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A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation
Theunissen, K. Hoebe, C. Kok, G. Crutzen, R. Kara-Zaitri, Chakib de Vries, N. van Bergen, J. Hamilton, R. van der Sande, M. Dukers-Muijrers, N.
Theunissen, K.
Hoebe, C.
Kok, G.
Crutzen, R.
Kara-Zaitri, Chakib
de Vries, N.
van Bergen, J.
Hamilton, R.
van der Sande, M.
Dukers-Muijrers, N.
Publication Date
2015
End of Embargo
Supervisor
Keywords
Adolescent, Adult, Chlamydia Infections, Chlamydia trachomatis/, Cost-benefit analysis, Female, Health promotion, Humans, Internet, Male, Netherlands, Pilot projects, Sexual partners, Social support, Socioeconomic factors, Young adult, Chlamydia trachomatis, Home-based test kits, Partner notification, Peer-referral, Sexual networks, Social networks, Web-based respondent driven sampling
Rights
© 2015 The Authors. This article is an Open Access article distributed under the Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/)
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Open Access status
openAccess
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Additional title
Abstract
With the aim of targeting high-risk hidden heterosexual young people for Chlamydia trachomatis (CT) testing, an innovative web-based screening strategy using Respondent Driven Sampling (RDS) and home-based CT testing, was developed, piloted and evaluated. Two STI clinic nurses encouraged 37 CT positive heterosexual young people (aged 16-25 years), called index clients, to recruit peers from their social and sexual networks using the web-based screening strategy. Eligible peers (young, living in the study area) could request a home-based CT test and recruit other peers. Twelve (40%) index clients recruited 35 peers. Two of these peers recruited other peers (n = 7). In total, 35 recruited peers were eligible for participation; ten of them (29%) requested a test and eight tested. Seven tested for the first time and one (13%) was positive. Most peers were female friends (80%). Nurses were positive about using the strategy. The screening strategy is feasible for targeting the hidden social network. However, uptake among men and recruitment of sex-partners is low and RDS stopped early. Future studies are needed to explore the sustainability, cost-effectiveness, and impact of strategies that target people at risk who are not effectively reached by regular health care.
Version
Published version
Citation
Theunissen K, Hoebe C, Kok G et al (2015) A Web-Based Respondent Driven Sampling Pilot Targeting Young People at Risk for Chlamydia Trachomatis in Social and Sexual Networks with Testing: A Use Evaluation. International Journal of Environmental Resesearch and Public Health. 12(8): 9889-9906.
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Article