Assessing the impact of online postal self-sampling for sexually transmitted infections on health inequalities, access to care and clinical outcomes in the UK: protocol for ASSIST, a realist evaluation.

Autor:	Gibbs J; Institute for Global Health, University College London, London, UK jo.gibbs@ucl.ac.uk., Howarth AR; Institute for Global Health, University College London, London, UK., Sheringham J; Institute of Epidemiology and Health Care, University College London, London, UK., Jackson LJ; Institute of Applied Health Research, University of Birmingham, Birmingham, UK., Wong G; Nuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK., Copas A; Institute for Global Health, University College London, London, UK., Crundwell DJ; Lay representative, London, UK., Mercer CH; Institute for Global Health, University College London, London, UK., Mohammed H; Blood Safety, Hepatitis, STIs and HIV Division, UK Health Security Agency, London, UK., Ross J; University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Sullivan AK; Directorate of HIV and Sexual Health, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK., Murray E; Primary Care and Population Health, University College London, London, UK., Burns FM; Institute for Global Health, University College London, London, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Dec 14; Vol. 12 (12), pp. e067170. Date of Electronic Publication: 2022 Dec 14.
DOI:	10.1136/bmjopen-2022-067170
Abstrakt:	Introduction: The past decade has seen a rapid increase in the volume and proportion of testing for sexually transmitted infections that are accessed via online postal self-sampling services in the UK. ASSIST (Assessing the impact of online postal self-sampling for sexually transmitted infections on health inequalities, access to care and clinical outcomes in the UK) aims to assess the impact of these services on health inequalities, access to care, and clinical and economic outcomes, and to identify the factors that influence the implementation and sustainability of these services. Methods and Analysis: ASSIST is a mixed-methods, realist evaluated, national study with an in-depth focus of three case study areas (Birmingham, London and Sheffield). An impact evaluation, economic evaluation and implementation evaluation will be conducted. Findings from these evaluations will be analysed together to develop programme theories that explain the outcomes. Data collection includes quantitative data (using national, clinic based and online datasets); qualitative interviews with service users, healthcare professionals and key stakeholders; contextual observations and documentary analysis. STATA 17 and NVivo will be used to conduct the quantitative and qualitative analysis, respectively. Ethics and Dissemination: This study has been approved by South Central - Berkshire Research Ethics Committee (ref: 21/SC/0223). All quantitative data accessed and collected will be anonymous. Participants involved with qualitative interviews will be asked for informed consent, and data collected will be anonymised.Our dissemination strategy has been developed to access and engage key audiences in a timely manner and findings will be disseminated via the study website, social media, in peer-reviewed scientific journals, at research conferences, local meetings and seminars and at a concluding dissemination and networking event for stakeholders. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu