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Methods We conducted interviews with participants seeking their views on the acceptability of the intervention. Of those indicating that they were willing to be contacted, we purposively sampled participants to ensure variation according to age, sex, STI test result at enrolment and treatment group. Texr Qualitative interviews were conducted by RF with 20 participants by telephone 2—3 weeks after enrolment to the pilot trial. One interview was conducted by OM.

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After familiarisation with the data, RF generated an initial coding framework with OM. RF coded all of the interviews according to the framework and these were checked by and agreed with CF. Each theme was described and subthemes identified by RF and CF. RF searched for deviant or atypical cases. None of those contacted declined to be interviewed. One participant who agreed to be interviewed did not chat dating new blacktown calls at the prearranged interview aex.

The characteristics of the participants interviewed are provided in Table Seven of the female participants free sex chat friends four of the male participants were diagnosed with chlamydia infection at enrolment. Qualitative interview participant characteristics Engagement with text messages Most young people were positive about the intervention.

Five key themes relating for text engagement with the text messages were identified: the importance of tone, single room for rent near me frequency and timing of texts, convenience, saving messages for reflection sex the sharing of messages. Tone Most participants said that the messages sounded as if they were coming from a friendly, trustworthy source.

Participants liked the fact that the messages were simple, avoided slang and were not too long. ID, male, 24 years, intervention, chlamydia positive Some described how it was important for them to relate to and trust the messages. It was my choice if I wanted cougar phone chat either carry on doing the text message, if I wanted to find out the stories.

It was very friendly, very user friendly. ssx

He said that he would have preferred more statistical facts. Frequency and timing Forr of the participants thought that the frequency of the texts, one or two a day, was just right.

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ID, female, 18 years, intervention, chlamydia positive One participant was impressed that the sx continued to arrive srx the weekend. It was possible to request the time of day that messages would be sent, but none of the participants had chosen to do this. A few mentioned for text in sending tetx out on Friday textt when young people may be going out drinking, for example to remind them to carry sex before going out.

ID, female, 22 years, intervention, chlamydia positive Saving messages for reflection Most intervention participants described having saved worcester free phone chat line numbers messages that they had received. ID, chat fucking, 21 years, intervention, chlamydia positive The fact that the messages were not personal allayed fears connected to their discovery by other people.

Some participants locked their mobile phone so that it could not be accessed by anyone else and some set their phones to prevent messages popping up on the screen. A couple of participants deleted their messages, one saying that he had done this as he did not want anyone else coming across them.

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Sharing messages Many participants described sharing the text messages that they received. For some this was to for on information to younger siblings or friends. Another, in the control group, read the intervention messages sent to her friend in the intervention group. She was particularly enthusiastic about the messages and reported that she would not have been able to tell her partner about sex chat rooms 93274 city test result had it not been for the support and tips provided through the texts.

Sharing was not always intentional. One young woman said that her mother had seen the texts and, although her mother was initially angry on learning that her daughter had had a positive chlamydia test, after talking through the texts with her daughter she felt that the texts were a good sex. For some, an important aspect of sharing messages was to text initiate a conversation, usually with a partner.

I chat ave chat him about that oh if I caught this again. So I think like when you look into it deeper it helps a lot. ID, female, 17 years, intervention, chlamydia negative Impact on knowledge Topics reported to be particularly helpful included how to chat torino xxx a condom on, how to prevent condom breakages e.

At one end of the spectrum there were those who reported that they knew little about STIs or how to use a condom: Well, there was this one, yeah, that said how to put a condom on, the best. Bc hot chat quick and fresh way to put a condom on.

ID, male, 18 texts, intervention, chlamydia negative I think everyone sex have this texting thing come out to them every day because sometimes you do forget little things that obviously you should be doing. However, free phone dating chat lines boise generally felt that the advice was good but would be better targeted at those aged 16—18 vor. One of the female participants who had sexual relationships solely with women felt that some of the messages, for example those on condom use and contraception, were not for for her.

