{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:08:36Z","timestamp":1790435316018,"version":"4.1.0"},"reference-count":10,"publisher":"BMJ","issue":"3","funder":[{"DOI":"10.13039\/501100000380","name":"Guy's and St Thomas' Charity","doi-asserted-by":"publisher","award":["MAJ120505"],"award-info":[{"award-number":["MAJ120505"]}],"id":[{"id":"10.13039\/501100000380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2019,1,26]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the outcomes of user-led, choice of test within an online sexual health service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analysed routinely collected data from a free, online sexual health service in Essex, UK that enabled users to select their tests. The service website provided information on all sexually transmitted infections, recommended a testing package based on sexuality and ethnicity, and invited users to modify this if they chose. Data on orders were analysed for the 6\u2009months before (May\u2013October 2016) and after (October\u2013April 2017) implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We compared 7550 orders from 6253 users before and 9785 orders from 7772 users after implementation. There was no difference in the proportion of chlamydia (p=0.57) or gonorrhoea (p=0.79) tests that were positive between the two periods. HIV and syphilis positives were too few in our sample during both periods for analysis. During implementation, men who have sex with men (530 users) were offered genital, rectal and oral chlamydia and gonorrhoea testing plus HIV and syphilis testing. In 17.2% of orders, users removed tests. Black or ethnic minority users excluding those who reported as men who have sex with men (805 users) were offered chlamydia, gonorrhoea and HIV testing. In 77.9% of orders, users added a test. All other users were offered chlamydia and gonorrhoea tests only. In 65.2% of orders, users added tests. We observed a reduction in orders of 3083 blood tests (31%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Users engaged with the \u2018choose to test\u2019 intervention. Although a majority added tests, the intervention was cost saving by reducing the HIV and syphilis tests ordered.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2018-053796","type":"journal-article","created":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T12:24:28Z","timestamp":1551875068000},"page":"171-174","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Choose to test: self-selected testing for sexually transmitted infections within an online service"],"prefix":"10.1136","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4479-1604","authenticated-orcid":false,"given":"Jonathan","family":"Syred","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"Holdsworth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Howroyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kez","family":"Spelman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Baraitser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,3,5]]},"reference":[{"key":"2024092304402211000_95.3.171.1","unstructured":"Coulter A . Person centred care: what works? 2014. Available: http:\/\/blogs.bmj.com\/bmj\/2014\/06\/16\/angela-coulter-person-centred-care-what-works\/"},{"key":"2024092304402211000_95.3.171.2","unstructured":"Department of Health and Social Care . NHS constitution for England, 2012. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/480482\/NHS_Constitution_WEB.pdf"},{"key":"2024092304402211000_95.3.171.3","unstructured":"Department of Health and Social Care . Health and Social Care Act 2012, 2012. Available: http:\/\/www.legislation.gov.uk\/ukpga\/2012\/7\/contents\/enacted [Accessed 6 Jun 2017]."},{"key":"2024092304402211000_95.3.171.4","unstructured":"Coulter A . What can e-health do for patients? 2016. Available: https:\/\/www.nuffieldtrust.org.uk\/news-item\/what-can-e-health-do-for-patients"},{"key":"2024092304402211000_95.3.171.5","doi-asserted-by":"crossref","unstructured":"Wilson E , Free C , Morris TP , et al . Effect of an Internet-based sexually transmitted infection testing and results service on diagnoses and testing uptake: a single-blind, randomised controlled trial. Lancet 2017;390.doi:10.1016\/S0140-6736(17)33030-1","DOI":"10.1016\/S0140-6736(17)33030-1"},{"key":"2024092304402211000_95.3.171.6","unstructured":"BASHH . BASHH CEG guidance on tests for sexually transmitted infections. British Association for Sexual Health and HIV, 2015. Available: https:\/\/www.bashhguidelines.org\/media\/1084\/sti-testing-tables-2015-dec-update-4.pdf"},{"key":"2024092304402211000_95.3.171.7","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.8101","article-title":"Web-based activity within a sexual health economy: observational study","volume":"20","author":"Turner","year":"2018","journal-title":"J Med Internet Res"},{"key":"2024092304402211000_95.3.171.8","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12100"},{"key":"2024092304402211000_95.3.171.9","unstructured":"Public Health England . Sexual and reproductive health profiles. Available: https:\/\/fingertips.phe.org.uk\/profile\/sexualhealth\/data#page\/0\/gid\/8000057\/pat\/6\/par\/E12000006\/ati\/102\/are\/E10000012 [Accessed 28 Apr 2018]."},{"key":"2024092304402211000_95.3.171.10","unstructured":"British HIV Association & British Association of Sexual Health and HIV British Infection Society . UK national guidelines for HIV testing, 2008. Available: http:\/\/www.bhiva.org\/documents\/guidelines\/testing\/glineshivtest08.pdf"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2018-053796","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T11:41:07Z","timestamp":1727091667000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2018-053796"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,5]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,4,16]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/sextrans-2018-053796"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2018-053796","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,5]]}}}