{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T23:01:47Z","timestamp":1765666907919,"version":"build-2065373602"},"reference-count":13,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":5215,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,1,24]]},"abstract":"<jats:p>Objectives: To describe client experience of self-management within a busy walk-in, sexual health service. Self-management in this context is self-registration and take-home pregnancy tests, chlamydia (Chlamydia trachomatis) and gonorrhoea (Neisseria gonorrhoeae) tests, or condoms dispensed from a free vending machine. Methods: Twenty-four in-depth, semi-structured interviews with users; 19 structured written reports from mystery shoppers paid to visit the service and report their experience; demographic details of those using the self-management option from the clinic database and 40 h of recorded observation in the clinic waiting room. Results: Between 2 September 2008 and 1 September 2009, 18 657 people had 28 545 attendances at the service. Of these, 1845 (6.5%) attendances were self-managed by 1555 individuals (8.3% of all clients). Of those who self-managed, 646 (35%) obtained a chlamydia and gonorrhoea test only, 597 (32%) obtained condoms only and 488 (27%) obtained a pregnancy test only. Users valued the opportunity to self-manage because of the reduced waiting times, autonomy and privacy that such a service offers. Some prefer the additional support offered within a clinical consultation. Users made personalised decisions about self-management based on time pressure, need for additional services and preferred source of support. Users often required help and advice from client support workers to complete the self-management process. This created problems with confidentiality. Conclusions: Self-management is an acceptable option within sexual health services if informal support is available. Self-management options in clinical services could mean that 8% of clients at 6% of visits do not need to see a clinician, thus freeing up clinical capacity.<\/jats:p>","DOI":"10.1071\/sh10029","type":"journal-article","created":{"date-parts":[[2011,1,24]],"date-time":"2011-01-24T19:24:28Z","timestamp":1295897068000},"page":"23-29","source":"Crossref","is-referenced-by-count":12,"title":["\u2018Do it yourself\u2019 sexual health care: the user experience"],"prefix":"10.1071","volume":"8","author":[{"given":"Paula","family":"Baraitser","sequence":"first","affiliation":[{"name":"ACamberwell Sexual Health Centre, 100 Denmark Hill, London SE5 9RS, UK."},{"name":"DCorresponding author. Email: Paula.Baraitser@nhs.net"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsty Collander","family":"Brown","sequence":"additional","affiliation":[{"name":"BThe Print House, 18 Ashwin Street, London E8 3DL, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Gleisner","sequence":"additional","affiliation":[{"name":"ACamberwell Sexual Health Centre, 100 Denmark Hill, London SE5 9RS, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikki","family":"Pearce","sequence":"additional","affiliation":[{"name":"CTower Hamlets Primary Care Trust, Aneurin Bevan House, 81 Commercial Road, London E1 1RD, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usha","family":"Kumar","sequence":"additional","affiliation":[{"name":"ACamberwell Sexual Health Centre, 100 Denmark Hill, London SE5 9RS, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Brady","sequence":"additional","affiliation":[{"name":"ACamberwell Sexual Health Centre, 100 Denmark Hill, London SE5 9RS, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2011,1,24]]},"reference":[{"key":"2025102419012141300_R1"},{"key":"2025102419012141300_R2"},{"key":"2025102419012141300_R3"},{"key":"2025102419012141300_R4"},{"key":"2025102419012141300_R5"},{"key":"2025102419012141300_R6"},{"key":"2025102419012141300_R7"},{"key":"2025102419012141300_R8"},{"key":"2025102419012141300_R9"},{"key":"2025102419012141300_R10"},{"key":"2025102419012141300_R11"},{"key":"2025102419012141300_R12"},{"key":"2025102419012141300_R13"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/8\/1\/23\/144252\/sh10029.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/8\/1\/23\/144252\/sh10029.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T23:01:27Z","timestamp":1761346887000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/8\/1\/23\/20977\/Do-it-yourself-sexual-health-care-the-user"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1,24]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,1,24]]}},"URL":"https:\/\/doi.org\/10.1071\/sh10029","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2011,1,24]]}}}