Evidence map›Paper›PMID 25526679›Full record

ArticleBMC health services research2014

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

Kevin A T M Theunissen, Pim Schipper, Christian J P A Hoebe, Rik Crutzen, Gerjo Kok, Nicole H T M Dukers-Muijrers

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Kevin A T M TheunissenDepartment of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, PO Box 2022, 6160 HA, Geleen, The Netherlands. Kevin.theunissen@ggdzl.nl.
Pim SchipperDepartment of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, PO Box 2022, 6160 HA, Geleen, The Netherlands. p.schipper@mondriaan.eu.
Christian J P A HoebeDepartment of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, PO Box 2022, 6160 HA, Geleen, The Netherlands. christian.hoebe@ggdzl.nl.
Rik CrutzenDepartment of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre (MUMC+), PO Box 5800, 6202 AZ, Maastricht, The Netherlands. rik.crutzen@maastrichtuniversity.nl.
Gerjo KokDepartment of Work & Social Psychology, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. g.kok@maastrichtuniversity.nl.
Nicole H T M Dukers-MuijrersDepartment of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Services, PO Box 2022, 6160 HA, Geleen, The Netherlands. nicole.dukers@ggdzl.nl.
GGD Zuid Limburg · NLMaastricht University Medical Centre · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPartner 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).

methodsWe 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.

resultsAll 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.

conclusionsHealth 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.

Indexed as

Chlamydia InfectionsChlamydia trachomatisContact TracingAdultFemaleHealth PersonnelHumansInternetInterviews as TopicMaleMiddle AgedMotivational InterviewingNetherlandsReferral and ConsultationSexual BehaviorSexually Transmitted Diseases

Identifiers

PMID25526679
PMCPMC4279885
OpenAlexW2157443345

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.