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Home testing for HIV combined with internet counselling in the Netherlands: interim results of the HIVTest@Home trial


Author
Zuure et al.

Publication year
2015

Country

Type of approach
Community-based

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
Mixed: Vulnerable population and key population: migrants abd men who have sex with men

Study design
Values and preferences

Sample size
472

UNAIDS HIV prevalence (2017)
0.2

Methodology
Using media specific to men who have sex with men and migrants, a campaign aimed to motivate men who have sex with men and migrants to visit project website (www.time2test.nl) to access an HIV self-testing service. The website included information about HIV self-testing, an optional questionnaire measuring demographics, and the option to buy HIVST packages for 29,50 euro each, either online or via pick-up locations. The test packages included an oral fluid-based test, a manual, and a code to access online instructions and counseling. Website log data and an evaluation questionnaire sent five weeks after website visit measured website use, self-reported HIVST results, user satisfaction, reasons for self-testing, previous HIV-testing behavior and linkage to care.

Summary of findings
From Aug 2014 to July 2015 the website attracted ~30 000 visitors, of whom 2138 accepted terms and conditions and answered demographic questions. 73% were men who have sex with men, 88% were born in Europe, and median age was 35 years. A total of 599 tests were sold to 472 persons. Half (52%; 244/472) of participants accessed the online instructions and counseling and 23.9% (113/472) self-reported their HIVST result, of which 0.9% (1/113) tested positive. 11% (52/472) of participants completed evaluation. The majority (92%; 48/52) were satisfied or very satisfied with the service. Immediate test results, time savings, anonymity, and no need for a blood draw were prominent reasons for using service. 29% (15/52) never tested for HIV before, whereas for 17% (9/52) and 17% (9/52) their last test was 1-3 years and more than 3 years ago, respectively. The person who tested positive was confirmed positive and accessed HIV care (CD4 cell count <250 cells/mm3).

Acceptability
n/a

Acceptability details
n/a

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
0.9% (1/113)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
The person who tested positive received confirmatory testing and accessed HIV care (CD4 cell count <250 cells/mm3).