17. PATIENTS' PERSPECTIVES ON THE BEST WAYS TO TELL PARTNERS ABOUT CHLAMYDIA: HOW ACCEPTABLE ARE THE NEW TECHNOLOGIES?

Abstract

As part of a larger, combined qualitative-quantitative methods study of partner notification, 40 in-depth telephone interviews were conducted with patients diagnosed with Chlamydia from clinics in Victoria, ACT and Queensland to determine their usage and opinions of different methods partner notification. Overwhelmingly, personal methods such as telling partners face-to-face or over the phone were preferred to impersonal methods such as email, SMS and letter. Face-to-face was considered the "gold standard" in partner notification because it demonstrated courage, caring and respect. Phone contact, while considered insensitive and cowardly by some, was often used because it was quick, convenient and less confronting. Email was viewed as only being acceptable in certain circumstances, such as if the partner was overseas, because it was seen as impersonal and uncaring. SMS was considered the least acceptable method for telling partners with most interviewees seeing it as cold, disrespectful and "gutless". However, interviewees who were fearful of their partner's reaction or who had high numbers of casual partners were enthusiastic about an anonymous SMS facility. For both emails and SMS, interviewees were concerned that the message could be misunderstood, not taken seriously or shown to others. Letters, both from the patients or from their doctor, while not viewed as unfavourably as the newer technologies were less likely to be used. These findings suggest that people diagnosed with Chlamydia are reluctant to use the new technologies for partner notification, except in specific circumstances, and our efforts in developing partner notification resources may best be focused on giving patients the skills and confidence for personal interaction.