{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T01:07:24Z","timestamp":1776560844518,"version":"3.51.2"},"reference-count":28,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":345,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001782","name":"University of Melbourne","doi-asserted-by":"publisher","award":["Early Career Researcher Grant"],"award-info":[{"award-number":["Early Career Researcher Grant"]}],"id":[{"id":"10.13039\/501100001782","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In Australia, syphilis notifications increased 2.5-fold during 2013\u20132022 and 83 congenital syphilis cases were reported. Timely diagnosis and management are crucial. We developed a tool to promote syphilis testing into our existing \u2018Future Health Today\u2019 (FHT) software and explored its acceptability in general practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our tool (FHT-syphilis) scans electronic medical record data to identify and prompt testing for pregnant women, and, people recently tested for sexually transmissible infection (STI) or HIV, but not syphilis. It links to relevant guidelines and patient resources. We implemented FHT-syphilis in 52 general practices using FHT for other conditions and interviewed practice clinicians (n\u00a0=\u00a09) to explore it\u2019s acceptability. Data were analysed deductively guided by the Theoretical Framework of Acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Interviewees considered syphilis an important infection to focus on and broadly viewed FHT-syphilis as acceptable for identifying patients and giving clinicians authority to discuss syphilis testing. Time constraints and unrelated reasons for a patient\u2019s visit were barriers to initiating syphilis testing discussions. Australian STI guidelines were considered appropriate to link to. Some interviewees considered prompts should be based on sexual behaviour, however this is not well captured in the electonic medical record. Two interviewees were alerted to updated Australian STI guidelines via their interaction with FHT-syphilis and expanded their syphilis testing practices. Expertise to initiate discussions about syphilis and risk was deemed important.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A digital tool for prompting syphilis testing was acceptable to clinicians already using FHT. Linkage to STI guidelines alerted some end-users to updated guidelines, informing STI testing practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh24097","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T22:40:58Z","timestamp":1724712058000},"source":"Crossref","is-referenced-by-count":2,"title":["Development and acceptability of a digital tool for promoting syphilis testing in Australian general practice: qualitative study using the Theoretical Framework of Acceptability"],"prefix":"10.1071","volume":"21","author":[{"given":"Barbara","family":"Hunter","sequence":"first","affiliation":[{"name":"ADepartment of General Practice and Primary Care, The University of Melbourne, Carlton, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9329-8501","authenticated-orcid":true,"given":"Jane S.","family":"Hocking","sequence":"additional","affiliation":[{"name":"BMelbourne School of Population and Global Health, The University of Melbourne, Parkville, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo-Anne","family":"Manski-Nankervis","sequence":"additional","affiliation":[{"name":"CPrimary Care and Family Medicine, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1041-9588","authenticated-orcid":true,"given":"Jun","family":"Jung","sequence":"additional","affiliation":[{"name":"ADepartment of General Practice and Primary Care, The University of Melbourne, Carlton, Vic, Australia."},{"name":"DMelbourne Sexual Health Centre, Alfred Health, School of Translational Medicine, Monash University, Melbourne, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Wigan","sequence":"additional","affiliation":[{"name":"DMelbourne Sexual Health Centre, Alfred Health, School of Translational Medicine, Monash University, Melbourne, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus Y.","family":"Chen","sequence":"additional","affiliation":[{"name":"DMelbourne Sexual Health Centre, Alfred Health, School of Translational Medicine, Monash University, Melbourne, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Boyle","sequence":"additional","affiliation":[{"name":"ADepartment of General Practice and Primary Care, The University of Melbourne, Carlton, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Chidgey","sequence":"additional","affiliation":[{"name":"ADepartment of General Practice and Primary Care, The University of Melbourne, Carlton, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"O\u2019Donnell","sequence":"additional","affiliation":[{"name":"EDepartment of Health, Victoria, Melbourne, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5580-360X","authenticated-orcid":true,"given":"Jane L.","family":"Goller","sequence":"additional","affiliation":[{"name":"BMelbourne School of Population and Global Health, The University of Melbourne, Parkville, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"2025102615353660200_R1"},{"key":"2025102615353660200_R2"},{"key":"2025102615353660200_R3","unstructured":"Zagon C. Outbreaks of syphilis rapidly spreading through Melbourne suburbs. 9 News; 2021. Available at https:\/\/www.9news.com.au\/national\/outbreaks-of-syphilis-rapidly-spreading-through-melbourne-suburbs\/5ecf03a9-d3e1-4bc1-a913-d999f5edca83"},{"key":"2025102615353660200_R4","unstructured":"World Health Organization. Global health sector strategy on sexually transmitted infections 2016\u20132021: towards ending STIs. Switzerland: WHO; 2016. Available at https:\/\/www.who.int\/publications\/i\/item\/WHO-RHR-16.09 [accessed 26 March 2024]."},{"key":"2025102615353660200_R5","unstructured":"Australian Department of Health. Fourth national sexually transmissible infections strategy 2018-2022. Canberra: Department of Health; 2018. Available at https:\/\/www.health.gov.au\/resources\/publications\/fourth-national-sexually-transmissible-infections-strategy-2018-2022?language=en [accessed 22 August 2024]."},{"key":"2025102615353660200_R6","unstructured":"Australasian Society for HIV Viral Hepatitis and Sexual Health Medicine (ASHM). Australian STI Management Guidelines, for use in primary care. ASHM; 2021. Available at https:\/\/sti.guidelines.org.au\/ [accessed 26 March 2024]."},{"key":"2025102615353660200_R7","unstructured":"Department of Health. Syphilis: information for clinicians. Victorian Government; 2021. Available at https:\/\/www.health.vic.gov.au\/infectious-diseases\/syphilis [accessed 26 March 2024]."},{"key":"2025102615353660200_R8","unstructured":"Department of Health and Aged Care. Don\u2019t fool around with syphilis. Australia: Commonwealth of Australia; 2023. Available at https:\/\/www.health.gov.au\/dont-fool-around-with-syphilis [accessed 26 March 2024]."},{"key":"2025102615353660200_R9","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19041912","article-title":"General practice statistics in Australia: pushing a round peg into a square hole.","volume":"19","author":"Gordon","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025102615353660200_R10","unstructured":"Australian Bureau of Statistics. Patient experience in Australia: summary of findings 2019-20 financial year. Available at www.abs.gov.au\/statistics\/health\/health-services\/patient-experiences\/ [accessed 26 March 2024]."},{"key":"2025102615353660200_R11","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1093\/fampra\/cmq004","article-title":"Overcoming the barriers to chlamydia screening in general practice--a qualitative study.","volume":"27","author":"McNulty","year":"2010","journal-title":"Fam Pract"},{"key":"2025102615353660200_R12","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-8-425","article-title":"What needs to change to increase chlamydia screening in general practice in Australia? The views of general practitioners.","volume":"8","author":"Hocking","year":"2008","journal-title":"BMC Public Health"},{"key":"2025102615353660200_R13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-040228","article-title":"Future Health Today: codesign of an electronic chronic disease quality improvement tool for use in general practice using a service design approach.","volume":"10","author":"Hunter","year":"2020","journal-title":"BMJ Open"},{"key":"2025102615353660200_R14","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1071\/PY22022","article-title":"The development of Future Health Today: piloting a new platform for identification and management of chronic disease in general practice.","volume":"29","author":"Hunter","year":"2023","journal-title":"Aust J Prim Health"},{"issue":"1","key":"2025102615353660200_R15","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-024-02470-w","article-title":"Optimising