Journal article
Mixed-Methods Evaluation of the Incorporation of Home Specimen Self-Collection Kits for Laboratory Testing in a Telehealth Program for HIV Pre-exposure Prophylaxis
AIDS and behavior, Vol.25(8), pp.2463-2482
03/19/2021
DOI: 10.1007/s10461-021-03209-9
PMCID: PMC7975241
PMID: 33740212
Abstract
Home specimen self-collection kits with central laboratory testing may improve persistence with PrEP and enhance telehealth programs. We offered Iowa TelePrEP clients the choice of using a home kit or visiting a laboratory site for routine monitoring. Mixed-methods evaluation determined the proportion of clients who chose a kit, factors influencing choice, associations between kit use and completion of indicated laboratory monitoring, and user experience. About 46% (35/77) chose to use a kit. Compared to laboratory site use, kit use was associated with higher completion of extra-genital swabs (OR 6.33, 95% CI 1.20–33.51, for anorectal swabs), but lower completion of blood tests (OR 0.21, 95% CI 0.06–0.73 for creatinine). Factors influencing choice included self-efficacy to use kits, time/convenience, and privacy/confidentiality. Clients reported kit use was straight-forward but described challenges with finger prick blood collection. Telehealth PrEP programs should offer clients home kits and support clients with blood collection and kit completion.
Details
- Title: Subtitle
- Mixed-Methods Evaluation of the Incorporation of Home Specimen Self-Collection Kits for Laboratory Testing in a Telehealth Program for HIV Pre-exposure Prophylaxis
- Creators
- Emily E Chasco - University of IowaAngela B Hoth - University of IowaHyunkeun Cho - University of IowaCody Shafer - HIV Special Projects Division, NuCara Pharmacy, Pleasant Hill, IA, USA.Aaron J Siegler - Emory UniversityMichael E Ohl - Veterans Health Administration
- Resource Type
- Journal article
- Publication Details
- AIDS and behavior, Vol.25(8), pp.2463-2482
- Publisher
- Springer US
- DOI
- 10.1007/s10461-021-03209-9
- PMID
- 33740212
- PMCID
- PMC7975241
- ISSN
- 1090-7165
- eISSN
- 1573-3254
- Grant note
- P30AI050409 / The Emory Center for AIDS Research Internal program funds at University of Iowa (obtained through an award for Innovation to Iow TelePrEP by American Academy of HIV Medicine) RO1MH114692 / National Institute of Mental Health
- Language
- English
- Date published
- 03/19/2021
- Academic Unit
- Psychiatry; Biostatistics; Institute for Clinical and Translational Science; Internal Medicine
- Record Identifier
- 9984227043402771
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