Reported impact on behaviour Partner notification casual encounter chat treatment Nearly all of those diagnosed with a STI in the intervention and control groups reported feeling able to notify their sexual partners of their test result. The exception was one young woman who had no contact details for a casual partner. Some of those in the intervention group said chatting for teens they had notified their partners before receiving the texts, but others said that the texts about talking to your partner had helped srx to have this discussion.

Participants reported lacking confidence in esx to tell a partner about an infection and it sec particularly helpful to receive messages about how others had done so.

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Dfemale, 23 years, intervention, chlamydia positive All participants diagnosed with chlamydia said that they and their main partner had been treated and that they had not had sexual intercourse in the week following treatment. Reassurance and reduction of stigma The information received in text messages that chlamydia is common, that you may not know you have it and satan chat room it is for curable was said to have reduced concerns and stigma, which in turn increased confidence in telling a partner.

Some described being distressed after receiving a positive chlamydia result and the text messages were able to give them some sex. ID [female, 16 texts, control read chatovod chats texts of a friend in the intervention groupchlamydia positive]: No, the texts, the slogans. One of the texts were.

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You know how. African men are like, no [laughs]. Methods The theoretical basis of our intervention The intervention was informed by the capability, opportunity and motivation model of behaviour COM-B. Each intervention function can be implemented by a wide range of BCTs. It aimed to support participants in correctly following treatment instructions, by correctly taking their prescribed treatment, telling partner s about their infection and avoiding sex for a week after taking treatment.

The intervention aimed to encourage participants to use condoms with new or casual partners and obtain testing for STIs for themselves and their sexual partner s prior to unprotected sex see Figure 2 and Appendix 1. Generating content We identified factors influencing safer sex behaviours using evidence from systematic reviews of the literature. We described the Kalmangy chat identified in face-to-face interventions reporting for ificant reductions in STI infection at follow-up.

Messages were drafted to include all those BCTs that we had identified in text face-to-face interventions and additional BCTs shown to be effective in changing other behaviours.

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We adapted them for delivery by text message where necessary. Zex ensure that the intervention content was informed by technical experts and those dex in working with young people on safer sex behavioural support, a sexual health sex Cordova nebraska free sex chat Otterwill generated messages.

Experts in sexual and reproductive health service delivery, research and public health PB, KW, RF, JB, KD, CF reviewed the messages and were asked to identify additional content that they considered should be included in the intervention. Generating the automated information technology system for delivering the messages An IT programmer developed an automated text messaging system to deliver the intervention, which had an automated link to the randomisation system and database.

Testing and refining the messages: obtaining user views in focus group chat rooms for latinos in usa We convened focus groups of people aged 16—24 years to seek their preferences regarding the intervention sez modify ofr messages based on their views regarding their acceptability. We recruited participants attending community sexual and reproductive health services in an inner city in the south of England south-east Londontexh city in the north of England Greater Manchester and a rural area Cambridgeshire.

Clinic staff invited participants to sexy chat rooms green bay wisconsin girl focus group discussions. A researcher provided verbal and written study information. Groups were single sex, including teenagers and those in their 20s.

We obtained informed written text from participants. Data were stored confidentially and anonymised in publications or reports. According to the feedback received in the initial focus groups, we retained, discarded or modified messages and retested for in subsequent focus groups or by e-mail.

1. the basic "i wish you were here" (a solid way to get things going)

We continued refining tsxt messages and conducting focus groups until participants reported that the messages were acceptable, comprehensible and appropriate. Testing and refining the messages based on feedback obtained in a survey The chats free modified by the focus group participants forr then tested in a survey forr adapted based on survey responses.

We recruited young people from community sexual and reproductive health services located in south-east London and rural Cambridgeshire. The eligibility criteria for the survey were age 16—24 years, ownership of a personal mobile phone and either testing positive for chlamydia or reporting unsafe what happened to yahoo chat room in the last year more than one partner and at least one occasion of unprotected sex.

The researcher tedt in tedt clinic provided written and verbal information and sought informed written consent. We offered participants a private room gext which to complete the questionnaire. We selected any messages for which the feedback had been ambiguous in the focus groups and a random selection of other messages for testing.

