‘It’s literally giving them a solution in their hands’: the views of young Australians towards patient-delivered partner therapy for treating chlamydia
- 13 January 2021
- journal article
- research article
- Published by BMJ in Sexually Transmitted Infections
- Vol. 97 (4), 256-260
- https://doi.org/10.1136/sextrans-2020-054820
Abstract
Objectives Patient-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. Methods Semi-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. Results We 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. Conclusions Though 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.Funding Information
- National Health and Medical Research Council (1136117)
This publication has 22 references indexed in Scilit:
- The Cost and Cost-Effectiveness of Expedited Partner Therapy Compared With Standard Partner Referral for the Treatment of Chlamydia or GonorrheaSexually Transmitted Diseases, 2011
- Can we improve partner notification rates through expedited partner therapy in the UK? Findings from an exploratory trial of Accelerated Partner Therapy (APT)Sexually Transmitted Infections, 2011
- Better than nothing? Patient-delivered partner therapy and partner notification for chlamydia: the views of Australian general practitionersBMC Infectious Diseases, 2010
- Experiences and Outcomes of Partner Notification Among Men and Women Recently Diagnosed With Chlamydia and Their Views on Innovative Resources Aimed at Improving Notification RatesSexually Transmitted Diseases, 2010
- Effect of Menses on Clearance of Y-Chromosome in Vaginal Fluid: Implications for a Biomarker of Recent Sexual ActivitySexually Transmitted Diseases, 2010
- Preferred strategies of men and women for managing chlamydial infectionBJOG: An International Journal of Obstetrics and Gynaecology, 2009
- Patterns and Determinants of Patient-Delivered Therapy Uptake Among Healthcare ConsumersSexually Transmitted Diseases, 2009
- Formative design and evaluation of patient-delivered partner therapy informational materials and packagingSexually Transmitted Infections, 2008
- Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groupsInternational Journal for Quality in Health Care, 2007
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006