{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:04:12Z","timestamp":1782846252469,"version":"3.54.5"},"reference-count":34,"publisher":"JMIR Publications Inc.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Web-based services for testing of sexually transmitted infections are widely available across the United Kingdom. Remote prescriptions with medications posted home may support prompt treatment; however, the absence of face-to-face contact with clinicians raises clinical safety issues as medical history may not be accurately provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This service evaluation aimed to capture the use and explore the safety of 3 remote communication strategies employed within a web-based service offering remote prescriptions of antibiotics, delivered via post, for uncomplicated genital Chlamydia trachomatis. User acceptability and time-from-diagnosis-to-treatment were also obtained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three iterations of the service were compared, where medical history was collected via SMS text message, telephone, or a secure web form before a prescription was issued. We contacted users after they were issued a prescription and completed the medical history a second time via telephone, asking when they took their medication and how they felt about the service. The primary safety measure was agreement in information supplied at 2 assessments (ie, clinical and evaluation assessment) on key elements of safe prescribing: allergies, current medications, or contraindicating clinical conditions or symptoms. Agreement in information between clinical and evaluation assessment was summarized as a binary variable. Factors associated with the assessment agreement variable were explored using univariate and multivariate analysis. The secondary evaluation measures were recall of and adherence to instructions for taking medication, time-from-diagnosis-to-treatment, and acceptability of the web-based service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All web-based service users, resident in the London Boroughs of Lambeth and Southwark with a positive chlamydia diagnosis, who were eligible for and chose postal treatment between February 15, 2017, and October 24, 2017, were invited to participate in this service evaluation. Of 321 eligible users, 62.0% (199) participated. A total of 27.6% (55\/199) users completed the clinical assessment via SMS text message, 40.7% (81\/199) users via telephone, and 31.7% (63\/199) users via a secure web form. Those who were assessed for prescription via SMS text message were less likely to have an agreement in safe prescribing information than those assessed via telephone (adjusted odds ratio [aOR] 0.22, 95% CI 0.08-0.61; P=.004). We found no statistically significant difference in odds of agreement between the web form and telephone assessment (aOR 0.50, 95% CI 0.17-1.43; P=.20). Median time-to-treatment was 4 days (IQR 3-5.5). In addition, 99.0% (196\/199) of users reported understanding remote communication, and 89.9% (178\/198) would use the service again.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Postal treatment is an acceptable and rapid treatment option for uncomplicated genital chlamydia. Clinical assessment via SMS text message before remote prescription may not be accurate or sufficient. As health care is delivered via the web, strategies that support safe remote prescribing are increasingly important, as is their evaluation, which should be robust and carefully considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/15970","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T15:54:16Z","timestamp":1588607656000},"page":"e15970","source":"Crossref","is-referenced-by-count":2,"title":["Communication Strategies Used to Obtain Clinical Histories Before Remotely Prescribing Antibiotics for Postal Treatment of Uncomplicated Genital Chlamydia: Service Evaluation"],"prefix":"10.2196","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5006-967X","authenticated-orcid":false,"given":"Hannah","family":"McCulloch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4479-1604","authenticated-orcid":false,"given":"Jonathan","family":"Syred","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7650-9717","authenticated-orcid":false,"given":"Gillian","family":"Holdsworth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4220-125X","authenticated-orcid":false,"given":"Chris","family":"Howroyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7036-9717","authenticated-orcid":false,"given":"Elena","family":"Ardines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3354-6494","authenticated-orcid":false,"given":"Paula","family":"Baraitser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2020,6,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.26226\/morressier.58ef94ddd462b80290b50420"},{"key":"ref2","unstructured":"NHS