{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:09:18Z","timestamp":1761059358894},"reference-count":28,"publisher":"BMJ","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2012,6,4]]},"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Chlamydia notifications have been rising in Australia for over a decade and are highest in young people. This study aimed to evaluate the impact of an internet-based intervention on chlamydia testing among young people 16\u201325\u2005years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this randomised controlled trial, recruitment, data collection, study interventions and follow-up occurred entirely in cyberspace, facilitated by a website. Eligible participants were aged 16\u201325\u2005years and resided in Australia. The intervention group received personalised emails inviting interaction about chlamydia testing, while the control group received regular impersonal emails. Primary outcome was self-reported chlamydia testing at 6-month follow-up; secondary outcomes were condom use and changes in knowledge and attitudes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>704 young people completed baseline information, 40 were excluded and five withdrew prior to follow-up. The follow-up rate was 47.3% overall. In the intervention group, 40.6% (95% CI 30.7% to 51.1%) reported having had a chlamydia test at follow-up compared with 31.0% (95% CI 24.8% to 37.2%) in the control group (p=0.07). A per-protocol analysis found that those who engaged in email interaction were more likely to report chlamydia test uptake compared with those in the control group (52.5%, 95% CI 39.3 to 65.4% cf 31.0%, 95% CI 24.8% to 37.2%, p=0.002). There were no differences in secondary outcomes between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first randomised controlled trial undertaken in cyberspace to promote chlamydia testing. E-technology may be useful in promoting chlamydia testing and healthcare seeking behaviour in young people.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2011-050124","type":"journal-article","created":{"date-parts":[[2012,7,5]],"date-time":"2012-07-05T07:01:02Z","timestamp":1341471662000},"page":"568-573","source":"Crossref","is-referenced-by-count":10,"title":["Facilitating chlamydia testing among young people: a randomised controlled trial in cyberspace"],"prefix":"10.1136","volume":"88","author":[{"given":"Melissa","family":"Kang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlie","family":"Rochford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Skinner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Mindel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Webb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"Peat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Usherwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,7,4]]},"reference":[{"key":"2024051320462618000_88.8.568.1","unstructured":"World Health Organisation 2008. The global burden of disease: 2004 update. Switzerland: WHO, 2008."},{"key":"2024051320462618000_88.8.568.2","unstructured":"Australian Government Department of Health and Ageing. National Notifiable Diseases Surveillance System. Commonwealth of Australia. http:\/\/www9.health.gov.au\/cda\/Source\/Rpt_2_sel.cfm (accessed Nov 2011)."},{"key":"2024051320462618000_88.8.568.3","unstructured":"Australian Government Department of Health and Ageing. National Sexually Transmissible Infections Strategy 2005\u20132008. Canberra: Commonwealth of Australia, 2005. http:\/\/www.health.gov.au\/internet\/main\/publishing.nsf\/Content\/0333DF52D0E2F3EDCA25702A0025132F\/$File\/sti_strategy.pdf (accessed Nov 2011)."},{"key":"2024051320462618000_88.8.568.4","unstructured":"Minister for Health and Ageing. Chlamydia Projects to Target High Risk Groups [Media Release]. Commonwealth Department of Health and Ageing, AB115\/06. 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