title: The experience of providing young people attending general practice with an online risk assessment tool to assess their own sexual health risk.
abstract: BACKGROUND
  Targeted chlamydia screening has been advocated to reduce chlamydia associated reproductive sequelae. General practitioners are well positioned to play a major role in chlamydia control. The primary aim of this pilot study was to measure the effect of offering an online sexual health assessment tool, Youth Check Your Risk, on chlamydia testing rates among young people attending general practices. The secondary aim was to test the acceptability of the tool among general practitioners and young people.
  
  
  METHODS
  General practitioners at three practices in Melbourne, Australia, referred patients aged 16 to 24 years to Youth Check Your Risk http://www.checkyourrisk.org.au for use post-consultation between March to October 2007. The proportion of young people tested for chlamydia before and during the implementation of the tool was compared. Acceptability was assessed through a structured interviewer-administered questionnaire with general practitioners, and anonymous online data provided by Youth Check Your Risk users.
  
  
  RESULTS
  The intervention did not result in any significant increases in the proportion of 16 to 24 year old males (2.7% to 3.0%) or females (6.3% to 6.4%) tested for chlamydia. A small increase in the proportion of 16 to 19 year old females tested was seen (4.1% to 7.2%). Of the 2997 patients seen during the intervention phase, 871 (29.1%) were referred to Youth Check Your Risk and 120 used it (13.8%). Major reasons for low referral rates reported by practitioners included lack of time, discomfort with raising the issue of testing, and difficulty in remembering to refer patients.
  
  
  CONCLUSIONS
  Offering an online sexual risk assessment tool in general practice did not significantly increase the proportion of young people tested for chlamydia, with GPs identifying a number of barriers to referring young people to Youth Check Your Risk. Future interventions aimed at increasing chlamydia screening in general practice with the aid of an online risk assessment tool need to identify and overcome barriers to testing.
authors.affiliation: Melbourne School of Population Health, The University of Melbourne, Carlton, Victoria 3053, Australia. jbilardi@mshc.org.au
authors.forename: Jade E
authors.initials: JE
authors.lastname: Bilardi
authors.forename: Lena A
authors.initials: LA
authors.lastname: Sanci
authors.forename: Christopher K
authors.initials: CK
authors.lastname: Fairley
authors.forename: Jane S
authors.initials: JS
authors.lastname: Hocking
authors.forename: Danielle
authors.initials: D
authors.lastname: Mazza
authors.forename: Dot J
authors.initials: DJ
authors.lastname: Henning
authors.forename: Susan M
authors.initials: SM
authors.lastname: Sawyer
authors.forename: Michelle J
authors.initials: MJ
authors.lastname: Wills
authors.forename: Debra A
authors.initials: DA
authors.lastname: Wilson
authors.forename: Marcus Y
authors.initials: MY
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001291:Attitude of Health Personnel; D001315:Australia; D002690:Chlamydia Infections / Q000517:prevention & control*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010865:Pilot Projects; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D018570:Risk Assessment; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D055815:Young Adult