P110 The Santé Project: a mixed-methods assessment of opportunities and challenges for the delivery of brief risk reduction interventions in sexual health clinics in England - a healthcare provider's perspective. (30th June 2016)

• Record Type: Journal Article
• Authors: King, Carina; Roy, Anupama; Shahmanesh, Maryam; Gilson, Richard; Richardson, Daniel; Burns, Fiona; Rodgers, Alison; Massie, Nicholas; Bailey, Julia; Llewellyn, Carrie
• Is Part Of: Sexually transmitted infections. Volume 92(2016)Supplement 1
• Page Start: A57
• Page End: A57
• Publication Date: 2016-06-30
• Subjects: Sexually transmitted diseases -- Periodicals; HIV infections -- Periodicals; 616.951005
• DOI: 10.1136/sextrans-2016-052718.164
• Languages: English
• ISSNs: 1368-4973

Abstract

Abstract : Background/introduction: Sante is a study to improve targeted sexual health promotion in UK sexual health (SH) clinics. Aim(s)/objectives: We explored opportunities and challenges for delivering interventions including 1:1 and group sessions, digital and video interventions. Methods: Semi-structured interviews were conducted by telephone with healthcare providers (HCPs) from a range of clinics, by location, size, and patient mix. Data were analysed thematically using a framework approach. A web-survey was sent to key HCP contacts in SH services in England. Results: Interviews (n = 26) showed that digital interventions were viewed as logistically and financially feasible; some clinics reported already using them. All clinics provided brief 1:1 sessions, but challenges to delivery were identified as: lack of evidence for effectiveness on behaviours; costs and staff resourcing; and patient motivation. Videos received mixed opinions, they were seen as a practical option for providing STI information while patients wait, but issues about appropriateness were raised. HCPs had concerns about the feasibility of group sessions within clinic-based settings, while acknowledging their usefulness for outreach. The web-survey is ongoing; preliminary data indicates that clinics would like to be able to offer mobile apps, online education and videos (Table 1 ). Discussion/conclusion: Staff time, costs and logistics were universal challenges, while group sessions and videos raised issues of privacy in particular. Brief 1:1 interventions are currently widely delivered, and can be tailored to the patient's needs, but are resource-intensive while digital methods despite being uncommon were seen as desirable.