Author: Jones, Austin T; Craig-Kuhn, Megan Clare; Schmidt, Norine; Gomes, Gérard; Scott, Glenis; Watson, Shannon; Hines, Phazal; Davis, Javone; Lederer, Alyssa M; Martin, David H; Kissinger, Patricia J
Title: Adapting index/partner services for the treatment of chlamydia among young African American men in a community screening program. Cord-id: 4q2ygqo9 Document date: 2020_10_29
ID: 4q2ygqo9
Snippet: BACKGROUND Screening for asymptomatic Chlamydia trachomatis (Ct) among men has not been recommended because feasibility and efficacy are unknown. Check It is a seek-test-treat community-based Ct screening program for African American (AA) men who have sex with women and who are ages 15-24 years. This is an evaluation of adaptations made to the program aimed at improving index/partner notification and treatment rates. METHODS The original Check It intervention included free testing and treatment,
Document: BACKGROUND Screening for asymptomatic Chlamydia trachomatis (Ct) among men has not been recommended because feasibility and efficacy are unknown. Check It is a seek-test-treat community-based Ct screening program for African American (AA) men who have sex with women and who are ages 15-24 years. This is an evaluation of adaptations made to the program aimed at improving index/partner notification and treatment rates. METHODS The original Check It intervention included free testing and treatment, contact tracing performed by a third party, expedited index therapy (EIT), and expedited partner therapy (EPT) via pharmacy pickup. The intervention was adapted following a series of in-depth interviews eliciting information to refine the program. Changes included continuity of testing, notification, and treatment by the same staff; expanded hours; and patient-delivered partner therapy (PDPT) with a medication mail-delivery option. Rates of index male and partner treatment were compared using log-binomial models and generalized estimating equations. RESULTS Men in the adapted intervention (n=85) were more likely than men in the original intervention (n=99) to be contacted (RR=1.14; 95% CI=1.02-1.27), make a treatment plan (RR=1.14; 95% CI=1.01-1.27), and complete treatment (RR=1.45; 95% CI=1.20-1.75). Female sexual partners were significantly more likely to complete treatment in post-adaptation (n=153) compared to pre-adaptation (n=161) (RR=3.02; 95% CI=1.81-5.05). CONCLUSIONS Compared to third party notification and EIT/EPT available by pharmacy pickup only, PDPT with mail-delivery option; staff available at non-traditional hours; and staff continuity across testing, notification, and treatment significantly improved index and partner treatment completion.
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