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P110 The Santé Project: a mixed-methods assessment of opportunities and challenges for the delivery of brief risk reduction interventions in sexual health clinics in England - a healthcare provider’s perspective
  1. Carina King1,
  2. Anupama Roy2,
  3. Maryam Shahmanesh1,
  4. Richard Gilson1,
  5. Daniel Richardson2,3,
  6. Fiona Burns1,
  7. Alison Rodgers1,
  8. Nicholas Massie1,
  9. Julia Bailey1,
  10. Carrie Llewellyn2
  1. 1Department of Infection and Population Health, University College London, London, UK
  2. 2Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, East Sussex, UK
  3. 3Brighton and Sussex University Trust, Brighton, East Sussex, UK

Abstract

Background/introduction Sante is a study to improve targeted sexual health promotion in UK sexual health (SH) clinics.

Aim(s)/objectives We explored opportunities and challenges for delivering interventions including 1:1 and group sessions, digital and video interventions.

Methods Semi-structured interviews were conducted by telephone with healthcare providers (HCPs) from a range of clinics, by location, size, and patient mix. Data were analysed thematically using a framework approach. A web-survey was sent to key HCP contacts in SH services in England.

Results Interviews (n = 26) showed that digital interventions were viewed as logistically and financially feasible; some clinics reported already using them. All clinics provided brief 1:1 sessions, but challenges to delivery were identified as: lack of evidence for effectiveness on behaviours; costs and staff resourcing; and patient motivation. Videos received mixed opinions, they were seen as a practical option for providing STI information while patients wait, but issues about appropriateness were raised. HCPs had concerns about the feasibility of group sessions within clinic-based settings, while acknowledging their usefulness for outreach. The web-survey is ongoing; preliminary data indicates that clinics would like to be able to offer mobile apps, online education and videos (Table 1).

Abstract P110 Table 1

Overview of web-survey responses about interventions (current and desired)

Discussion/conclusion Staff time, costs and logistics were universal challenges, while group sessions and videos raised issues of privacy in particular. Brief 1:1 interventions are currently widely delivered, and can be tailored to the patient’s needs, but are resource-intensive while digital methods despite being uncommon were seen as desirable.

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