{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:59:40Z","timestamp":1782842380982,"version":"3.54.5"},"reference-count":38,"publisher":"JMIR Publications Inc.","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>Canadian clinical guidelines recommend at least annual and up to quarterly bacterial sexually transmitted infection (STI) testing among sexually active gay, bisexual, and other men who have sex with men (GBM). However, testing rates are suboptimal. Innovative solutions are needed to close the gap because there is currently limited knowledge on how best to approach this issue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our aim was to build consensus regarding interventions with the greatest potential for improving local STI testing services for GBM communities in Toronto, Ontario, Canada, using a web-based e-Delphi process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The e-Delphi method involves using a panel format to conduct successive rounds of prioritization, with feedback between rounds, to determine priorities among groups. We recruited experts separately from the community (GBM who sought or underwent STI testing in the preceding 18 months; conducted between October 2019 and November 2019) and health care providers (those who offered STI testing to GBM in the past 12 months; conducted between February 2020 and May 2020). The experts prioritized 6 to 8 potential interventions on a 7-point Likert scale ranging from definitely not a priority to definitely a priority over 3 survey rounds and ranked their top 3 interventions. Consensus was defined as \u226560% within a \u00b11 response point. Summaries of responses were provided in successive rounds. We reported the percentage of a priority (encompassing somewhat a priority, a priority, and definitely a priority responses) at the end of the final round of the survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the community experts (CEs), 84% (43\/51) completed all rounds; 19% (8\/43) were living with HIV; 37% (16\/43) were HIV negative and on pre-exposure prophylaxis; and 42% (18\/43) were HIV negative and not on pre-exposure prophylaxis. We reached consensus on 6 interventions: client reminders (41\/43, 95%), express testing (38\/43, 88%), routine testing (36\/43, 84%), an online booking app (36\/43, 84%), online-based testing (33\/43, 77%), and nurse-led testing (31\/43, 72%). The CEs favored convenient interventions that also maintain a relationship with their provider. Of the provider experts (PEs), 77% (37\/48) completed all rounds; 59% (22\/37) were physicians. Consensus was reached on the same 6 interventions (range 25\/37, 68%, to 39\/39, 100%) but not for provider alerts (7\/37, 19%) and provider audit and feedback (6\/37, 16%). Express testing, online-based testing, and nurse-led testing were prioritized by &gt;95% (&gt;37\/39) of the PEs by the end of round 2 because of streamlined processes and decreased need to see a provider.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both panels were enthusiastic about innovations that make STI testing more efficient, with express testing rating highly in both the prioritizations and top 3 rankings. However, CEs preferred convenient interventions that involved their provider, whereas PEs favored interventions that prioritized patient independence and reduced patient-provider time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>International Registered Report Identifier (IRRID)<\/jats:title>\n                    <jats:p>RR2-10.2196\/13801<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/40477","type":"journal-article","created":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T10:15:50Z","timestamp":1688033750000},"page":"e40477","source":"Crossref","is-referenced-by-count":3,"title":["Community and Health Care Provider Preferences for Bacterial Sexually Transmitted Infection Testing Interventions for Gay, Bisexual, and Other Men Who Have Sex With Men: e-Delphi Study"],"prefix":"10.2196","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4301-8473","authenticated-orcid":false,"given":"Anna","family":"Yeung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7171-4295","authenticated-orcid":false,"given":"Ryan","family":"Lisk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-3229","authenticated-orcid":false,"given":"Jayoti","family":"Rana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0545-854X","authenticated-orcid":false,"given":"Charlie B","family":"Guiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6729-4830","authenticated-orcid":false,"given":"Jean","family":"Bacon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0506-8616","authenticated-orcid":false,"given":"Jason","family":"Brunetta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5978-6843","authenticated-orcid":false,"given":"Mark","family":"Gilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8874-0470","authenticated-orcid":false,"given":"Dionne","family":"Gesink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1922-2442","authenticated-orcid":false,"given":"Ramandip","family":"Grewal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0444-9043","authenticated-orcid":false,"given":"Michael","family":"Kwag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8035-433X","authenticated-orcid":false,"given":"Carmen