Facilitators and barriers to adopting a multifaceted chlamydia management intervention in general practice: qualitative findings from Management of Chlamydia Cases in Australia (MoCCA)

Stephanie Munari; Jacqueline Coombe; Helen Bittleston; Meredith Temple-Smith; Christopher Fairley; Deborah Bateson; Margaret Hellard; Jane Goller; Jane Hocking

Just Accepted

This article has been peer reviewed and accepted for publication. It is in production and has not been edited, so may differ from the final published form.

Facilitators and barriers to adopting a multifaceted chlamydia management intervention in general practice: qualitative findings from Management of Chlamydia Cases in Australia (MoCCA)

Stephanie Munari , Jacqueline Coombe, Helen Bittleston , Meredith Temple-Smith, Christopher Fairley, Deborah Bateson, Margaret Hellard, Jane Goller, Jane Hocking

Abstract

Background Chlamydia is one of the most common sexually transmissible infections globally and can lead to reproductive complications including pelvic inflammatory disease and infertility. Interventions to reduce disease burden, including retesting for reinfection, partner management and early detection of complications, are the focus of the Management of Chlamydia Cases in Australia (MoCCA) study, an implementation and feasibility trial aiming to strengthen chlamydia management in Australian general practice. This study aimed to identify factors influencing participation in and adoption of a multifaceted chlamydia management intervention within the general practice setting. Methods We conducted semi-structured interviews with general practice staff (n=13) from clinics (n=9) participating in the MoCCA study. Data were analysed using inductive content analysis to identify facilitators and barriers to study participation and intervention adoption. Results Participants felt that practice champions, motivated staff, and interventions that improved workflow efficiency, integrated with existing processes and improved patient interactions facilitated participation in, and adoption of, study interventions. A perceived lack of staff engagement related to time constraints, competing priorities, staff retention issues, and interventions that were less convenient to use or had reduced patient uptake were identified as barriers to participation. Conclusions Identifying perceived facilitators and barriers to successful implementation of a multifaceted chlamydia intervention enables public health practitioners to better support general practice in the ongoing uptake and use of evidence-based chlamydia management strategies, ultimately aiming to reduce the burden of chlamydia and it’s complications in Australia.

PY24179 Accepted 18 December 2024