Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals

K.A.T.M. Theunissen, P. Schipper, C.J.P.A. Hoebe, R. Crutzen, G. Kok, N.H.T.M. Dukers-Muijrers

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Background: Partner notification (PN) is an essential case-finding tool in the management of sexually transmitted infections (STIs). Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis (Ct).

Methods: We conducted semi-structured interviews among 22 health care professionals (response rate 52%) from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20 s to late 50 s, and all but one were female.

Results: All health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills (i.e. Motivational Interviewing) and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.

Conclusions: Health care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.

Original languageEnglish
Article number647
Number of pages10
JournalBMC Health Services Research
Volume14
DOIs
Publication statusPublished - 20 Dec 2014

Keywords

  • Partner notification
  • Chlamydia trachomatis
  • Barriers
  • Facilitators
  • Public health
  • SEXUALLY-TRANSMITTED INFECTIONS
  • PUBLIC-HEALTH
  • DISEASES
  • VIEWS

Cite this

@article{f6537ab308074ca885ffed97c8170b57,
title = "Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals",
abstract = "Background: Partner notification (PN) is an essential case-finding tool in the management of sexually transmitted infections (STIs). Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis (Ct).Methods: We conducted semi-structured interviews among 22 health care professionals (response rate 52{\%}) from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20 s to late 50 s, and all but one were female.Results: All health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills (i.e. Motivational Interviewing) and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.Conclusions: Health care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.",
keywords = "Partner notification, Chlamydia trachomatis, Barriers, Facilitators, Public health, SEXUALLY-TRANSMITTED INFECTIONS, PUBLIC-HEALTH, DISEASES, VIEWS",
author = "K.A.T.M. Theunissen and P. Schipper and C.J.P.A. Hoebe and R. Crutzen and G. Kok and N.H.T.M. Dukers-Muijrers",
year = "2014",
month = "12",
day = "20",
doi = "10.1186/s12913-014-0647-5",
language = "English",
volume = "14",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central Ltd",

}

Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals. / Theunissen, K.A.T.M.; Schipper, P.; Hoebe, C.J.P.A.; Crutzen, R.; Kok, G.; Dukers-Muijrers, N.H.T.M.

In: BMC Health Services Research, Vol. 14, 647, 20.12.2014.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Barriers to and facilitators of partner notification for chlamydia trachomatis among health care professionals

AU - Theunissen, K.A.T.M.

AU - Schipper, P.

AU - Hoebe, C.J.P.A.

AU - Crutzen, R.

AU - Kok, G.

AU - Dukers-Muijrers, N.H.T.M.

PY - 2014/12/20

Y1 - 2014/12/20

N2 - Background: Partner notification (PN) is an essential case-finding tool in the management of sexually transmitted infections (STIs). Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis (Ct).Methods: We conducted semi-structured interviews among 22 health care professionals (response rate 52%) from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20 s to late 50 s, and all but one were female.Results: All health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills (i.e. Motivational Interviewing) and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.Conclusions: Health care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.

AB - Background: Partner notification (PN) is an essential case-finding tool in the management of sexually transmitted infections (STIs). Yet, data on the effectiveness and factors impacting implementation of PN in the Netherlands are lacking. With the aim of further exploring and improving the PN process, the current study assessed perceived barriers and facilitators among health care professionals in the STI clinical setting. In particular, we explored the management of PN in young heterosexual patients diagnosed with Chlamydia trachomatis (Ct).Methods: We conducted semi-structured interviews among 22 health care professionals (response rate 52%) from 5 of the 8 national STI clinics in the Netherlands. We carried out qualitative content analysis using a framework approach. All participants were nurses, aged mid 20 s to late 50 s, and all but one were female.Results: All health care professionals felt comfortable discussing PN. Other perceived facilitators for PN included: time, one-on-one consultations, interviewing skills (i.e. Motivational Interviewing) and a proactive helping style. Important barriers were identified as: sub-optimal guidelines, inaccurate sexual history, a lack of feedback regarding the motivational strategies that were used, and the lack of feedback regarding overall PN effectiveness. The health care professionals placed an emphasis on the care and treatment of the individual index patient rather than on discussion of PN, or on motivating and helping patients to engage in PN.Conclusions: Health care professionals identified several barriers that need to be overcome, and facilitators which need to be maintained. Future efforts should concentrate on introducing PN protocols, providing feedback on both the effectiveness of strategies used by health care professionals, and on the PN process as a whole, and educating health care professionals about Motivational Interviewing strategies. Moreover, the possible implementation of an Internet-based PN system should be explored.

KW - Partner notification

KW - Chlamydia trachomatis

KW - Barriers

KW - Facilitators

KW - Public health

KW - SEXUALLY-TRANSMITTED INFECTIONS

KW - PUBLIC-HEALTH

KW - DISEASES

KW - VIEWS

U2 - 10.1186/s12913-014-0647-5

DO - 10.1186/s12913-014-0647-5

M3 - Article

VL - 14

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

M1 - 647

ER -