Improving digital partner notification for sexually transmitted infections and HIV through a systematic review and application of the Behaviour Change Wheel approach

Will Kocur, Julie McLeod, Sonja Charlotte Margot Bloch, Jennifer J. MacDonald, Charlotte Woodward, Amelia McInnes-Dean, Jo J. Gibbs, John J. Saunders, Ann A. Blandford, Claudia Estcourt, Paul Flowers

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Abstract

Background
Partner notification (PN) is key to controlling sexually transmitted infections (STIs) and human immunodeficiency virus (HIV). Digital PN options (e.g. social media, short message service (SMS), emails) are promising in increasing PN behaviour. However, their implementation is often challenging and studies report varied levels of acceptability and uptake of PN, highlighting the need to optimise digital PN interventions.

Methods
A systematic review of barriers and facilitators to digital PN interventions for STIs, including HIV, across eight research databases (from 2010 to 2023) identified eight relevant studies, two of which addressed HIV. Data extraction identified 98 barriers and 54 facilitators to the use of digital PN interventions. These were synthesised into 18 key barriers and 17 key facilitators that were each deemed amenable to change. We then used the Behaviour Change Wheel approach, the Acceptability, Practicability, Effectiveness, Affordability, Side-effects and Equity criteria, and multidisciplinary expert input, to systematically develop practical recommendations to optimise digital PN.

Results
Thirty-two specific recommendations clustered around three themes. Digital PN interventions should: (1) empower and support the index patient by providing a range of notification options, accompanied by clear instructions; (2) integrate into users’ existing habits and the digital landscape, meeting contemporary standards and expectations of usability; and (3) address the social context of PN both online and offline through normalising the act of PN, combating STI-related stigma and stressing the altruistic aspects of PN through consistent messaging to service users and the public.

Conclusions
Our evidence-based recommendations should be used to optimise existing digital PN interventions and inform the co-production of new ones.
Original languageEnglish
Article numberSH23168
Number of pages12
JournalSexual Health
Volume21
Issue number2
DOIs
Publication statusPublished - 26 Feb 2024

Keywords

  • behaviour
  • Behaviour Change Wheel
  • community interventions
  • contact tracing
  • health promotion
  • health services
  • interventions
  • LGBT
  • men who have sex with men
  • partner notification
  • psychology
  • public health
  • STIs

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