Swab2know: An HIV-Testing Strategy Using Oral Fluid Samples and Online Communication of Test Results for Men Who Have Sex With Men in Belgium

Platteau, Tom; Fransen, Katrien; Apers, Ludwig; Kenyon, Chris; Albers, Laura; Vermoesen, Tine; Loos, Jasna; Florence, Éric

doi:10.2196/jmir.4384

Cited by 43 publications

(61 citation statements)

References 36 publications

(40 reference statements)

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“…Twenty studies provided non‐targeted testing to the general population, while 44 studies provided testing to one or more groups at higher risk of HIV infection. MSM were the group most frequently targeted ( n = 31) , followed by: migrants ( n = 10) , people who use/inject drugs (PWUD/PWID) ( n = 8) , SWs ( n = 7) , black and minority ethnic groups (BME) ( n = 5) , young people ( n = 4) , homeless people ( n = 3) , and other key risk populations not specified ( n = 3) .…”

Section: Resultsmentioning

confidence: 99%

“…Of the 65 studies that introduced HIV testing, 56 studies utilized novel HIV testing technologies to improve testing uptake [18,19,[21][22][23][25][26][27]29,[31][32][33][34][35][36][37][38][39][41][42][43]46,47,[50][51][52]54,[58][59][60][61][62][64][65][66][67][68][69][72][73][74][75][76][77][78]81,83,84,[86][87][88][89]…”

Section: Testing Provision Outside Of Health Care Settingsmentioning

confidence: 99%

“…Twenty studies provided non-targeted testing to the general population, while 44 studies provided testing to one or more groups at higher risk of HIV infection. MSM were the group most frequently targeted (n = 31) [20,21,[25][26][27]30,32,38,39,46,51,54,58,60,61,[63][64][65][66][72][73][74]76,77,81,86,87,89,94,96,97], followed by: migrants (n = 10) [21,33,52,59,61,74,86,87,89,97], people who use/inject drugs (PWUD/PWID) (n = 8) [33,36,49,61,81,86,87,89], SWs (n = 7)…”

Section: Testing Provision Outside Of Health Care Settingsmentioning

confidence: 99%

See 2 more Smart Citations

HIV testing strategies outside of health care settings in the European Union (EU)/European Economic Area (EEA): a systematic review to inform European Centre for Disease Prevention and Control guidance

et al. 2019

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Objectives In recent years, new technologies and new approaches to scale up HIV testing have emerged. The objective of this paper was to synthesize the body of recent evidence on strategies aimed at increasing the uptake and coverage of HIV testing outside of health care settings in the European Union (EU)/European Economic Area (EEA). Methods Systematic searches to identify studies describing effective HIV testing interventions and barriers to testing were run in five databases (2010–2017) with no language restrictions; the grey literature was searched for similar unpublished studies (2014–2017). Study selection, data extraction and critical appraisal were performed by two independent reviewers following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Results Eighty studies on HIV testing in non‐health care settings were identified, the majority set in Northern Europe. Testing was implemented in 65 studies, with men who have sex with men the risk group most often targeted. Testing coverage and positivity/reactivity rates varied widely by setting and population group. However, testing in community and outreach settings was effective at reaching people who had never previously been tested and acceptability of HIV testing, particularly rapid testing, outside of health care settings was found to be high. Other interventions aimed to increase HIV testing identified were: campaigns (n = 8), communication technologies (n = 2), education (n = 3) and community networking (n = 1). Conclusions This review has identified several strategies with potential to achieve high HIV testing coverage outside of health care settings. However, the geographical spread of studies was limited, and few intervention studies reported before and after data, making it difficult to evaluate the impact of interventions on test coverage.

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Section: Resultsmentioning

confidence: 99%

Section: Testing Provision Outside Of Health Care Settingsmentioning

confidence: 99%

Section: Testing Provision Outside Of Health Care Settingsmentioning

confidence: 99%

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HIV testing strategies outside of health care settings in the European Union (EU)/European Economic Area (EEA): a systematic review to inform European Centre for Disease Prevention and Control guidance

et al. 2019

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“…A summary of the article collection process is presented in the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) Flow Diagram in Figure . A total of 27 articles were excluded because the mean sample age was ≥30 years .…”

Section: Resultsmentioning

confidence: 99%

“…technical reports in the grey literature; non‐English peer‐reviewed publications) are not accounted for in our review. Third, because our inclusion criteria required a sample of at least 50% gbMSM under 30 years of age, studies that may have reported relevant findings about online intervention with gbMSM are excluded ; future analyses of these studies will provide important details about the experiences of older generations of gbMSM with online interventions. Nevertheless, these findings provide a key “first step” in informing both potentially effective strategies and a renewed research agenda regarding the development of evidence‐based online interventions to address HIV/STBBIs among young gbMSM.…”