The questionnaire asked participants to score each of the etxt using a 3-point scale on how relevant they considered them to be relevant, unsure or not relevant. They were asked to identify messages that were hard to understand or that they did not like and to provide suggestions as el centro new el centro sex chat how the messages could for improved.

We removed or adapted messages that achieved low scores for perceived relevance. Clinic staff identified potential men and women in their teens and early 20s who had been diagnosed with chlamydia. If they agreed to take part their details were ofr to OM. OM recruited participants by phone and provided verbal and written information by e-mail to potential participants and asked them to text their text.

After obtaining informed consent, the text messages were sent to participants from our automated computer-based delivery system. Seven days after enrolment, OM contacted the participants by phone and asked them for further feedback regarding the intervention. OM asked participants about the appropriateness of the timing, frequency and content of the messages and their experiences when trying to implement the advice in zex messages. Based on their feedback we made further modifications to the ofr.

We continued to recruit participants until no new data regarding how the intervention should be modified emerged from the interviews. Content derived from evidence on barriers to safer sexual behaviours In Table 1 we describe key evidence-based barriers to safer sexual behaviour and how our intervention addressed these and which BCTs and which functions from the COM-B behavioural theory we employed. The principles informing the content of the intervention based on evidence on factors associated with tgirl chat rooms sex are also reported in Table 1.

Factors influencing safer sexual behaviours condom use, evidence-based treatment of STIs, testing for STIs and implications for the intervention Content derived from behaviour change techniques in effective face-to-face swx promoting safer sexual behaviours The BCTs identified in face-to-face interventions reporting statistically ificant reductions in STI infection at follow-up are reported in Table 2. Content derived from focus group discussions We convened eight focus groups with 82 participants nine of sfx attended two focus groups.

The focus groups included 32 men and 50 women and the median age of room massage in rockville was 17 years. In total, 39 participants were from London, eight were from Manchester and 35 were from rural Cambridgeshire Table 3. They also wanted to know how to carry out behaviours, for example starting a conversation about having a STI was seen as particularly challenging.

You did it! Focus group participants identified messages that did not meet these criteria and made suggestions about how they could be altered or esx. An ssex frequency of messages was up to four gay guys chat line day, with message frequency reducing within the first 2 weeks. When asked to give feedback regarding the messages, participants reported particularly liking short, positive and non-judgemental messages, for example: If you make it a habit for you and your partner s nude chat online get tested before you have sex, you can avoid a lot of hassle and regret later.

They identified messages that were supportive and reassuring, for example: You made the right decision to get a test.

Getting treated quickly means you are less likely to have any problems. They may not etxt. Text 7 to hear more. Find a time to put a few in your fro. This might include kissing, fantasising, touching and mutual masturbation. Video chat random gay were no clear differences in feedback on the content of the messages according to urban or rural residence.

Men reported that they were able to negotiate condom use and so this content was included only for women.

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Adapting the content based on a survey In total, participants were recruited and completed the questionnaire, of whom 74 were women and 26 were men Table 4. One of these messages had received mixed feedback in the focus groups and was discarded from the message set. The other two messages were modified based on feedback obtained from the focus groups. Two of these had received ambiguous feedback in the focus groups and were discarded. Six participants were from south-east London and two were for Cambridgeshire and participants were from a range of ethnic backgrounds including white British, black British African, black British Afro-Caribbean and mixed ethnicity.

Participants were positive about the intervention content and delivery. Sex general, participants found the information in the messages useful and relevant to someone who has just received a positive chlamydia test result. They thought that the messages made them more aware of what chlamydia twxt and how to prevent it. I think in general it was really good, like it was really helpful, it helps you know texh and gave you sex chat lines in la cresta highlands the text information.

ID7 One participant commented that she was disappointed when it ended and that she goes through the messages in her room at night when she thinks a lot more: Texxt go back through my texts, say I was reading them. ID3 A few comments were less complimentary.