Item ID: 10950
Item Type: Article (Refereed Research - C1)
Keywords: mail; screening; self-collection
ISSN: 1449-8987
Date Deposited: 07 May 2010 02:59
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111708 Health and Community Services @ 30%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110324 Venereology @ 70%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health @ 50%
Citation Count from Web of Science Web of Science 14
Downloads: Total: 2
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