Skip navigation
Skip navigation

A pragmatic assessment of the relative efficiency of outreach chlamydia screening events conducted in non-clinical settings

Bowden, Francis; Currie, Marian; Todkill, Maureen; Schmidt, Mathias; Webeck, Sue; Del Rosario, Rendry; Bavington, Tim; Tyson, Alexandra

Description

Background: Opportunistic screening for chlamydia in non-clinical settings is becoming more common, but little is known about which settings (or events) offer the best return on investment. We measured the relative efficiency of each screening site and event during the conduct of a chlamydia education and screening outreach program which used a cash incentive to encourage participation (SOC2). Methods. SOC2 staff identified sites and organised events in non-clinical sites where young people...[Show more]

dc.contributor.authorBowden, Francis
dc.contributor.authorCurrie, Marian
dc.contributor.authorTodkill, Maureen
dc.contributor.authorSchmidt, Mathias
dc.contributor.authorWebeck, Sue
dc.contributor.authorDel Rosario, Rendry
dc.contributor.authorBavington, Tim
dc.contributor.authorTyson, Alexandra
dc.date.accessioned2015-12-10T23:18:47Z
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/1885/65780
dc.description.abstractBackground: Opportunistic screening for chlamydia in non-clinical settings is becoming more common, but little is known about which settings (or events) offer the best return on investment. We measured the relative efficiency of each screening site and event during the conduct of a chlamydia education and screening outreach program which used a cash incentive to encourage participation (SOC2). Methods. SOC2 staff identified sites and organised events in non-clinical sites where young people were likely to congregate. 16 to 30years olds were offered chlamydia education and a cash reward of AUD10 if they chose to be screened for chlamydia. Data collected during these activities were used to calculated five measures of efficiency: i) screening yield' (proportion of people providing a sample), ii) proportion of positive tests, iii) 'event screening tempo' (number of screens performed for every hour that screening is offered), iv) 'staff hour screening tempo' (number of screens performed per hour of staff time) and v) 'chlamydia detection tempo' (number of positive tests detected per hour of screening). Results: 3011 people (71% male) were screened during 18 events at 10 venues. Overall 'screening yield' was 43.8% (range: 20-77%) and 1.7% (95% CI: 1.1-3.0) of tests were positive (by event range 1-3%). Overall, the 'event screening tempo' was 23.7 screens per event hour (range 8.0-79.0), the 'staff hour screening tempo' was 6.5 screens per staff hour and the chlamydia detection tempo was 0.4 positive tests per hour (range: 0-1.75). Conclusion: Assessing the efficiency of screening sites and programs should be integral to their conduct. We suggest the use of five measures to enable pragmatic assessment of any screening program. We introduce the terms 'event screening tempo', 'staff hour screening tempo' and 'chlamydia detection tempo' to describe three of these simple measures.
dc.publisherBioMed Central Ltd.
dc.sourceBMC Public Health
dc.titleA pragmatic assessment of the relative efficiency of outreach chlamydia screening events conducted in non-clinical settings
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume12
dc.date.issued2012
local.identifier.absfor111700 - PUBLIC HEALTH AND HEALTH SERVICES
local.identifier.ariespublicationf5625xPUB1159
local.type.statusPublished Version
local.contributor.affiliationBowden, Francis, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationCurrie, Marian, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationTodkill, Maureen, The Canberra Hospital
local.contributor.affiliationSchmidt, Mathias, Sexual Health and Family Planning ACT
local.contributor.affiliationWebeck, Sue, Sexual Health and Family Planning ACT
local.contributor.affiliationDel Rosario, Rendry, ACT Health
local.contributor.affiliationBavington, Tim, Sexual Health and Family Planning ACT
local.contributor.affiliationTyson, Alexandra, The Canberra Hospital
local.description.embargo2037-12-31
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage6
local.identifier.doi10.1186/1471-2458-12-341
dc.date.updated2015-12-10T10:09:03Z
local.identifier.scopusID2-s2.0-84865309256
local.identifier.thomsonID000310365700009
CollectionsANU Research Publications

Download

File Description SizeFormat Image
01_Bowden_A_pragmatic_assessment_of_the_2012.pdf241.58 kBAdobe PDF    Request a copy


Items in Open Research are protected by copyright, with all rights reserved, unless otherwise indicated.

Updated:  19 May 2020/ Responsible Officer:  University Librarian/ Page Contact:  Library Systems & Web Coordinator