Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial

Louise J Jackson; Tracy E Roberts; Sebastian S Fuller; Lorna J Sutcliffe; John M Saunders; Andrew J Copas; Catherine H Mercer; Jackie A Cassell; Claudia S Estcourt

doi:10.1136/sextrans-2014-051715

Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial

Louise J Jackson, Tracy E Roberts, Sebastian S Fuller, Lorna J Sutcliffe, John M Saunders, Andrew J Copas, Catherine H Mercer, Jackie A Cassell, Claudia S Estcourt

Health Economics Unit

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

BACKGROUND: The objective of this study was to compare the costs and outcomes of two sexually transmitted infection (STI) screening interventions targeted at men in football club settings in England, including screening promoted by team captains.

METHODS: A comparison of costs and outcomes was undertaken alongside a pilot cluster randomised control trial involving three trial arms: (1) captain-led and poster STI screening promotion; (2) sexual health advisor-led and poster STI screening promotion and (3) poster-only STI screening promotion (control/comparator). For all study arms, resource use and cost data were collected prospectively.

RESULTS: There was considerable variation in uptake rates between clubs, but results were broadly comparable across study arms with 50% of men accepting the screening offer in the captain-led arm, 67% in the sexual health advisor-led arm and 61% in the poster-only control arm. The overall costs associated with the intervention arms were similar. The average cost per player tested was comparable, with the average cost per player tested for the captain-led promotion estimated to be £88.99 compared with £88.33 for the sexual health advisor-led promotion and £81.87 for the poster-only (control) arm.

CONCLUSIONS: Costs and outcomes were similar across intervention arms. The target sample size was not achieved, and we found a greater than anticipated variability between clubs in the acceptability of screening, which limited our ability to estimate acceptability for intervention arms. Further evidence is needed about the public health benefits associated with screening interventions in non-clinical settings so that their cost-effectiveness can be fully evaluated.

Original language	English
Pages (from-to)	100-5
Number of pages	6
Journal	Sexually Transmitted Infections
Volume	91
Issue number	2
DOIs	https://doi.org/10.1136/sextrans-2014-051715
Publication status	Published - Mar 2015

Bibliographical note

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Keywords

Adolescent
Adult
Athletes
Diagnostic Tests, Routine
England
Football
Health Care Costs
Health Services Research
Humans
Male
Mass Screening
Sexually Transmitted Diseases
Young Adult

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Jackson, L. J., Roberts, T. E., Fuller, S. S., Sutcliffe, L. J., Saunders, J. M., Copas, A. J., Mercer, C. H., Cassell, J. A., & Estcourt, C. S. (2015). Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial. Sexually Transmitted Infections, 91(2), 100-5. https://doi.org/10.1136/sextrans-2014-051715

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title = "Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial",

abstract = "BACKGROUND: The objective of this study was to compare the costs and outcomes of two sexually transmitted infection (STI) screening interventions targeted at men in football club settings in England, including screening promoted by team captains.METHODS: A comparison of costs and outcomes was undertaken alongside a pilot cluster randomised control trial involving three trial arms: (1) captain-led and poster STI screening promotion; (2) sexual health advisor-led and poster STI screening promotion and (3) poster-only STI screening promotion (control/comparator). For all study arms, resource use and cost data were collected prospectively.RESULTS: There was considerable variation in uptake rates between clubs, but results were broadly comparable across study arms with 50% of men accepting the screening offer in the captain-led arm, 67% in the sexual health advisor-led arm and 61% in the poster-only control arm. The overall costs associated with the intervention arms were similar. The average cost per player tested was comparable, with the average cost per player tested for the captain-led promotion estimated to be £88.99 compared with £88.33 for the sexual health advisor-led promotion and £81.87 for the poster-only (control) arm.CONCLUSIONS: Costs and outcomes were similar across intervention arms. The target sample size was not achieved, and we found a greater than anticipated variability between clubs in the acceptability of screening, which limited our ability to estimate acceptability for intervention arms. Further evidence is needed about the public health benefits associated with screening interventions in non-clinical settings so that their cost-effectiveness can be fully evaluated.",

keywords = "Adolescent, Adult, Athletes, Diagnostic Tests, Routine, England, Football, Health Care Costs, Health Services Research, Humans, Male, Mass Screening, Sexually Transmitted Diseases, Young Adult",

author = "Jackson, {Louise J} and Roberts, {Tracy E} and Fuller, {Sebastian S} and Sutcliffe, {Lorna J} and Saunders, {John M} and Copas, {Andrew J} and Mercer, {Catherine H} and Cassell, {Jackie A} and Estcourt, {Claudia S}",

note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.",

year = "2015",

month = mar,

doi = "10.1136/sextrans-2014-051715",

language = "English",

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Jackson, LJ , Roberts, TE, Fuller, SS, Sutcliffe, LJ, Saunders, JM, Copas, AJ, Mercer, CH, Cassell, JA & Estcourt, CS 2015, 'Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial', Sexually Transmitted Infections, vol. 91, no. 2, pp. 100-5. https://doi.org/10.1136/sextrans-2014-051715

Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial. / Jackson, Louise J ; Roberts, Tracy E; Fuller, Sebastian S et al.
In: Sexually Transmitted Infections, Vol. 91, No. 2, 03.2015, p. 100-5.

