'It opened my eyes' - examining the impact of a multifaceted chlamydia testing intervention on general practitioners using normalization process theory

Yeung, Anna, Hocking, Jane, Guy, Rebecca, Fairley, Christopher K., Smith, Kirsty, Vaisey, Alaina, Donovan, Basil, Imrie, John, Gunn, Jane, Temple-Smith, Meredith, ACCEPt consortium and Carter, Robert 2018, 'It opened my eyes' - examining the impact of a multifaceted chlamydia testing intervention on general practitioners using normalization process theory, Family practice, vol. 35, no. 5, pp. 626-632, doi: 10.1093/fampra/cmy011.

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Title 'It opened my eyes' - examining the impact of a multifaceted chlamydia testing intervention on general practitioners using normalization process theory
Author(s) Yeung, Anna
Hocking, Jane
Guy, Rebecca
Fairley, Christopher K.
Smith, Kirsty
Vaisey, Alaina
Donovan, Basil
Imrie, John
Gunn, Jane
Temple-Smith, Meredith
ACCEPt consortium
Carter, RobertORCID iD for Carter, Robert orcid.org/0000-0002-1586-5619
Journal name Family practice
Volume number 35
Issue number 5
Start page 626
End page 632
Total pages 7
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2018-10
ISSN 0263-2136
1460-2229
Keyword(s) ACCEPt consortium
Science & Technology
Life Sciences & Biomedicine
Primary Health Care
Medicine, General & Internal
General & Internal Medicine
normalization process theory
Summary Background: Chlamydia is the most common notifiable sexually transmissible infection in Australia. Left untreated, it can develop into pelvic inflammatory disease and infertility. The majority of notifications come from general practice and it is ideally situated to test young Australians. Objectives: The Australian Chlamydia Control Effectiveness Pilot (ACCEPt) was a multifaceted intervention that aimed to reduce chlamydia prevalence by increasing testing in 16- to 29-year-olds attending general practice. GPs were interviewed to describe the effectiveness of the ACCEPt intervention in integrating chlamydia testing into routine practice using Normalization Process Theory (NPT). Methods: GPs were purposively selected based on age, gender, geographic location and size of practice at baseline and midpoint. Interview data were analysed regarding the intervention components and results were interpreted using NPT. Results: A total of 44 GPs at baseline and 24 at midpoint were interviewed. Most GPs reported offering a test based on age at midpoint versus offering a test based on symptoms or patient request at baseline. Quarterly feedback was the most significant ACCEPt component for facilitating a chlamydia test. Conclusions: The ACCEPt intervention has been able to moderately normalize chlamydia testing among GPs, although the components had varying levels of effectiveness. NPT can demonstrate the effective implementation of an intervention in general practice and has been valuable in understanding which components are essential and which components can be improved upon.
Language eng
DOI 10.1093/fampra/cmy011
Field of Research 1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30121295

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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