Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods

Introduction Sexual health is essential for general health and well-being. Sexual health services for middle-aged and older adults are not prioritised and optimising available services for this population is often overlooked. Not much is known about preferences for accessing sexual health services a...

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Main Authors: Dan Wu, Clare Tanton, Hannah Kuper, Fern Terris-Prestholt, Thomas Shakespeare, Eneyi Kpokiri, Junead Khan, Emily Greaves, Jason J. Ong, Stephen W. Pan, Sophie Bowen, Tracey Jannaway, Joseph D. Tucker
Format: Article
Language:English
Published: BMJ Publishing Group 2023-05-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/5/e066783.full
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author Dan Wu
Clare Tanton
Hannah Kuper
Fern Terris-Prestholt
Thomas Shakespeare
Eneyi Kpokiri
Junead Khan
Emily Greaves
Jason J. Ong
Stephen W. Pan
Sophie Bowen
Tracey Jannaway
Joseph D. Tucker
author_facet Dan Wu
Clare Tanton
Hannah Kuper
Fern Terris-Prestholt
Thomas Shakespeare
Eneyi Kpokiri
Junead Khan
Emily Greaves
Jason J. Ong
Stephen W. Pan
Sophie Bowen
Tracey Jannaway
Joseph D. Tucker
author_sort Dan Wu
collection DOAJ
description Introduction Sexual health is essential for general health and well-being. Sexual health services for middle-aged and older adults are not prioritised and optimising available services for this population is often overlooked. Not much is known about preferences for accessing sexual health services among middle-aged and older people or level of satisfaction with current services. The aim of this study is to explore preferences for seeking sexual health services among middle-aged and older adults in the UK. This study will use discrete choice experiments (DCEs) including initial qualitative interviews followed by the survey, which have been used as a tool to explore preferences in various health service delivery.Methods and analysis The project will be carried out in two phases. First, we will conduct in-depth semi-structured interviews with 20–30 adults (aged 45+), including disabled people, and those from sexual minority groups resident in the UK. Interviews will explore indications, preferences and factors related to accessing sexual health services. Themes and subthemes emerging from the analysis of the interviews will then be used to design the choice sets and attribute level for the DCEs. For the second phase, for the DCEs, we will design choice sets composed of sexual health service delivery scenarios. The software Ngene will be used to develop the experimental design matrix for the DCE. We will use descriptive statistics to summarise the key sociodemographic characteristics of the study population. Multinomial logit, latent class and mixed logit models will be explored to assess sexual health service preferences and preference heterogeneity.Ethics and dissemination Ethical approval for both parts of this study was granted by the Research and Ethics Committee at the London School of Hygiene & Tropical Medicine. Findings from this study will be disseminated widely to relevant stakeholders via scheduled meetings, webinars, presentations and journal publications.
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spelling doaj.art-86e4b5e9358744319116b6a87a89f5762023-05-08T21:00:07ZengBMJ Publishing GroupBMJ Open2044-60552023-05-0113510.1136/bmjopen-2022-066783Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methodsDan Wu0Clare Tanton1Hannah Kuper2Fern Terris-Prestholt3Thomas Shakespeare4Eneyi Kpokiri5Junead Khan6Emily Greaves7Jason J. Ong8Stephen W. Pan9Sophie Bowen10Tracey Jannaway11Joseph D. Tucker121 Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK4 Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK3 Department of Population Health, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK1 Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UKprofessor of disability researchDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, UKDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UKDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK6 Melbourne Sexual Health Centre, Alfred Hospital, Melbourne, Victoria, AustraliaDepartment of Health and Environmental Sciences, Xi`an Jiaotong-Liverpool University, Suzhou, Jiangsu, ChinaDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, UKIndependent Living Alternatives, London, UKDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, UKIntroduction Sexual health is essential for general health and well-being. Sexual health services for middle-aged and older adults are not prioritised and optimising available services for this population is often overlooked. Not much is known about preferences for accessing sexual health services among middle-aged and older people or level of satisfaction with current services. The aim of this study is to explore preferences for seeking sexual health services among middle-aged and older adults in the UK. This study will use discrete choice experiments (DCEs) including initial qualitative interviews followed by the survey, which have been used as a tool to explore preferences in various health service delivery.Methods and analysis The project will be carried out in two phases. First, we will conduct in-depth semi-structured interviews with 20–30 adults (aged 45+), including disabled people, and those from sexual minority groups resident in the UK. Interviews will explore indications, preferences and factors related to accessing sexual health services. Themes and subthemes emerging from the analysis of the interviews will then be used to design the choice sets and attribute level for the DCEs. For the second phase, for the DCEs, we will design choice sets composed of sexual health service delivery scenarios. The software Ngene will be used to develop the experimental design matrix for the DCE. We will use descriptive statistics to summarise the key sociodemographic characteristics of the study population. Multinomial logit, latent class and mixed logit models will be explored to assess sexual health service preferences and preference heterogeneity.Ethics and dissemination Ethical approval for both parts of this study was granted by the Research and Ethics Committee at the London School of Hygiene & Tropical Medicine. Findings from this study will be disseminated widely to relevant stakeholders via scheduled meetings, webinars, presentations and journal publications.https://bmjopen.bmj.com/content/13/5/e066783.full
spellingShingle Dan Wu
Clare Tanton
Hannah Kuper
Fern Terris-Prestholt
Thomas Shakespeare
Eneyi Kpokiri
Junead Khan
Emily Greaves
Jason J. Ong
Stephen W. Pan
Sophie Bowen
Tracey Jannaway
Joseph D. Tucker
Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods
BMJ Open
title Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods
title_full Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods
title_fullStr Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods
title_full_unstemmed Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods
title_short Preferences for accessing sexual health services among middle-aged and older adults in the UK: a study protocol for a discrete choice experiment using mixed methods
title_sort preferences for accessing sexual health services among middle aged and older adults in the uk a study protocol for a discrete choice experiment using mixed methods
url https://bmjopen.bmj.com/content/13/5/e066783.full
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