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Home testing for HIV succeeds in reaching first-time and infrequent testers in the Netherlands: results of the HIVTest@Home trial


Author
van der Helm et al.

Publication year
2016

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
5016

UNAIDS HIV prevalence (2017)
0.2

Methodology
A campaign was launched to motivate men who have sex with men and migrants to visit www.time2test.nl. The website included information about HIVST, an optional questionnaire measuring demographics, and the option to buy HIVST packages. During a national HIV testing week 2015 packages could be obtained for free. Packages included an oral fluid-based test (OraSure Technologies), a manual, and a code to access online instructions and counseling. An evaluation questionnaire sent five weeks after purchase measured HIVST user experience and satisfaction, self-reported HIVST results, previous HIV-testing behaviour, and linkage to care.

Summary of findings
From August 2014 to December 2015 the website attracted ~34 000 visitors, of whom 5016 answered demographical questions. Of those, 56% (2802/5016) were men who have sex with men (MSM) and 9% (472/5016) were migrants of non-Western origin. Median age was 34 years (IQR=26-44). 683 persons purchased 935 tests. During the HIV testing week, 139 persons obtained 243 free tests. Of the 822 participants, 56% were MSM and 7% were non-Western migrants. Half (47%; 386/822) of all participants accessed the online instructions and counseling, and by February 2, 2016, 15% (121/822) completed the evaluation questionnaire.

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
2.5% (3/121)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
n/a


Study status
Completed