TY  - JOUR
VL  - 21
JF  - Sexual Health
PB  - CSIRO Publishing
Y1  - 2024/02/26/
UR  - http://dx.doi.org/10.1071/sh23168
ID  - discovery10188205
N1  - © 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY)
TI  - Improving digital partner notification for sexually transmitted infections and HIV through a systematic review and application of the Behaviour Change Wheel approach
IS  - 2
AV  - public
N2  - 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.
KW  - behaviour
KW  -  Behaviour Change Wheel
KW  -  community interventions
KW  -  contact tracing
KW  -  health
promotion
KW  -  health services
KW  -  interventions
KW  -  LGBT
KW  -  men who have sex with men
KW  -  partner notification
KW  - 
psychology
KW  -  public health
KW  -  STIs.
A1  - Kocur, Will
A1  - McLeod, Julie
A1  - Bloch, Sonja Charlotte Margot
A1  - MacDonald, Jennifer J
A1  - Woodward, Charlotte
A1  - McInnes-Dean, Amelia
A1  - Gibbs, Jo J
A1  - Saunders, John J
A1  - Blandford, Ann A
A1  - Estcourt, Claudia
A1  - Flowers, Paul
SN  - 1448-5028
ER  -