Rapid Uptake of Home-Based HIV Self-testing During Social Distancing for SARS-CoV2 Infection in Oregon

Menza, Timothy W; Garai, Jillian; Ferrer, Joshua; Hecht, Jen

doi:10.1007/s10461-020-02959-2

Cited by 28 publications

(31 citation statements)

References 9 publications

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“…Social media or app-based innovations were evaluated in 33% (15/46) of studies [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] . Three studies assessed mobile HIVST-specific apps (7%, 3/46) [ 41 , 50 , 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…Three studies assessed mobile HIVST-specific apps (7%, 3/46) [ 41 , 50 , 54 ]. Social media apps (e.g., Facebook, WeChat) and geospatial dating apps (e.g., Blued™, Grindr™) to promote HIVST were assessed in 26% (12/46) of studies [ 40 , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [51] , [52] , [53] ].…”

Section: Resultsmentioning

confidence: 99%

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HIV self-testing with digital supports as the new paradigm: A systematic review of global evidence (2010–2021)

et al. 2021

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Background HIV self-testing (HIVST) is recommended by the WHO as an innovative strategy to reach UNAIDS targets to end HIV by 2030. HIVST with digital supports is defined as the use of digital interventions (e.g., website-based, social media, mobile HIVST applications (apps), text messaging (SMS), digital vending machines (digital VMs)) to improve the efficiency and impact of HIVST. HIVST deployment and integration in health services is an emerging priority. We conducted a systematic review aiming to close the gap in evidence that summarizes the impact of digitally supported HIVST and to inform policy recommendations. Methods We searched PubMed and Embase for articles and abstracts on HIVST with digital supports published during the period February 1st, 2010 to June 15th, 2021, following Cochrane guidelines and PRISMA methodology. We assessed feasibility, acceptability, preference, and impact outcomes across all populations and study designs. Metrics reported were willingness to use HIVST, preferences for HIVST delivery, proportion of first-time testers, HIVST uptake, HIVST kit return rate, and linkage to care. Heterogeneity of the interventions and reported metrics precluded us from conducting a meta-analysis. Findings 46 studies were narratively synthesized, of which 72% were observational and 28% were RCTs. Half of all studies (54%, 25/46) assessed web-based innovations (e.g., study websites, videos, chatbots), followed by social media (26%, 12/46), HIVST-specific apps (7%, 3/46), SMS (9%, 4/46), and digital VMs (4%, 2/46). Web-based innovations were found to be acceptable (77–97%), preferred over in-person and hybrid options by more first-time testers (47–48%), highly feasible (93–95%), and were overall effective in supporting linkage to care (53–100%). Social media and app-based innovations also had high acceptability (87–95%) and linkage to care proportions (80–100%). SMS innovations increased kit return rates (54–94%) and HIVST uptake among hard-to-reach groups. Finally, digital VMs were highly acceptable (54–93%), and HIVST uptake was six times greater when using digital VMs compared to distribution by community workers. Interpretation HIVST with digital supports was deemed feasible, acceptable, preferable, and was shown to increase uptake, engage first-time testers and hard-to-reach populations, and successfully link participants to treatment. Findings pave the way for greater use of HIVST interventions with digital supports globally.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

HIV self-testing with digital supports as the new paradigm: A systematic review of global evidence (2010–2021)

et al. 2021

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“…Human immunodeficiency virus testing has evolved from a clinic-based testing model to one that encompasses community-based test sites (eg, churches, street fairs, service organizations) and self-testing. Although this system has developed over the past 30 years, the movement from venue-based testing to self-testing was slow (ie, self-testing was available for almost 1 decade [ 6 , 9 ], but Centers for Disease Control and Prevention/state health departments were slow to adopt the tests [ 7 , 8 , 27 ]). Questions were raised concerning the utility of self-testing to reach high-priority populations, the ability of individuals to self-test correctly, and whether self-testing would inhibit or facilitate clinical diagnosis, linkage to care, and counseling.…”

Section: Lessons From Human Immunodeficiency Virus Testingmentioning

confidence: 99%

“…Before the COVID-19 pandemic, HIV self-testing was primarily recommended as a screening test. Since the COVID-19 pandemic internet dissemination of free oral-HIV self-tests has become commonplace [ 27 , 35 ], with departments of public health offering oral-HIV home test kits as a primary test with the proviso that if individuals test positive and seek pre-exposure prophylaxis, then they would need additional testing [ 27 ].…”

Section: Lessons From Human Immunodeficiency Virus Testingmentioning

confidence: 99%

“…Another criticism of self-testing is that consumers may not use it even if it is more widely available. A substantial body of work has shown that oral-HIV self-testing is preferred by consumers over venue-based testing and finger-stick HIV self-testing [ 6 , 14 , 27 , 35–38 ]. In this context, we suspect that SARS-CoV-2 self-testing that involves saliva samples will show a higher consumer preference over nasal or oral swabs, which can be uncomfortable.…”

Section: Lessons From Human Immunodeficiency Virus Testingmentioning

confidence: 99%

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Shifting Coronavirus Disease 2019 Testing Policy and Research to Include the Full Translation Pipeline

Catania

Martin

Dolcini

et al. 2021

Open Forum Infectious Diseases

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A Systematic Review of the Social Network Strategy to Optimize HIV Testing in Key Populations to End the Epidemic in the United States

et al. 2021

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The United States (U.S.) has a plan to end the HIV epidemic by 2030. The plan’s first pillar prioritizes HIV testing. Social Network Strategy (SNS) is an intervention to reach persons not routinely testing for HIV. We conducted a systematic review of SNS to understand its implementation to optimize HIV testing in the U.S. among key populations. The eligibility criteria included peer-reviewed papers based in the U.S. and focused on HIV testing. We identified and thematically analyzed 14 articles to explore factors associated with successful implementation. Key themes included: (1) social network and recruiter characteristics; (2) strategies for and effectiveness of recruiting key populations; (3) use of and types of incentives; (4) trust, confidentiality, and stigma concerns; and (5) implementation plans and real-world guidance. Cohort studies indicated that SNS detects more incident HIV cases. Partnerships with health departments are critical to confirm new diagnoses, as are developing plans that support recruiters and staff. SNS is a promising strategy to optimize HIV testing among key populations.

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Rapid Uptake of Home-Based HIV Self-testing During Social Distancing for SARS-CoV2 Infection in Oregon

Cited by 28 publications

References 9 publications

HIV self-testing with digital supports as the new paradigm: A systematic review of global evidence (2010–2021)

HIV self-testing with digital supports as the new paradigm: A systematic review of global evidence (2010–2021)

Shifting Coronavirus Disease 2019 Testing Policy and Research to Include the Full Translation Pipeline

A Systematic Review of the Social Network Strategy to Optimize HIV Testing in Key Populations to End the Epidemic in the United States

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