SynthesisBMC infectious diseases2011
Efficacy of interventions to increase the uptake of chlamydia screening in primary care: a systematic review.
Synthesis in BMC infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- A review of current practices to increase Chlamydia screening in the community--a consumer-centred social marketing perspective.Health expectations : an international journal of public participation in health care and health policy · 2016Pooled it
- Uptake of and factors associated with testing for sexually transmitted infections in community-based settings among youth in Zimbabwe: a mixed-methods study.The Lancet. Child & adolescent health · 2021Trial
- Service evaluation of an educational intervention to improve sexual health services in primary care implemented using a step-wedge design: analysis of chlamydia testing and diagnosis rate changes.BMC public health · 2016Trial
- Tools to overcome potential barriers to chlamydia screening in general practice: Qualitative evaluation of the implementation of a complex intervention.BMC family practice · 2016Trial
- A web-based personally controlled health management system increases sexually transmitted infection screening rates in young people: a randomized controlled trial.Journal of the American Medical Informatics Association : JAMIA · 2015Trial
- Increasing chlamydia screening tests in general practice: a modified Zelen prospective Cluster Randomised Controlled Trial evaluating a complex intervention based on the Theory of Planned Behaviour.Sexually transmitted infections · 2014Trial
- Population-oriented health promotion and disease prevention interventions in primary healthcare: a scoping review of reviews.BMC primary care · 2026Article
- General practice chlamydia testing: a qualitative study of staff approaches using behavioural change theory.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Exploring Whether the Electronic Optimization of Routine Health Assessments Can Increase Testing for Sexually Transmitted Infections and Provider Acceptability at an Aboriginal Community Controlled Health Service: Mixed Methods Evaluation.JMIR medical informatics · 2023Article
- Inequities inAmerican journal of public health · 2022Article
- An Intervention to Improve Chlamydia and Gonorrhea Testing Among Adolescents in Primary Care.Pediatrics · 2021Article
- Attitudes and beliefs of nurses and physicians about managing sexual health in primary care: A multi-site cross-sectional comparative study.Nursing open · 2021Article
- Effectiveness of a Quality Improvement Intervention to Improve Rates of Routine Chlamydia Trachomatis Screening in Female Adolescents Seeking Primary Preventive Care.Journal of pediatric and adolescent gynecology · 2019Observational
- The Role of Primary Health Care in Hepatitis B Testing and Management: A Case Study.Journal of community health · 2018Article
- The Effect of Changes in Cervical Cancer Screening Guidelines on Chlamydia Testing.Annals of family medicine · 2017Article
- Exploring why a complex intervention piloted in general practices did not result in an increase in chlamydia screening and diagnosis: a qualitative evaluation using the fidelity of implementation model.BMC family practice · 2017Article
- Increased Sexually Transmitted Disease Testing Among Sexually Active Persons Receiving Medical Care for Human Immunodeficiency Virus Infection in the United States, 2009-2013.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Article
- Behavior change interventions and policies influencing primary healthcare professionals' practice-an overview of reviews.Implementation science : IS · 2017Review
- Cost-Effectiveness of Opt-Out Chlamydia Testing for High-Risk Young Women in the U.S.American journal of preventive medicine · 2016Article
- Racial Differences in Receipt of Chlamydia Testing Among Medicaid-Insured Women in 2013.Sexually transmitted diseases · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs most genital chlamydia infections are asymptomatic, screening is the main way to detect and cases for treatment. We undertook a systematic review of studies assessing the efficacy of interventions for increasing the uptake of chlamydia screening in primary care.
methodsWe reviewed studies which compared chlamydia screening in the presence and the absence of an intervention. The primary endpoints were screening rate or total tests.
resultsWe identified 16 intervention strategies; 11 were randomised controlled trials and five observational studies, 10 targeted females only, five both males and females, and one males only. Of the 15 interventions among females, six were associated with significant increases in screening rates at the 0.05 level including a multifaceted quality improvement program that involved provision of a urine jar to patients at registration (44% in intervention clinics vs. 16% in the control clinic); linking screening to routine Pap smears (6.9% vs. 4.5%), computer alerts for doctors (12.2% vs. 10.6%); education workshops for clinic staff; internet-based continuing medical education (15.5% vs. 12.4%); and free sexual health consultations (16.8% vs. 13.2%). Of the six interventions targeting males, two found significant increases including the multifaceted quality improvement program in which urine jars were provided to patients at registration (45% vs. 15%); and the offering by doctors of a test to all presenting young male clients, prior to consultation (29 vs. 4%).
conclusionsInterventions that promoted the universal offer of a chlamydia test in young people had the greatest impact on increasing screening in primary care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.