Sexually transmitted infections (STIs) Infections and Infestations Unspecified sexually transmitted disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Practices: 1. Practices from the MRC General Practice Research Framework (GPRF), the South East Primary Care Research Network (PCRN-SE) or the Primary Care Research Network Greater London (PCRN-GL) 2. Registered populations of 5000 or more 3. A maximum of six practices considering themselves as "student health centres" will be recruited, and no more than four regarding themselves as running "locally enhanced services for sexual health" Individuals: 1. Belonging to the target population above 2. Over the age of 16 years (either sex) at the time of first attendance for this problem, or of screening for chlamydia (NB patients will be eligible if they refuse to communicate with partners, given the objectives of the study)
Exclusion criteria
Exclusion criteria: Patients: 1. Learning difficulties 2. Unable to read trial materials after discussion with clinical staff 3. No means of communication acceptable to the patient for him/herself
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of main partners per index patient treated for chlamydia and/or gonorrhoea/nonspecific urethritis/pelvic inflammatory disease 2. Proportion of index patients testing negative for the relevant STI at 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of partners per index patient presenting for treatment 2. Proportion of index patients having at least one partner treated 3. Number of main, casual and ex-partners per index patient tested for the relevant STI 4. Number of main, casual and ex-partners testing positive for the relevant STI 5. Number of index patients tested for HIV by 3 months 6. Number of current partners tested for HIV by 3 months 7. Time to definitive treatment of index patient for the relevant STI 8. Time to definitive treatment of current partner for the relevant STI 9. Uptake by index patients of "contract" and "provider" referral for one or more partners, within the relevant randomised groups 10. Patient-related factors impacting on partner notification or STI disclosure to main, casual and ex-partners An important secondary aim is to identify what patient-related or psychological factors impact on disclosure. | — |
Countries
United Kingdom