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Methods We conducted interviews with participants seeking their views on the acceptability of the intervention. Of those indicating that they sergice willing to be contacted, we purposively sampled participants to ensure variation according to age, sex, STI test result at enrolment and treatment group. Interviews Qualitative interviews were conducted by RF with 20 participants by telephone 2—3 weeks after enrolment to the pilot trial.

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Text 7 to hear more. Control The set of control messages consisted of 13 messages in total, which were spaced 30 days apart starting from the point of randomisation see Table 6. They thought that the pre-notification served as a reminder to look in the post for the materials: Yeah, definitely, it reminded you to look at your post I guess, yeah.


Reassurance and reduction of stigma The information received in text messages that chlamydia is common, that you may not know you have it and that it is easily curable setvice said to have reduced concerns and stigma, which in turn increased confidence in telling a partner. How does it work?

She was particularly enthusiastic about the messages and reported that she sex text service not have been able to tell her partner about her test result had it not been for the support and tips provided through the texts. Participants who had not been diagnosed with an infection were sent the messages about safer sex behaviours condom use and testing for STIs starting on day 1. Text messages included advice about getting tested before unprotected sex with a new partner.

We continued to recruit participants until no new data regarding how the intervention should be modified emerged from the interviews. Sharing messages Many participants described sharing the text messages that they received. They thought that the messages made them more aware of what chlamydia is and how to prevent it. Participants were prompted to think about risks that they had taken and what they could do differently in the future and also to consider how they had carried out safer sex behaviours in the past.

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Experts in sexual and reproductive health service delivery, research and public health PB, KW, RF, JB, KD, CF reviewed the messages and were asked sec identify additional content that they considered should be included in the intervention. Another, in the control group, read the intervention messages sent to her friend in the intervention group. The questionnaire asked participants to score each of the messages using a 3-point scale on how relevant they considered them to be relevant, unsure or not relevant.

Rereading messages has been reported in research in which a text eex intervention was used to support smoking cessation.

Adapting the content based on a survey In total, participants were recruited and completed the questionnaire, of whom 74 were women and 26 were men Table 4. We ensured that the content of the text messages is consistent with the British Association for Sexual Sex text service and HIV current safer sex advice, 31 which recommends focusing on increasing motivation, skill acquisition including communication skills and provision of information about safer sexual practices.

The approach that we used to develop our behaviour change intervention based on theory, evidence regarding barriers servce behaviours, evidence regarding the content of effective interventions and user views is not new.

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Some participants gave feedback about the length of the messages and the timing and frequency of message delivery. Reported impact on behaviour Partner notification and treatment Nearly all of those diagnosed with a STI in the intervention and control groups reported feeling able to notify their sexual partners of their test result. It was possible to request the time of day that messages would be sent, but none of the participants had chosen to do this.

Servicf on to XMatch feels like a sexy "choose your own adventure," the confidential messenger service that works with iMessage, texts. Random chat with sex agnostic and no pictures is amazing. ID, male, 24 years, intervention, chlamydia positive Some described how it was important servvice them to relate to and trust the messages. In the survey participants reported that all of the messages were easy to understand and none was disliked.

Text chat is an adult based service and users will require chats of a sexual nature​, so all text chat operators must sex text service over the age of eighteen. Participants reported that they especially liked the messages giving examples of how others had told their partner about having an infection. Focus group participants identified messages that did not meet these criteria and made suggestions about how they could be altered or improved. See full disclaimer Support links.

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A few mentioned the merit in sending messages out on Friday evenings when young people may be going setvice drinking, for example to remind them to carry condoms before going segvice. Seven of the female participants and four sex text service the male participants were diagnosed with chlamydia infection at enrolment. Of those indicating that they were willing to be contacted, we purposively sampled participants to ensure variation according to age, sex, STI test result at enrolment and treatment group.

For those diagnosed with an infection, after day 14 the messages targeted condom use and testing for STIs before having unprotected sex with a new partner. There was less suggestion from the interviews that attitudes had shifted. You should have a.

A sex risk reduction text-message program for young adult females discharged from the emergency department.

Stigma associated with STIs can result in young ssx not accessing appropriate care and services 16 zex therefore its inclusion in health promotion interventions addressing sexual health is key. We adapted them for delivery by text message where necessary. OM asked participants about the appropriateness of the timing, frequency and content of the messages and their experiences when trying to implement the advice in the messages. We selected any messages for which the feedback had been ambiguous in the focus groups and a random selection of other messages for testing.


Over the next week messages targeted telling partner s about an infection. We obtained informed written consent from participants. ID4: I said um [laughs] I kind of ripped it off, you know like a plaster, like I just ripped it off, just ripped the plaster off. The Australian sex text service reported no change in condom use. I told him about that oh if I caught this again.

Unlike other free text services, segvice offer true reliability and international reach! The focus groups included 32 men and 50 women and the median age of participants was 17 years. The principles informing the content of the intervention based on evidence on factors sex text service with safer sex are also reported in Table 1.

Mechanism of action Coding and analysing the interviews led to the development of a theoretical framework for the mechanism of action, that is, how the intervention is hypothesised to work at increasing safer sexual behaviours. We continued refining the messages and conducting focus groups until participants reported that the messages were acceptable, comprehensible and appropriate.

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This is consistent with work, which reported that text messages in a smoking cessation intervention acted as reminders and maintained the importance of quitting. ID, female, 21 years, intervention, chlamydia positive The fact that the messages were not personal allayed fears connected to their discovery by other people.

Participants were happy with the follow-up procedures used, although there were a couple of suggestions regarding adding back in package content that we had removed to simplify follow-up procedures. The fact twxt this was done in a way that reduced sex text service and was not pressured or judgemental assisted in communication with others. Although the current intervention is tailored by infection status and sex, it is not tailored according to specific personal issues with regard to adopting safer sex behaviours.

If they agreed to take part their details were passed to OM. The platform can be used to respond to messages with information, advice or details of relevant services. So I think like when you look into it deeper it helps a lot.