Acceptability of remote prescribing and postal delivery services for contraceptive pills and treatment of uncomplicated Chlamydia trachomatis

Nadarzynski, T., Symonds, Y., Carroll, R., Gibbs, J., Kidsley, S. and Graham, C. A. 2020. Acceptability of remote prescribing and postal delivery services for contraceptive pills and treatment of uncomplicated Chlamydia trachomatis. BMJ Sexual and Reproductive Health. 47, pp. 185-192. https://doi.org/10.1136/bmjsrh-2020-200687

TitleAcceptability of remote prescribing and postal delivery services for contraceptive pills and treatment of uncomplicated Chlamydia trachomatis
TypeJournal article
AuthorsNadarzynski, T., Symonds, Y., Carroll, R., Gibbs, J., Kidsley, S. and Graham, C. A.
Abstract

Objectives: The digitalisation of sexual and reproductive health (SRH) services offer valuable opportunities to deliver contraceptive pills and Chlamydia treatment by post. We aimed to examine the acceptability of remote prescribing and “medication-by-post” in SRH.
Study design: An online survey assessing attitudes towards remote management was distributed in three UK SRH clinics and via an integrated sexually transmitted infection (STI) postal self-sampling service. Logistic regressions were performed to identify potential correlates.
Results: There were 1281 participants (74% female and 49% <25 years old). Eight per cent reported having received medication via post and 83% were willing to receive Chlamydia treatment and contraceptive pills by post. Lower acceptability was observed among participants who were: >45 years old OR:0.43(0.23-0.81), screened for STIs less than once annually OR:0.63(0.42-0.93), concerned about confidentiality OR:0.21(0.90-0.50), concerned about absence during delivery OR:0.09(0.02-0.32), unwilling to provide blood pressure readings OR:0.22(0.04-0.97). Higher acceptability was observed among participants who reported: previously receiving medication by post OR:4.63(1.44-14.8), preference for home delivery over clinic collection OR:24.1(11.1-51.9), preference for home STI testing OR:10.3(6.16-17.4), ability to communicate with health advisors OR:4.01(1.03-15.6), and willingness to: register their real name OR:3.09(1.43-10.6), complete online health questionnaires OR:3.09(1.43-10.6), and use generic contraceptive pills OR:2.88(1.21-6.83).
Conclusion: Postal treatment and entering information online to allow remote prescribing were acceptable methods for SRH services and should be considered alongside medication collection in pharmacies. These methods could be particularly useful for patients facing barriers in accessing SRH. The cost-effectiveness and implementation of these novel methods of service delivery should be further investigated.

Keywordse-prescribing
remote
medication by post
click and collect
pharmacy
eHealth
mHealth
JournalBMJ Sexual and Reproductive Health
Journal citation47, pp. 185-192
ISSN2515-1991
Year2020
PublisherBMJ
Accepted author manuscript
License
CC BY-NC 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjsrh-2020-200687
Publication dates
Published online19 Nov 2020

Related outputs

Sexual healthcare professionals’ views on the rapid provision of remote services at the beginning of COVID-19 pandemic: A mixed-methods study
Lunt, Alexandria, Llewellyn, C., Bayley, Jake and Nadarzynski, T. 2021. Sexual healthcare professionals’ views on the rapid provision of remote services at the beginning of COVID-19 pandemic: A mixed-methods study. International Journal of STD & AIDS. https://doi.org/10.1177/09564624211023018

Feasibility study of the Home-based Exercises for Responsible Sex (HERS) intervention to promote correct and consistent condom use among young women.
Knights, Nicola, Stone, Nicole, Nadarzynski, Tom, Brown, Katherine, Newby, Katie and Graham, C. 2021. Feasibility study of the Home-based Exercises for Responsible Sex (HERS) intervention to promote correct and consistent condom use among young women. Pilot and Feasibility Studies. 7 (1), p. 145. https://doi.org/10.1186/s40814-021-00885-1

Barriers and facilitators to engagement with artificial intelligence (AI)-based chatbots for sexual and reproductive health advice: A qualitative analysis
Nadarzynski, T., Puentes, V., Pawlak, I., Mendes, T., Montgomery, I., Bayley, J. and Ridge, Damien T. 2021. Barriers and facilitators to engagement with artificial intelligence (AI)-based chatbots for sexual and reproductive health advice: A qualitative analysis. Sexual Health.

