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The trial showed that safetxt messages did not reduce chlamydia and gonorrhoea infections, with slightly more infections in the intervention group.

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Caroline Free 1,*, Melissa J Palmer 1, Kimberley Potter 2, Ona L McCarthy 1, Lauren Jerome 2, Sima Berendes 1, Anasztazia Gubijev 1, Megan Knight 2, Zahra Jamal 2, Farandeep Dhaliwal 2, James R Carpenter 3, Tim P Morris 4, Phil Edwards 1, Rebecca French 5, Louis Macgregor 6, Katy ME Turner 6, Paula Baraitser 7, Ford CI Hickson 8, Kaye Wellings 5, Ian Roberts 1, Julia V Bailey 9, Graham Hart 10, Susan Michie 11, Tim Clayton 3, Karen Devries 3

1 Clinical Trials Unit, Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK
2 Clinical Trials Unit, Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK
3 Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK
4 Medical Research Council Clinical Trials Unit, London, UK
5 Department of Social and Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK
6 Bristol Veterinary School, University of Bristol, Bristol, UK
7 Centre for Global Health, King’s College London, London, UK
8 Sigma Research, London School of Hygiene & Tropical Medicine, London, UK
9 eHealth Unit, Research Department of Primary Care and Population Health, University College London, London, UK
10 Department of Infection and Population Health, University College London, London, UK
11 Centre for Outcomes Research and Effectiveness, University College London, London, UK
* Corresponding author Email: caroline.free@lshtm.ac.uk

Disclosure of interests

Full disclosure of interests: Completed ICMJE forms for all authors, including all related interests, are available in the toolkit on the NIHR Journals Library report publication page at https://doi.org/10.3310/DANE8826.

Primary conflicts of interest: Caroline Free is a member of the National Institute for Health and Care Research (NIHR) Health Technology Assessment (HTA) General Committee (2019 to present). Ian Roberts is a member of Clinical Trials Units (CTUs) funded by NIHR. James R Carpenter has the following UK Medical Research Council (MRC) programme grants held at MRC CTU at University College London: MC_UU_12023/21 and MC_UU_12023/29. He also reports receiving book royalties from John Wiley & Sons (Hoboken, NJ, USA) and Springer (Berlin, Germany); payments from AstraZeneca plc (Cambridge, UK) and Novartis International AG (Basel, Switzerland) for consulting on missing data; payments from the Swiss Winter Epidemiology School for an annual short course; funding from the Australian region of the International Biometric Society to attend a conference in December 2019; and payment for membership of a Pfizer (New York, NY, USA) data monitoring committee (completed 2020). Paula Baraitser is the medical director of the not-for-profit online sexual health service SH:24 (London, UK).

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