{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:24:02Z","timestamp":1790018642323,"version":"4.0.1"},"reference-count":38,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":378,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["AI_HI200028"],"award-info":[{"award-number":["AI_HI200028"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sexually transmitted infections (STIs) present a significant global public health issue, with disparities in STI rates often observed across ethnic groups. The study investigates the impact of Chatbot-Assisted Self Assessment (CASA) on the intentions for sexual health screening within minoritised ethnic groups (MEGs) at risk of STIs as well as the subsequent use of a chatbot for booking STI screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A simulation within-subject design was utilised to evaluate the effect of CASA on intentions for STI\/HIV screening, concern about STIs, and attitudes towards STI screening. Screening intentions served as the dependent variable, while demographic and behavioural factors related to STI\/HIV risk were the independent variables. ANCOVA tests were conducted to measure the impact of CASA on these perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Involving 548 participants (54% women, 66% black, average age\u00a0=\u00a030\u00a0years), the study found that CASA positively influenced screening intentions t(547)\u00a0=\u00a0\u221210.3, P\u00a0&amp;lt;\u00a00.001], concerns about STIs t(544)\u00a0=\u00a0\u22124.96, P\u00a0&amp;lt;\u00a00.001, and attitudes towards sexual health screening [t(543)\u00a0=\u00a0\u22124.36, P\u00a0&amp;lt;\u00a00.001. Positive attitudes towards CASA were observed (mean, 13.30; s.d., 6.73; range, \u221217 to 21). About 72% of users who booked STI screening appointments via chatbot were from MEGs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CASA increased motivations for STI screening intentions among ethnically diverse communities. The intervention\u2019s non-judgemental nature and the chatbot\u2019s ability to emulate sexual history-taking were critical in fostering an environment conducive to behavioural intention change. The study\u2019s high acceptability indicates the potential for broader application in digital health interventions. However, the limitation of not tracking actual post-intervention behaviour warrants further investigation into CASA\u2019s real-world efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh24058","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T19:50:12Z","timestamp":1721850612000},"source":"Crossref","is-referenced-by-count":9,"title":["The impact of Chatbot-Assisted Self Assessment (CASA) on intentions for sexual health screening in people from minoritised ethnic groups at risk of sexually transmitted infections"],"prefix":"10.1071","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7010-5308","authenticated-orcid":true,"given":"Tom","family":"Nadarzynski","sequence":"first","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicky","family":"Knights","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Husbands","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Graham","sequence":"additional","affiliation":[{"name":"BKinsey Institute, Indiana University, Bloomington, IN, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie D.","family":"Llewellyn","sequence":"additional","affiliation":[{"name":"CBrighton and Sussex Medical School, University of Sussex, Brighton, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Buchanan","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Montgomery","sequence":"additional","affiliation":[{"name":"DPositive East, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuha","family":"Khlafa","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Tichackova","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riliwan","family":"Odeyemi","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Johnson","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neomi","family":"Jesuthas","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9656-905X","authenticated-orcid":true,"given":"Syeda","family":"Tahia","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9245-5958","authenticated-orcid":true,"given":"Damien","family":"Ridge","sequence":"additional","affiliation":[{"name":"ASchool of Social Sciences, University of Westminster, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"2025111820242115900_R1","unstructured":"World Health Organization. Global health sector strategy on sexually transmitted infections 2016\u20132021. 2016. 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