Using protection motivation theory to explain the intention to initiate human papillomavirus vaccination among men who have sex with men in China
Huang, Ruonan, Wang, Zhenyu, Yuan, Tanwei, Nadarzynski, Tom, Qian, Han-Zhu, Li, Peiyang, Meng, Xiaojun, Wang, Guanghui, Zhou, Yepeng, Luo, Danyang, Wang, Ying, Cai, Yong and Zou, Huachun 2021. Forthcoming. Using protection motivation theory to explain the intention to initiate human papillomavirus vaccination among men who have sex with men in China. Tumour Virus Research. 12 200222. Advanced online publication. https://doi.org/10.1016/j.tvr.2021.200222

Vaccine acceptability, uptake and completion amongst men who have sex with men: A systematic review, meta-analysis and theoretical framework
Nadarzynski, T., Frost, M., Miller, Danny, Wheldon, Christopher W., Wiernik, Brenton M., Zou, Huachun, Richardson, Daniel, Marlow, L., Smith, Helen, Jones, C. and Llewellyn, C. 2021. Vaccine acceptability, uptake and completion amongst men who have sex with men: A systematic review, meta-analysis and theoretical framework. Vaccine. 39 (27), pp. 3565-3581. https://doi.org/10.1016/j.vaccine.2021.05.013

Does online sexually transmitted infection screening compromise care? A service evaluation comparing the management of chlamydial infection diagnosed online and in clinic
Gasmelsid, N., Moran, B., Nadarzynski, T., Patel, R. and Foley, E. 2021. Does online sexually transmitted infection screening compromise care? A service evaluation comparing the management of chlamydial infection diagnosed online and in clinic. International Journal of STD & AIDS. 32 (6), pp. 528-532. https://doi.org/10.1177/0956462420980929

Perceived barriers and facilitators to female condoms among UK based healthcare professionals
Burton, Jack, Bedford, Rowena, Graham, C. and Nadarzynski, T. 2020. Perceived barriers and facilitators to female condoms among UK based healthcare professionals. The European Journal of Contraception & Reproductive Health Care. 25 (4), pp. 299-304. https://doi.org/10.1080/13625187.2020.1777966

Understanding the diverse sexual repertoires of men who have sex with men, trans and gender-diverse groups is important for sexually transmitted infection prevention
Richardson, D., Nambiar, K. and Nadarzynski, T. 2020. Understanding the diverse sexual repertoires of men who have sex with men, trans and gender-diverse groups is important for sexually transmitted infection prevention. BMJ Sexual & Reproductive Health. 47 (3). https://doi.org/10.1136/bmjsrh-2020-200804

Acceptability of artificial intelligence (AI)-enabled chatbots, video consultations and live webchats as online platforms for sexual health advice
Nadarzynski, T., Bayley, J., Llewellyn, C., Kidsley, S. and Graham, C.A. 2020. Acceptability of artificial intelligence (AI)-enabled chatbots, video consultations and live webchats as online platforms for sexual health advice. BMJ Sexual and Reproductive Health. 46, pp. 210-217. https://doi.org/10.1136/bmjsrh-2018-200271

Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study
Nadarzynski, T., Miles, Oliver, Cowie, Aimee and Ridge, Damien 2019. Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study. Digital Health. 5, p. 205520761987180. https://doi.org/10.1177/2055207619871808

Targeted advertisement of chlamydia screening on social media: A mixed-methods analysis
Nadarzynski, T., Burton, Jack, Henderson, Kimberley, Zimmerman, Deborah, Hill, Orla and Graham, Cynthia 2019. Targeted advertisement of chlamydia screening on social media: A mixed-methods analysis. Digital Health. 5, p. 205520761982719. https://doi.org/10.1177/2055207619827193

Attitudes of pregnant women and healthcare professionals towards clinical trials and routine implementation of antenatal vaccination against respiratory syncytial virus: a multi-centre questionnaire study
Wilcox, Christopher R., Calvert, Anna, Metz, Jane, Kilich, Eliz, MacLeod, Rachael, Beadon, Kirsten, Heath, Paul T, Khalil, Asma, Finn, Adam, Snape, Matthew, Vandrevala, Tushna, Nadarzynski, T., Coleman, Matthew and Jones, Christine 2019. Attitudes of pregnant women and healthcare professionals towards clinical trials and routine implementation of antenatal vaccination against respiratory syncytial virus: a multi-centre questionnaire study. The Pediatric Infectious Disease Journal. 38 (9), pp. 944-951. https://doi.org/10.1097/INF.0000000000002384

Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study
Nadarzynski, T., Miles, O., Cowie, A. and Ridge, Damien T. 2019. Acceptability of artificial intelligence (AI)-led chatbot services in healthcare: A mixed-methods study. Digital Health. 5, pp. 1-12. https://doi.org/10.1177/2055207619871808

