“创伤更小,因为你在自己家里”:探索数字化性健康服务的创伤知情护理——二级定性数据分析。

IF 3.6 3区 医学 Q2 INFECTIOUS DISEASES
Analisa Conway, Jo Gibbs, Tommer Spence, Alison Howarth, David Reid, Claudia S Estcourt, Fiona Burns, Karen C Lloyd
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引用次数: 0

摘要

目的:创伤——一种导致个人身体和/或情感伤害的事件或环境——与不良的性健康和生殖健康结果相关,包括性传播感染的较高流行率。创伤知情护理(TIC)是一个系统的框架,通过组织的政策、实践和环境来识别和解决创伤的影响。在线提供性健康服务已迅速成为英格兰的一种标准服务;因此,我们的研究旨在为在数字平台上实施TIC提供有价值的见解。方法:我们对两项混合方法研究的定性数据进行了二次分析,这两项研究对n=100和n=25的性健康服务使用者进行了半结构化访谈。包括11份转录本样本,并采用归纳演绎方法对数据进行分析。结果:我们的研究结果突出了议会的六个关键主题:(1)安全;(2)信任和透明度;(3)同伴支持和自助;(4)合作和选择;(5)文化、历史和性别问题。参与者报告说,在线邮政自我抽样比亲自测试提供了更多的隐私、舒适和控制。他们赞赏使用性别包容的语言,并确定在线邮政自我抽样对于那些担心在临床环境中被错误性别的个人来说是一种“更安全的选择”。然而,一些人担心在网上提供敏感信息,如性伴侣或性别身份信息。同伴支持的证据有限,参与者建议改善性侵犯报告和其他与创伤有关的资源的路标。结论:这是已知的第一个探索TIC与数字性健康干预之间交集的定性研究。我们的研究深入了解了目前的网上邮政自抽样做法如何促进议会的原则,以及还有哪些差距。未来的研究应该探索如何调整这些原则,使数字化性健康服务更加了解创伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'It's less traumatic because you're in your own home': exploring trauma-informed care for digital sexual health services - a secondary qualitative data analysis.

Objectives: Trauma-an event or circumstance causing an individual physical and/or emotional harm-is associated with adverse sexual and reproductive health outcomes, including a higher prevalence of sexually transmitted infections. Trauma-informed care (TIC) is a systematic framework that recognises and addresses the impact of trauma through an organisation's policies, practices and environment. Online delivery of sexual health services has rapidly become a standard of care in England; therefore, our research aims to provide valuable insights for implementing TIC in digital platforms.

Methods: We performed a secondary analysis of qualitative data from two mixed methods studies that conducted semi-structured interviews with n=100 and n=25 sexual health service users following purposive sampling. A sample of 11 transcripts was included, and an inductive-deductive approach was used to analyse the data.

Results: Our findings highlight six key themes of TIC: (1) Safety, (2) Trust and Transparency, (3) Peer Support and Self-Help, (4) Collaboration and Choice and (5) Cultural, Historical and Gender Issues. Participants reported that online postal self-sampling offered more privacy, comfort and control than in-person testing. They appreciated the use of gender-inclusive language and identified online postal self-sampling as a 'safer option' for individuals who fear being misgendered in clinical settings. However, some were concerned about providing sensitive information online, such as information about sexual partners or gender identity. There was limited evidence of peer support, and participants recommended improved signposting to sexual assault reporting and other trauma-related resources.

Conclusions: This is the first known qualitative study exploring the intersection between TIC and digital sexual health interventions. Our study provides insight into how current online postal self-sampling practices facilitate the principles of TIC and which gaps remain. Future research should explore how these principles can be adapted to make digital sexual health services more trauma-informed.

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来源期刊
Sexually Transmitted Infections
Sexually Transmitted Infections 医学-传染病学
CiteScore
5.70
自引率
8.30%
发文量
96
审稿时长
4-8 weeks
期刊介绍: Sexually Transmitted Infections is the world’s longest running international journal on sexual health. It aims to keep practitioners, trainees and researchers up to date in the prevention, diagnosis and treatment of all STIs and HIV. The journal publishes original research, descriptive epidemiology, evidence-based reviews and comment on the clinical, public health, sociological and laboratory aspects of sexual health from around the world. We also publish educational articles, letters and other material of interest to readers, along with podcasts and other online material. STI provides a high quality editorial service from submission to publication.
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