Centre for Sexual and Reproductive Health Research, London School of Hygiene & Tropical Medicine, London, UK.
Patient Educ Couns. 2010 Dec;81(3):332-7. doi: 10.1016/j.pec.2010.10.027. Epub 2010 Nov 19.
To develop and pilot a communication aid aimed at increasing the frequency with which sexual health issues are raised proactively with young people in primary care.
Group interviews among primary health care professionals to guide development of the tool, simulated consultations to pre-test it, and a pilot study to assess effectiveness.
We developed an electronic consultation aid: Talking of Sex and piloted it in eight general practices across the UK. 188 patients and 58 practitioners completed questionnaires pre-intervention, and 92 patients and 45 practitioners post-intervention. There was a modest increase in the proportion of consultations in which sexual health was raised, from 28.1% pre-intervention to 32.6% post-intervention. In consultations with nurses the rise was more marked. More patients reported discussing preventive practices such as condom use post-intervention. Patients unanimously welcomed the opportunity to discuss sexual health matters with their practitioner.
The tool has capacity to increase the frequency with which sexual health is raised in primary care, particularly by nurses, to influence the topics discussed, and to improve patient satisfaction.
The tool has potential in increasing the proportion of young people whose sexual health needs are addressed in general practice.
开发并试行一种沟通辅助工具，旨在提高初级保健中主动向年轻人提出性健康问题的频率。
通过小组访谈，让初级保健专业人员参与，以指导工具的开发，模拟咨询以预先测试它，并进行一项试点研究以评估其效果。
我们开发了一种名为“Talking of Sex”的电子咨询辅助工具，并在英国的八家全科诊所进行了试点。188 名患者和 58 名医生在干预前完成了问卷调查，92 名患者和 45 名医生在干预后完成了问卷调查。在咨询中主动提出性健康问题的比例略有增加，从干预前的 28.1%增加到干预后的 32.6%。在与护士的咨询中，这种增加更为明显。更多的患者报告在干预后讨论了预防措施，如使用避孕套。患者一致欢迎有机会与医生讨论性健康问题。
该工具有可能增加初级保健中提出性健康问题的频率，特别是通过护士，从而影响讨论的话题，并提高患者的满意度。
该工具有可能增加在一般实践中解决年轻人性健康需求的比例。