a clinical decision support tool to improve chronic kidney disease management in general practice.","volume":"25","author":"Hunter","year":"2024","journal-title":"BMC Prim Care"},{"key":"2025102615353660200_R16","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1071\/SH22191","article-title":"Informing the design of a digital intervention to support sexually transmissible infection care in general practice: a qualitative study exploring the views of clinicians.","volume":"20","author":"Gezer","year":"2023","journal-title":"Sex Health"},{"key":"2025102615353660200_R17","unstructured":"King J, McManus H, Kwon A, Gray R, McGregor S. HIV, viral hepatitis and sexually transmissible infections in Australia: annual surveillance report 2021. Sydney: Kirby Institute, UNSW Sydney; 2022. Available at doi:10.26190\/sx44-5366, https:\/\/kirby.unsw.edu.au\/report\/asr2021 [accessed 26 March 2024]."},{"key":"2025102615353660200_R18","unstructured":"Centre for Digital Transformation of Health. The Digital Health Validitron. Melbourne: University of Melbourne; 2023. Available at https:\/\/mdhs.unimelb.edu.au\/digitalhealth\/our-work\/validitron [accessed 26 March 2024]."},{"key":"2025102615353660200_R19","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2031-8","article-title":"Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework.","volume":"17","author":"Sekhon","year":"2017","journal-title":"BMC Health Serv Res"},{"key":"2025102615353660200_R20","doi-asserted-by":"publisher","first-page":"23","DOI":"10.37464\/2020.394.762","article-title":"Using the theoretical framework of acceptability to understand the acceptability of e-training for nurse led prevention of unwanted sexual behaviour in Australia\u2019s residential aged care services.","volume":"39","author":"Wright","year":"2022","journal-title":"Aust J Adv Nurs"},{"key":"2025102615353660200_R21","doi-asserted-by":"publisher","DOI":"10.1071\/SH23194","article-title":"Client and staff perceptions of acceptability of MyCheck: a direct-to-pathology telehealth and e-testing service for comprehensive bloodborne virus and sexually transmissible infection screening.","volume":"21","author":"Lafferty","year":"2024","journal-title":"Sex Health"},{"key":"2025102615353660200_R22","doi-asserted-by":"publisher","DOI":"10.2196\/preprints.55667","article-title":"Exploring clinical acceptability of a new quality improvement program aiming to reduce cardiovascular disease risk in people with chronic kidney disease in Australian general practice: qualitative study.","author":"McBride","year":"2023","journal-title":"JMIR Hum Factors"},{"key":"2025102615353660200_R23"},{"issue":"8","key":"2025102615353660200_R24","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1097\/OLQ.0000000000001825","article-title":"The reemergence of syphilis among females of reproductive age and congenital syphilis in Victoria, Australia, 2010 to 2020: a public health priority.","volume":"50","author":"Borg","year":"2023","journal-title":"Sex Trans Dis"},{"key":"2025102615353660200_R25"},{"issue":"8","key":"2025102615353660200_R26","doi-asserted-by":"publisher","DOI":"10.2196\/39277","article-title":"Optimization of a quality improvement tool for cancer diagnosis in primary care: qualitative study.","volume":"6","author":"Chima","year":"2022","journal-title":"JMIR Form Res"},{"key":"2025102615353660200_R27"},{"issue":"4","key":"2025102615353660200_R28","doi-asserted-by":"publisher","DOI":"10.2196\/10808","article-title":"Assessing the impacts of integrated decision support software on sexual orientation recording, comprehensive sexual health testing, and detection of infections among gay and bisexual men attending general practice: observational study.","volume":"6","author":"Callander","year":"2018","journal-title":"JMIR Med Inform"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH24097\/588087\/sh24097.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH24097\/588087\/sh24097.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:35:43Z","timestamp":1761507343000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/21\/5\/SH24097\/82269\/Development-and-acceptability-of-a-digital-tool"}},"subtitle":[],"editor":[{"given":"Jennifer","family":"Power","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,8,27]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10,10]]}},"URL":"https:\/\/doi.org\/10.1071\/sh24097","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,27]]},"article-number":"SH24097"}}