Bell Sara Fiona Elisabeth, Dean Judith Ann, Lemoire Jime, Debattista Joseph, Driver Glen, Gilks Charles F, Redmond Andrew, Williams Owain David
a School of Public Health , The University of Queensland , Herston , Australia.
b RAPID, Queensland Positive People , East Brisbane , Australia.
AIDS Care. 2019 Feb;31(2):207-215. doi: 10.1080/09540121.2018.1516859. Epub 2018 Aug 30.
This study aims to pilot and evaluate an integrated model for HIV self-testing (HIVST) service delivery in a peer-led Queensland community setting to increase access to HIVST, particularly for men who have sex with men (MSM) living in regional, remote and rural areas. It seeks to provide evidence that would overcome some of the key objections previously raised to HIVST. Recruitment strategies have been designed to engage hard to reach MSM populations in testing. Awareness of the trial will be generated through advertising on social media platforms, including dating applications, word of mouth and HIV related websites. Participants will access an HIVST online ordering system hosted by a HIV community organisation. This system: (1) enables on-line informed consent; 2) gives clients the choice to accept verbal pre-test information from a trained peer test facilitator or not; and (3) allows for ordering of the HIVST kit after completion of an online survey (with demographic information and testing history etc.). Clients receive the kits via the post; and at 2 weeks receive a follow-up phone-call and SMS link to a post-test survey. If the test is non-reactive, clients can opt for test reminders. If reactive, referral to clinical services, peer navigation and support systems are provided. This study addresses important gaps in understanding of acceptable and feasible methods to integrate HIVST into an existing peer-led testing service and into the broader suite of HIV testing options and services. The findings will inform the actions needed to enhance access to HIVST for MSM wishing to use this technology in Australia and elsewhere, especially those who have never tested and infrequent testers.
本研究旨在试点并评估一种在昆士兰州由同伴主导的社区环境中提供艾滋病毒自我检测（HIVST）服务的综合模式，以增加获得HIVST的机会，特别是对于居住在地区、偏远和农村地区的男男性行为者（MSM）。它旨在提供证据，以克服先前对HIVST提出的一些关键反对意见。招募策略旨在让难以接触到的男男性行为者群体参与检测。将通过在社交媒体平台上做广告，包括约会应用程序、口碑传播和与艾滋病毒相关的网站，来提高对该试验的知晓度。参与者将访问一个由艾滋病毒社区组织托管的HIVST在线订购系统。该系统：（1）实现在线知情同意；（2）让客户选择是否接受来自训练有素的同伴检测促进者的口头检测前信息；（3）允许在完成在线调查（包括人口统计信息和检测历史等）后订购HIVST试剂盒。客户通过邮寄收到试剂盒；并在两周后接到后续电话以及收到指向检测后调查的短信链接。如果检测结果为阴性，客户可以选择接收检测提醒。如果检测结果为阳性，则提供转介至临床服务、同伴导航和支持系统。本研究填补了在理解将HIVST整合到现有的同伴主导检测服务以及更广泛的艾滋病毒检测选项和服务中的可接受和可行方法方面的重要空白。研究结果将为澳大利亚和其他地方希望使用这项技术的男男性行为者增加获得HIVST的机会所需采取的行动提供信息，特别是那些从未检测过和不常检测的人。