Section: Discussionmentioning

confidence: 99%

Online interventions to address HIV and other sexually transmitted and blood‐borne infections among young gay, bisexual and other men who have sex with men: a systematic review

et al. 2017

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IntroductionGlobally, young gay, bisexual and other men who have sex with men (gbMSM) continue to experience disproportionately high rates of HIV and other sexually transmitted and blood‐borne infections (STBBIs). As such, there are strong public health imperatives to evaluate innovative prevention, treatment and care interventions, including online interventions. This study reviewed and assessed the status of published research (e.g. effectiveness; acceptability; differential effects across subgroups) involving online interventions that address HIV/STBBIs among young gbMSM.MethodsWe searched Medline, Embase, PsycINFO, CINAHL, and Google Scholar to identify relevant English‐language publications from inception to November 2016. Studies that assessed an online intervention regarding the prevention, care, or treatment of HIV/STBBIs were included. Studies with <50% gbMSM or with a mean age ≥30 years were excluded.ResultsOf the 3465 articles screened, 17 studies met inclusion criteria. Sixteen studies assessed interventions at the “proof‐of‐concept” phase, while one study assessed an intervention in the dissemination phase. All of the studies focused on behavioural or knowledge outcomes at the individual level (e.g. condom use, testing behaviour), and all but one reported a statistically significant effect on ≥1 primary outcomes. Twelve studies described theory‐based interventions. Twelve were conducted in the United States, with study samples focusing mainly on White, African‐American and/or Latino populations; the remaining were conducted in Hong Kong, Peru, China, and Thailand. Thirteen studies included gay and bisexual men; four studies did not assess sexual identity. Two studies reported including both HIV+ and HIV− participants, and all but one study included one or more measure of socio‐economic status. Few studies reported on the differential intervention effects by socio‐economic status, sexual identity, race or serostatus.ConclusionWhile online interventions show promise at addressing HIV/STBBI among young gbMSM, to date, little emphasis has been placed on assessing: (i) potential differential effects of interventions across subgroups of young gbMSM; (ii) effectiveness studies of interventions in the dissemination phase; and (iii) on some “key” populations of young gbMSM (e.g. those who are: transgender, from low‐income settings and/or HIV positive). Future research that unpacks the potentially distinctive experiences of particular subgroups with “real world” interventions is needed.

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Electronic and other new media technology interventions for HIV care and prevention: a systematic review

et al. 2020

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Introduction Electronic and other new media technologies (eHealth) can facilitate large‐scale dissemination of information and effective delivery of interventions for HIV care and prevention. There is a need to both monitor a rapidly changing pipeline of technology‐based care and prevention methods and to assess whether the interventions are appropriately diversified. We systematically review and critically appraise the research pipeline of eHealth interventions for HIV care and prevention, including published studies and other funded projects. Methods Two peer‐reviewed literature databases were searched for studies describing the development, trial testing or implementation of new technology interventions, published from September 2014 to September 2018. The National Institutes of Health database of grants was searched for interventions still in development. Interventions were included if eHealth was utilized and an outcome directly related to HIV treatment or prevention was targeted. We summarized each intervention including the stage of development, eHealth mode of delivery, target population and stage of the HIV care and prevention continua targeted. Results and discussion Of 2178 articles in the published literature, 113 were included with 84 unique interventions described. The interventions utilize a variety of eHealth technologies and target various points on the prevention and care continua, with greater emphasis on education, behaviour change and testing than linkage to medical care. There were a variety of interventions for HIV care support but none for PrEP care. Most interventions were developed for populations in high income countries. An additional 62 interventions with funding were found in the development pipeline, with greater emphasis on managing HIV and PrEP care. Conclusions Our systematic review found a robust collection of eHealth interventions in the published literature as well as unpublished interventions still in development. In the published literature, there is an imbalance of interventions favouring education and behaviour change over linkage to care, retention in care, and adherence, especially for PrEP. The next generation of interventions already in the pipeline might address these neglected areas of care and prevention, but the development process is slow. Researchers need new methods for more efficient and expedited intervention development so that current and future needs are addressed.

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Swab2know: An HIV-Testing Strategy Using Oral Fluid Samples and Online Communication of Test Results for Men Who Have Sex With Men in Belgium

Cited by 43 publications

References 36 publications

HIV testing strategies outside of health care settings in the European Union (EU)/European Economic Area (EEA): a systematic review to inform European Centre for Disease Prevention and Control guidance

HIV testing strategies outside of health care settings in the European Union (EU)/European Economic Area (EEA): a systematic review to inform European Centre for Disease Prevention and Control guidance

Online interventions to address HIV and other sexually transmitted and blood‐borne infections among young gay, bisexual and other men who have sex with men: a systematic review

Electronic and other new media technology interventions for HIV care and prevention: a systematic review

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