A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK
Objectives People aged 16–24 are more likely than other age groups to acquire sexually transmitted infections (STI). Safetxt was a randomised controlled trial of a theory-based digital health intervention to reduce STIs among 16–24 year-old people in the UK. We report results of qualitative research...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-10-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/10/e072701.full |
| _version_ | 1797641151342182400 |
|---|---|
| author | Ford Colin Ian Hickson Caroline Free Rebecca French Sima Berendes Anasztazia Gubijev |
| author_facet | Ford Colin Ian Hickson Caroline Free Rebecca French Sima Berendes Anasztazia Gubijev |
| author_sort | Ford Colin Ian Hickson |
| collection | DOAJ |
| description | Objectives People aged 16–24 are more likely than other age groups to acquire sexually transmitted infections (STI). Safetxt was a randomised controlled trial of a theory-based digital health intervention to reduce STIs among 16–24 year-old people in the UK. We report results of qualitative research regarding participants’ perceptions and experiences of the intervention and trial participation.Design Qualitative thematic analysis following a critical realist paradigm of written open feedback comments provided in the 12-month follow-up questionnaire and semistructured interviews.Setting Safetxt trial participants were recruited from UK sexual health clinics.Participants Trial inclusion criteria: people aged 16–24 diagnosed with or treated for chlamydia, gonorrhoea or non-specific urethritis. Optional open feedback provided by 3526 of 6248 safetxt participants at 12 months and interviews with a purposive sample of 18 participants after the trial.Results We summarise and report results in seven broad themes. According to recipients, the safetxt intervention increased awareness of the importance of avoiding STIs and ways to prevent them. Participants reported improved confidence, agency, sexual well-being and communication about sexual health with partners, friends and family. Recipients attributed increased condom use, increased STI testing after (rather than before) sex with new partners, and more confident partner notification to the intervention. Recipients described a reduced sense of isolation and stigma in having an STI. Control group participants reported that having had an STI and receiving control texts asking them to report any changes in contact details acted as reminders to use condoms and get tested. We also summarise participant recommendations for future interventions and studies.Conclusions While control group participants reported precautionary behaviours were ‘triggered’ by trial participation, intervention recipients reported additional benefits of the intervention in increasing precautionary behaviours and in broader aspects of sexual health such as confidence, communication, emotional well-being and agency.Trial registration ISRCTN registry ISRCTN64390461. |
| first_indexed | 2024-03-11T13:41:27Z |
| format | Article |
| id | doaj.art-7a14250c89dc403780c7c004240b0318 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-11T13:41:27Z |
| publishDate | 2023-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-7a14250c89dc403780c7c004240b03182023-11-02T12:00:09ZengBMJ Publishing GroupBMJ Open2044-60552023-10-01131010.1136/bmjopen-2023-072701A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UKFord Colin Ian Hickson0Caroline Free1Rebecca French2Sima Berendes3Anasztazia Gubijev4Department of Public Health, Environments & Society, London School of Hygiene and Tropical Medicine, London, UKDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Public Health, Environments & Society, London School of Hygiene and Tropical Medicine, London, UKDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, UKObjectives People aged 16–24 are more likely than other age groups to acquire sexually transmitted infections (STI). Safetxt was a randomised controlled trial of a theory-based digital health intervention to reduce STIs among 16–24 year-old people in the UK. We report results of qualitative research regarding participants’ perceptions and experiences of the intervention and trial participation.Design Qualitative thematic analysis following a critical realist paradigm of written open feedback comments provided in the 12-month follow-up questionnaire and semistructured interviews.Setting Safetxt trial participants were recruited from UK sexual health clinics.Participants Trial inclusion criteria: people aged 16–24 diagnosed with or treated for chlamydia, gonorrhoea or non-specific urethritis. Optional open feedback provided by 3526 of 6248 safetxt participants at 12 months and interviews with a purposive sample of 18 participants after the trial.Results We summarise and report results in seven broad themes. According to recipients, the safetxt intervention increased awareness of the importance of avoiding STIs and ways to prevent them. Participants reported improved confidence, agency, sexual well-being and communication about sexual health with partners, friends and family. Recipients attributed increased condom use, increased STI testing after (rather than before) sex with new partners, and more confident partner notification to the intervention. Recipients described a reduced sense of isolation and stigma in having an STI. Control group participants reported that having had an STI and receiving control texts asking them to report any changes in contact details acted as reminders to use condoms and get tested. We also summarise participant recommendations for future interventions and studies.Conclusions While control group participants reported precautionary behaviours were ‘triggered’ by trial participation, intervention recipients reported additional benefits of the intervention in increasing precautionary behaviours and in broader aspects of sexual health such as confidence, communication, emotional well-being and agency.Trial registration ISRCTN registry ISRCTN64390461.https://bmjopen.bmj.com/content/13/10/e072701.full |
| spellingShingle | Ford Colin Ian Hickson Caroline Free Rebecca French Sima Berendes Anasztazia Gubijev A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK BMJ Open |
| title | A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK |
| title_full | A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK |
| title_fullStr | A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK |
| title_full_unstemmed | A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK |
| title_short | A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK |
| title_sort | qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the uk |
| url | https://bmjopen.bmj.com/content/13/10/e072701.full |
| work_keys_str_mv | AT fordcolinianhickson aqualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT carolinefree aqualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT rebeccafrench aqualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT simaberendes aqualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT anasztaziagubijev aqualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT fordcolinianhickson qualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT carolinefree qualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT rebeccafrench qualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT simaberendes qualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk AT anasztaziagubijev qualitativestudyexploringexperiencesofthesafetxtdigitalhealthinterventiontoreducesexuallytransmittedinfectionsinyoungpeopleintheuk |