Determinants of Influenza and Pertussis Vaccination Uptake in Pregnancy: A Multicenter Questionnaire Study of Pregnant Women and Healthcare Professionals
Wilcox, C.R., Calvert, A., Metz, J., Kilich, E., MacLeod, R., Beadon, K, Heath, P.T., Khalil, A., Finn, A., Snape, M.D., Vandrevala, T., Nadarzynski, T., Coleman, M.A. and Jones, C.E. 2019. Determinants of Influenza and Pertussis Vaccination Uptake in Pregnancy: A Multicenter Questionnaire Study of Pregnant Women and Healthcare Professionals. The Pediatric Infectious Disease Journal. 38 (6), pp. 625-630. https://doi.org/10.1097/INF.0000000000002242

Digital Health Psychology
Yardley, L., Bradbury, K., Nadarzynski, T. and Hunter, C. 2019. Digital Health Psychology. in: Revenson, T.A. and Gerung, R.A.R. (ed.) Handbook of Health Psychology New York Routledge. pp. 519-525

Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment
Miners, A., Nadarzynski, T., Witzel, C, Phillips, A.N., Cambiano, V., Rodger, A.J. and Llewellyn, C.D. 2019. Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment. PLoS Medicine. 16 (4) e1002779. https://doi.org/10.1371/journal.pmed.1002779

Mixed-methods study in England and Northern Ireland to understand young men who have sex with men’s knowledge and attitudes towards human papillomavirus vaccination
Kesten, J.M., Flannagan, C., Ruane-McAteer, E., Merriel, S.W.D., Nadarzynski, T., Shapiro, G.K., Rosberger, Z. and Prue, G. 2019. Mixed-methods study in England and Northern Ireland to understand young men who have sex with men’s knowledge and attitudes towards human papillomavirus vaccination. BMJ Open. 9 (e025070) e025070. https://doi.org/10.1136/bmjopen-2018-025070

Determinants of influenza and pertussis vaccination uptake in pregnancy: a multi-centre questionnaire study of pregnant women and healthcare professionals
Wilcox, C.R., Calvert, A., Metz, J., Kilich, E., MacLeod, R., Beadon, K., Heath, P.T., Khalil, A., Finn, A., Snape, M.D., Vandrevala, T., Nadarzynski, T., Coleman, M.A. and Jones, C.E. 2019. Determinants of influenza and pertussis vaccination uptake in pregnancy: a multi-centre questionnaire study of pregnant women and healthcare professionals. The Pediatric Infectious Disease Journal. 38 (6), pp. 625-630. https://doi.org/10.1097/INF.0000000000002242

Attendance of MSM at Genitourinary Medicine services in England: implications for selective HPV vaccination programme (a short communication)
Bayley, J., Mesher, D., Nadarzynski, T., Hughes, G. and Soldan, K. 2018. Attendance of MSM at Genitourinary Medicine services in England: implications for selective HPV vaccination programme (a short communication). Sexually Transmitted Infections. 94, pp. 542-544. https://doi.org/10.1136/sextrans-2016-052912

Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK
Nadarzynski, T., Smith, H., Richardson, D., Bremner, S. and Llewellyn, C. 2018. Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK. Vaccine. 36 (33), pp. 5065-5070. https://doi.org/10.1016/j.vaccine.2018.06.075

Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis
Nadarzynski, T., Smith, H., Richardson, D., Pollard, A. and Llewellyn, C.D. 2017. Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis. British Journal of Health Psychology. 22 (2), pp. 345-361. https://doi.org/10.1111/bjhp.12233

Sexual healthcare professionals’ views on HPV vaccination for men in the UK
Nadarzynski, T., Smith, H.E., Richardson, D., Ford, E. and Llewellyn, C.D. 2015. Sexual healthcare professionals’ views on HPV vaccination for men in the UK. British Journal of Cancer. 113 (11), pp. 1599-1601. https://doi.org/10.1038/bjc.2015.403

Human papillomavirus and vaccine-related perceptions among men who have sex with men: a systematic review
Nadarzynski, T., Smith, H., Richardson, D., Jones, C.J. and Llewellyn, C.D. 2014. Human papillomavirus and vaccine-related perceptions among men who have sex with men: a systematic review. Sexually Transmitted Infections. 90 (7), pp. 515-523. https://doi.org/10.1136/sextrans-2013-051357

Permalink - https://westminsterresearch.westminster.ac.uk/item/v22w2/acceptability-of-remote-prescribing-and-postal-delivery-services-for-contraceptive-pills-and-treatment-of-uncomplicated-chlamydia-trachomatis


Share this
Tweet
Email

Usage statistics

44 total views
47 total downloads
1 views this month
2 downloads this month
These values are for the period from September 2nd 2018, when this repository was created

Export as