Chlamydia screening programs: A review of the literature. Part 2: Testing procedures and educational interventions for primary care physicians

Bissell, Mary
March 2006
Canadian Journal of Human Sexuality;2006, Vol. 15 Issue 1, p13
Academic Journal
Taking Action on Chlamydia Campaign, a social marketing campaign designed by Toronto Public Health, was implemented in response to rising rates of infection among young adults in the Toronto area. In the first phase of the project, the goal has been to reach primary care physicians with educational messages related to the prevalence of chlamydia infection, the need for screening, and the current testing practices available. The following literature review addresses two areas of research relevant to the first phase of the project: (1) elements of successful educational interventions designed to change physician clinical practices and patient outcomes and (2) the accuracy and acceptability of chlamydia/STI screening tests. The research regarding educational interventions for primary care physicians in outlined in Section I. The importance of multifaceted approaches to learning is clearly indicated in the literature. The use of a single method of information delivery is less effective than a combination of methods that motivate, facilitate and reinforce positive behavioural change among physicans in a clinical setting. Section II focuses on the current state of screening tests used in the diagnosis of chlamydia infections. The accuracy of available tests is discussed, as is the acceptability of various forms of testing among both physicians and patients.


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