Research output: Contribution to journal › Article › peer-review

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T1 - Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial

AU - Jackson, Louise J

AU - Roberts, Tracy E

AU - Fuller, Sebastian S

AU - Sutcliffe, Lorna J

AU - Saunders, John M

AU - Copas, Andrew J

AU - Mercer, Catherine H

AU - Cassell, Jackie A

AU - Estcourt, Claudia S

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

PY - 2015/3

Y1 - 2015/3

N2 - BACKGROUND: The objective of this study was to compare the costs and outcomes of two sexually transmitted infection (STI) screening interventions targeted at men in football club settings in England, including screening promoted by team captains.METHODS: A comparison of costs and outcomes was undertaken alongside a pilot cluster randomised control trial involving three trial arms: (1) captain-led and poster STI screening promotion; (2) sexual health advisor-led and poster STI screening promotion and (3) poster-only STI screening promotion (control/comparator). For all study arms, resource use and cost data were collected prospectively.RESULTS: There was considerable variation in uptake rates between clubs, but results were broadly comparable across study arms with 50% of men accepting the screening offer in the captain-led arm, 67% in the sexual health advisor-led arm and 61% in the poster-only control arm. The overall costs associated with the intervention arms were similar. The average cost per player tested was comparable, with the average cost per player tested for the captain-led promotion estimated to be £88.99 compared with £88.33 for the sexual health advisor-led promotion and £81.87 for the poster-only (control) arm.CONCLUSIONS: Costs and outcomes were similar across intervention arms. The target sample size was not achieved, and we found a greater than anticipated variability between clubs in the acceptability of screening, which limited our ability to estimate acceptability for intervention arms. Further evidence is needed about the public health benefits associated with screening interventions in non-clinical settings so that their cost-effectiveness can be fully evaluated.

AB - BACKGROUND: The objective of this study was to compare the costs and outcomes of two sexually transmitted infection (STI) screening interventions targeted at men in football club settings in England, including screening promoted by team captains.METHODS: A comparison of costs and outcomes was undertaken alongside a pilot cluster randomised control trial involving three trial arms: (1) captain-led and poster STI screening promotion; (2) sexual health advisor-led and poster STI screening promotion and (3) poster-only STI screening promotion (control/comparator). For all study arms, resource use and cost data were collected prospectively.RESULTS: There was considerable variation in uptake rates between clubs, but results were broadly comparable across study arms with 50% of men accepting the screening offer in the captain-led arm, 67% in the sexual health advisor-led arm and 61% in the poster-only control arm. The overall costs associated with the intervention arms were similar. The average cost per player tested was comparable, with the average cost per player tested for the captain-led promotion estimated to be £88.99 compared with £88.33 for the sexual health advisor-led promotion and £81.87 for the poster-only (control) arm.CONCLUSIONS: Costs and outcomes were similar across intervention arms. The target sample size was not achieved, and we found a greater than anticipated variability between clubs in the acceptability of screening, which limited our ability to estimate acceptability for intervention arms. Further evidence is needed about the public health benefits associated with screening interventions in non-clinical settings so that their cost-effectiveness can be fully evaluated.

KW - Adolescent

KW - Adult

KW - Athletes

KW - Diagnostic Tests, Routine

KW - England

KW - Football

KW - Health Care Costs

KW - Health Services Research

KW - Humans

KW - Male

KW - Mass Screening

KW - Sexually Transmitted Diseases

KW - Young Adult

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DO - 10.1136/sextrans-2014-051715

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SN - 1368-4973

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JF - Sexually Transmitted Infections

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Jackson LJ , Roberts TE, Fuller SS, Sutcliffe LJ, Saunders JM, Copas AJ et al. Exploring the costs and outcomes of sexually transmitted infection (STI) screening interventions targeting men in football club settings: preliminary cost-consequence analysis of the SPORTSMART pilot randomised controlled trial. Sexually Transmitted Infections. 2015 Mar;91(2):100-5. doi: 10.1136/sextrans-2014-051715