England20192019-01-25Find Chlamydia - Free Online Tests for u-25s Serviceshttps:\/\/www.nhs.uk\/Service-Search\/Chlamydia-free-online-tests-for-u-25s\/LocationSearch\/344"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002479"},{"key":"ref4","unstructured":"Healthcare Improvement Scotland201404152018-08-03Implementing an Electronic Prescribing and Medicines Administration System: A Good Practice Guidehttp:\/\/www.healthcareimprovementscotland.org\/our_work\/technologies_and_medicines\/electronic_prescribing\/good_practice_guide.aspx"},{"key":"ref5","unstructured":"General Medical Council20132018-08-10Good Practice in Prescribing and Managing Medicines and Deviceshttps:\/\/www.gmc-uk.org\/Prescribing_guidance.pdf_59055247.pdf"},{"key":"ref6","unstructured":"MartinDMillsonDAveryASmartSThe King's Fund20112019-01-26The Quality of GP Prescribinghttps:\/\/www.kingsfund.org.uk\/sites\/files\/kf\/field\/field_document\/quality-gp-prescribing-gp-inquiry-research-paper-mar11.pdf"},{"key":"ref7","unstructured":"National Prescribing CentrePharmaceutical Services Negotiating Committee (PSNC)2008092019-02-02LiverpoolNational Prescribing CentreDispensing with Repeats: A Practical Guide to Repeat Dispensing. 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Seventh Editionhttps:\/\/www.gov.uk\/government\/publications\/ncsp-standards"},{"key":"ref21","unstructured":"British Association for Sexual Health and HIV (BASHH)20192019-05-01Standards for the Management of Sexually Transmitted Infections (STIs)https:\/\/www.bashh.org\/about-bashh\/publications\/standards-for-the-management-of-stis\/"},{"key":"ref22","unstructured":"Public Health EnglandThe Government of UK20182019-05-01NCSP 2017 Audit Report. Audit of Standards: Turnaround Times, Partner Notification and Re-Testinghttps:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/713332\/NCSP_2017_audit_report.pdf"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30034-8"},{"key":"ref24","unstructured":"Faculty of Sexual and Reproductive Healthcare (FSRH)British Association for Sexual Health and HIV (BASHH)The Faculty of Sexual and Reproductive Healthcare2019012019-05-01London, UKJoint BASHH\/FSRH StandardStandards for Online and Remote Providers of Sexual and Reproductive Health Serviceshttps:\/\/www.fsrh.org\/standards-and-guidance\/documents\/fsrhbashh-standards-for-online-and-remote-providers-of-sexual\/"},{"key":"ref25","unstructured":"General Medical Council20182019-01-06Remote Consultationshttps:\/\/www.gmc-uk.org\/ethical-guidance\/ethical-hub\/remote-consultations"},{"issue":"4","key":"ref26","first-page":"343","volume":"37","author":"Williams, D","year":"2007","journal-title":"J R Coll Physicians Edinb"},{"key":"ref27","unstructured":"Department of Health and Social CarePublic Health EnglandThe Government of UK20182019-07-15Integrated Sexual Health Services: A Suggested National Service Specificationhttps:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/731140\/integrated-sexual-health-services-specification.pdf"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1080\/13625180802434884"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdn060"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-794"},{"key":"ref31","unstructured":"National Voices20142019-07-15Supporting Self-Management: Summarising Evidence From Systematic Reviewshttps:\/\/www.nationalvoices.org.uk\/sites\/default\/files\/public\/publications\/supporting_self-management.pdf"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8101"},{"key":"ref33","unstructured":"National Institute for Health and Care Excellence20192019-07-15Chlamydia - Uncomplicated Genitalhttps:\/\/cks.nice.org.uk\/chlamydia-uncomplicated-genital#!topicSummary"},{"key":"ref34","unstructured":"Scottish Intercollegiate Guidelines NetworkManagement of genital Chlamydia trachomatis infection: A national clinical guideline20092020-06-01NHS Quality Improvement Scotlandhttps:\/\/www.sign.ac.uk\/assets\/sign109.pdf"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jmir.org\/2020\/6\/e15970","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:09:18Z","timestamp":1782842958000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.jmir.org\/2020\/6\/e15970\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,17]]},"references-count":34,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2196\/15970","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.15970","asserted-by":"object"}]},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,17]]}}}