Perceptions of self-testing for chlamydia: understanding and predicting self-test use

Rachael Powell, Helen M. Pattison, John F. Marriott

Research output: Contribution to journalSpecial issue

Abstract

Background: Self-testing technology allows people to test themselves for chlamydia without professional support. This may result in reassurance and wider access to chlamydia testing, but anxiety could occur on receipt of positive results. This study aimed to identify factors important in understanding self-testing for chlamydia outside formal screening contexts, to explore the potential impacts of self-testing on individuals, and to identify theoretical constructs to form a Framework for future research and intervention development.
Methods: Eighteen university students participated in semi-structured interviews; eleven had self-tested for chlamydia. Data were analysed thematically using a Framework approach.
Results: Perceived benefits of self-testing included its being convenient, anonymous and not requiring physical examination. There was concern about test accuracy and some participants lacked confidence in using vulvo-vaginal swabs. While some participants expressed concern about the absence of professional support, all said they would seek help on receiving a positive result. Factors identified in Protection Motivation Theory and the Theory of Planned Behaviour, such as response efficacy and self-efficacy, were found to be highly salient to participants in thinking about self-testing.
Conclusions: These exploratory findings suggest that self-testing independently of formal health care systems may no more negatively impact people than being tested by health care professionals. Participants’ perceptions about self-testing behaviour were consistent with psychological theories. Findings suggest that interventions which increase confidence in using self-tests and that provide reassurance of test accuracy may increase self-test intentions.
Original languageEnglish
Article number25
Number of pages14
JournalHealthcare
Volume4
Issue number25
DOIs
Publication statusPublished - 10 May 2016

Fingerprint

Chlamydia
Psychological Theory
Delivery of Health Care
Self Efficacy
Physical Examination
Motivation
Anxiety
Interviews
Students
Technology
Research

Bibliographical note

© 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).

Funding: RCUK Academic Research Fellowship

Keywords

  • chlamydia
  • self-testing
  • Protection Motivation Theory
  • Theory of Planned Behaviour
  • home testing

Cite this

Powell, Rachael ; Pattison, Helen M. ; Marriott, John F. / Perceptions of self-testing for chlamydia : understanding and predicting self-test use. In: Healthcare. 2016 ; Vol. 4, No. 25.
@article{3c66541d24d14a2ba8d535f339a7efb4,
title = "Perceptions of self-testing for chlamydia: understanding and predicting self-test use",
abstract = "Background: Self-testing technology allows people to test themselves for chlamydia without professional support. This may result in reassurance and wider access to chlamydia testing, but anxiety could occur on receipt of positive results. This study aimed to identify factors important in understanding self-testing for chlamydia outside formal screening contexts, to explore the potential impacts of self-testing on individuals, and to identify theoretical constructs to form a Framework for future research and intervention development. Methods: Eighteen university students participated in semi-structured interviews; eleven had self-tested for chlamydia. Data were analysed thematically using a Framework approach. Results: Perceived benefits of self-testing included its being convenient, anonymous and not requiring physical examination. There was concern about test accuracy and some participants lacked confidence in using vulvo-vaginal swabs. While some participants expressed concern about the absence of professional support, all said they would seek help on receiving a positive result. Factors identified in Protection Motivation Theory and the Theory of Planned Behaviour, such as response efficacy and self-efficacy, were found to be highly salient to participants in thinking about self-testing. Conclusions: These exploratory findings suggest that self-testing independently of formal health care systems may no more negatively impact people than being tested by health care professionals. Participants’ perceptions about self-testing behaviour were consistent with psychological theories. Findings suggest that interventions which increase confidence in using self-tests and that provide reassurance of test accuracy may increase self-test intentions.",
keywords = "chlamydia , self-testing, Protection Motivation Theory, Theory of Planned Behaviour, home testing",
author = "Rachael Powell and Pattison, {Helen M.} and Marriott, {John F.}",
note = "{\circledC} 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/). Funding: RCUK Academic Research Fellowship",
year = "2016",
month = "5",
day = "10",
doi = "10.3390/healthcare4020025",
language = "English",
volume = "4",
journal = "Healthcare",
issn = "2227-9032",
number = "25",

}

Perceptions of self-testing for chlamydia : understanding and predicting self-test use. / Powell, Rachael; Pattison, Helen M.; Marriott, John F.

In: Healthcare, Vol. 4, No. 25, 25, 10.05.2016.

Research output: Contribution to journalSpecial issue

TY - JOUR

T1 - Perceptions of self-testing for chlamydia

T2 - understanding and predicting self-test use

AU - Powell, Rachael

AU - Pattison, Helen M.

AU - Marriott, John F.

N1 - © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/). Funding: RCUK Academic Research Fellowship

PY - 2016/5/10

Y1 - 2016/5/10

N2 - Background: Self-testing technology allows people to test themselves for chlamydia without professional support. This may result in reassurance and wider access to chlamydia testing, but anxiety could occur on receipt of positive results. This study aimed to identify factors important in understanding self-testing for chlamydia outside formal screening contexts, to explore the potential impacts of self-testing on individuals, and to identify theoretical constructs to form a Framework for future research and intervention development. Methods: Eighteen university students participated in semi-structured interviews; eleven had self-tested for chlamydia. Data were analysed thematically using a Framework approach. Results: Perceived benefits of self-testing included its being convenient, anonymous and not requiring physical examination. There was concern about test accuracy and some participants lacked confidence in using vulvo-vaginal swabs. While some participants expressed concern about the absence of professional support, all said they would seek help on receiving a positive result. Factors identified in Protection Motivation Theory and the Theory of Planned Behaviour, such as response efficacy and self-efficacy, were found to be highly salient to participants in thinking about self-testing. Conclusions: These exploratory findings suggest that self-testing independently of formal health care systems may no more negatively impact people than being tested by health care professionals. Participants’ perceptions about self-testing behaviour were consistent with psychological theories. Findings suggest that interventions which increase confidence in using self-tests and that provide reassurance of test accuracy may increase self-test intentions.

AB - Background: Self-testing technology allows people to test themselves for chlamydia without professional support. This may result in reassurance and wider access to chlamydia testing, but anxiety could occur on receipt of positive results. This study aimed to identify factors important in understanding self-testing for chlamydia outside formal screening contexts, to explore the potential impacts of self-testing on individuals, and to identify theoretical constructs to form a Framework for future research and intervention development. Methods: Eighteen university students participated in semi-structured interviews; eleven had self-tested for chlamydia. Data were analysed thematically using a Framework approach. Results: Perceived benefits of self-testing included its being convenient, anonymous and not requiring physical examination. There was concern about test accuracy and some participants lacked confidence in using vulvo-vaginal swabs. While some participants expressed concern about the absence of professional support, all said they would seek help on receiving a positive result. Factors identified in Protection Motivation Theory and the Theory of Planned Behaviour, such as response efficacy and self-efficacy, were found to be highly salient to participants in thinking about self-testing. Conclusions: These exploratory findings suggest that self-testing independently of formal health care systems may no more negatively impact people than being tested by health care professionals. Participants’ perceptions about self-testing behaviour were consistent with psychological theories. Findings suggest that interventions which increase confidence in using self-tests and that provide reassurance of test accuracy may increase self-test intentions.

KW - chlamydia

KW - self-testing

KW - Protection Motivation Theory

KW - Theory of Planned Behaviour

KW - home testing

U2 - 10.3390/healthcare4020025

DO - 10.3390/healthcare4020025

M3 - Special issue

VL - 4

JO - Healthcare

JF - Healthcare

SN - 2227-9032

IS - 25

M1 - 25

ER -