H","family":"Logie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8791-0853","authenticated-orcid":false,"given":"Leo","family":"Mitterni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9478-8000","authenticated-orcid":false,"given":"Rita","family":"Shahin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3069-2875","authenticated-orcid":false,"given":"Darrell HS","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2822-2169","authenticated-orcid":false,"given":"Ann N","family":"Burchell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"ref1","unstructured":"Report on sexually transmitted infections in Canada: 2013-2014Public Health Agency of Canada2017052018-12-01https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/documents\/services\/publications\/diseases-conditions\/report-sexually-transmitted-in fections-canada-2013-14\/report-sexually-transmitted-infections-canada-2013-14-eng.pdf"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-13-246"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2014-051647"},{"key":"ref4","unstructured":"Infectious disease trends in Ontario - Chlamydia, males all agesPublic Health Ontario2022-02-15https:\/\/www.publichealthontario .ca\/en\/data-and-analysis\/infectious-disease\/reportable-disease-trends-annually#\/11"},{"key":"ref5","unstructured":"Infectious Disease Trends in Ontario - Syphilis, Males all agesPublic Health Ontario2022-02-15https:\/\/www.publichealthontario .ca\/en\/Data-and-Analysis\/Infectious-Disease\/Reportable-Disease-Trends-Annually#\/54"},{"key":"ref6","unstructured":"Infectious disease trends in Ontario - Gonorrhea, males all agesPublic Health Ontario2022-02-15https:\/\/www.publichealthontario .ca\/en\/Data-and-Analysis\/Infectious-Disease\/Reportable-Disease-Trends-Annually#\/18"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000623"},{"key":"ref8","unstructured":"HIV and STIs in men who have sex with men in LondonPublic Health England2014092023-06-13https:\/\/assets.publishing. service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/771143\/2014_09_17_STIs_HIV_in_MSM_in_ London_v1_0.pdf"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2019-054011"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2020-200975"},{"key":"ref11","unstructured":"Impact of COVID-19 on the delivery of STBBI prevention, testing and treatment, including harm reduction services, in CanadaPublic Health Agency of Canada202203032023-06-13https:\/\/www.canada.ca\/en\/public-health\/services\/publications\/diseases-conditions\/survey-impact-covid-19-delivery-stbbi-prevention-testing-treatment-infographic.html"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp030542"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jri.2013.05.002"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1112456"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181644b5e"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159309"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy182"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-022-07171-2"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7295.1135"},{"key":"ref20","unstructured":"Public Health Agency of CanadaCanadian Guidelines on sexually transmitted infections: summary of recommendations for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and SyphilisGovernment of Canada20192020-01-14https:\/\/www.canada.ca\/en\/services\/health\/publications\/diseases-conditions\/guidelines-sti-recommendations-chlamydia-trachomatis- neisseria-gonorrhoeae-syphilis-2019.html"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-021-00546-z"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu184"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31822a2b2e"},{"key":"ref24","unstructured":"GolubSSTI Data from Community-Based PrEP implementation suggest changes to CDC guidelinesProceedings of the Conference on Retroviruses and Opportunistic Infections (CROI)2016Conference on Retroviruses and Opportunistic Infections (CROI)Feb 22-24, 2016Boston"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08529-7"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.2196\/13801"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317690685"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.11.022"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2019-sti.392"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1097\/olq.0000000000001287"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00457"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.12.002"},{"key":"ref33","unstructured":"T.O. health check: an overview of Toronto\u2019s population health statusCity of Toronto20192022-03-03https:\/\/www.toronto.ca\/city-government\/data-research-maps\/research-reports\/public-health-significant-reports\/health-surveillance-and-epidemio logy-reports\/toronto-health-status-report\/"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3182793700"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7097"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1080\/19317611.2021.2000087"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.12927\/hcpol.2021.26499"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.202303"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jmir.org\/2023\/1\/e40477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:39:02Z","timestamp":1782841142000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmir.org\/2023\/1\/e40477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,29]]},"references-count":38,"URL":"https:\/\/doi.org\/10.2196\/40477","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.40477","asserted-by":"object"}]},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,29]]}}}