A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation

K. Theunissen, C. Hoebe, G. Kok, R. Crutzen, C. Kara-Zaïtri, N. de Vries, J. van Bergen, R. Hamilton, M. van der Sande, N. Dukers-Muijrers

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated. Methods: Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16-25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers. Results: Twelve (40%) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29%) requested a test and eight tested. Seven tested for the first time and one (13%) was positive. Most peers were female friends (80%). Nurses were positive about using the strategy. Conclusions: The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.

Original languageEnglish
Pages (from-to)9889-9906
Number of pages18
JournalInternational Journal of Environmental Research and Public Health
Volume12
Issue number8
DOIs
Publication statusPublished - Aug 2015

Keywords

  • Chlamydia trachomatis
  • web-based respondent driven sampling
  • peer-referral
  • social networks
  • sexual networks
  • partner notification
  • home-based test kits
  • PARTNER NOTIFICATION
  • TRANSMITTED-DISEASES
  • STI
  • INTERNET
  • ONLINE
  • TRANSMISSION
  • RECRUITMENT
  • NETHERLANDS
  • POPULATIONS
  • PREVALENCE

Cite this

@article{f02a40a6557e4251bcfc314eb9609b53,
title = "A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation",
abstract = "Background: With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated. Methods: Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16-25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers. Results: Twelve (40{\%}) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29{\%}) requested a test and eight tested. Seven tested for the first time and one (13{\%}) was positive. Most peers were female friends (80{\%}). Nurses were positive about using the strategy. Conclusions: The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.",
keywords = "Chlamydia trachomatis, web-based respondent driven sampling, peer-referral, social networks, sexual networks, partner notification, home-based test kits, PARTNER NOTIFICATION, TRANSMITTED-DISEASES, STI, INTERNET, ONLINE, TRANSMISSION, RECRUITMENT, NETHERLANDS, POPULATIONS, PREVALENCE",
author = "K. Theunissen and C. Hoebe and G. Kok and R. Crutzen and C. Kara-Za{\"i}tri and {de Vries}, N. and {van Bergen}, J. and R. Hamilton and {van der Sande}, M. and N. Dukers-Muijrers",
year = "2015",
month = "8",
doi = "10.3390/ijerph120809889",
language = "English",
volume = "12",
pages = "9889--9906",
journal = "International Journal of Environmental Research and Public Health",
issn = "1660-4601",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "8",

}

A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation. / Theunissen, K.; Hoebe, C.; Kok, G.; Crutzen, R.; Kara-Zaïtri, C.; de Vries, N.; van Bergen, J.; Hamilton, R.; van der Sande, M.; Dukers-Muijrers, N.

In: International Journal of Environmental Research and Public Health, Vol. 12, No. 8, 08.2015, p. 9889-9906.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation

AU - Theunissen, K.

AU - Hoebe, C.

AU - Kok, G.

AU - Crutzen, R.

AU - Kara-Zaïtri, C.

AU - de Vries, N.

AU - van Bergen, J.

AU - Hamilton, R.

AU - van der Sande, M.

AU - Dukers-Muijrers, N.

PY - 2015/8

Y1 - 2015/8

N2 - Background: With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated. Methods: Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16-25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers. Results: Twelve (40%) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29%) requested a test and eight tested. Seven tested for the first time and one (13%) was positive. Most peers were female friends (80%). Nurses were positive about using the strategy. Conclusions: The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.

AB - Background: With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated. Methods: Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16-25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers. Results: Twelve (40%) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29%) requested a test and eight tested. Seven tested for the first time and one (13%) was positive. Most peers were female friends (80%). Nurses were positive about using the strategy. Conclusions: The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.

KW - Chlamydia trachomatis

KW - web-based respondent driven sampling

KW - peer-referral

KW - social networks

KW - sexual networks

KW - partner notification

KW - home-based test kits

KW - PARTNER NOTIFICATION

KW - TRANSMITTED-DISEASES

KW - STI

KW - INTERNET

KW - ONLINE

KW - TRANSMISSION

KW - RECRUITMENT

KW - NETHERLANDS

KW - POPULATIONS

KW - PREVALENCE

U2 - 10.3390/ijerph120809889

DO - 10.3390/ijerph120809889

M3 - Article

VL - 12

SP - 9889

EP - 9906

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 8

ER -