A Randomized Controlled Trial Evaluating Efficacy of Promoting a Home-Based HIV Self-Testing with Online Counseling on Increasing HIV Testing Among Men Who Have Sex with Men

Wang, Zixin; Lau, Joseph T. F.; Ip, Mary; Ho, Shara P. Y.; Mo, Phoenix K. H.; Latkin, Carl A.; Ling, Yee; Kim, Yoona

doi:10.1007/s10461-017-1887-2

Cited by 108 publications

(150 citation statements)

References 34 publications

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“…Follow-up was sought every month and at the end of the study at three months.OraQuickDirectly Assisted: Provided women an HIVST kit with manufacturer instructions and an in-person demonstration on how to use the HIVST kit correctly. Women also received instruction on how to encourage their male partner to test.Wang et al, 2016 [31,32] Hong Kong SAR, ChinaMSM (n = 430)Chinese-speaking HIV-negative men > 18 years of age who had not tested for HIV in the past 6-months and had access to online live-chat applications in Hong Kong with no intention to move in the next 6-months.RCT: Men were randomized (1:1) to (1) HIVST including a free test kit by mail, a video promoting testing, an instructional video on HIVST, HIVST motivational interviewing by phone, and online live-chat pre- and post-testing counselling or (2) to standard HIV testing including a video promoting testing and encouragement to test for HIV.Three surveys were also conducted at baseline, midline at 6-months the study end. Those completing all three surveys received a supermarket coupon in the mail worth HK$50 (US$8).OraQuickUnassisted: Provided HIVST kit with manufacturer instructions, plus access to motivational interviewing by telephone and pre- and post-test counselling by nurses through live online chat systems (e.g.…”

Section: Resultsmentioning

confidence: 99%

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Examining the effects of HIV self‐testing compared to standard HIV testing services: a systematic review and meta‐analysis

Johnson

Kennedy

Fonner

et al. 2017

Journal of the International AIDS Society

323

319

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Introduction: HIV self-testing (HIVST) is a discreet and convenient way to reach people with HIV who do not know their status, including many who may not otherwise test. To inform World Health Organization (WHO) guidance, we assessed the effect of HIVST on uptake and frequency of testing, as well as identification of HIV-positive persons, linkage to care, social harm, and risk behaviour.Methods: We systematically searched for studies comparing HIVST to standard HIV testing until 1 June 2016. Meta-analyses of studies reporting comparable outcomes were conducted using a random-effects model for relative risks (RR) and 95% confidence intervals. The quality of evidence was evaluated using GRADE.Results: After screening 638 citations, we identified five randomized controlled trials (RCTs) comparing HIVST to standard HIV testing services among 4,145 total participants from four countries. All offered free oral-fluid rapid tests for HIVST and were among men. Meta-analysis of three RCTs showed HIVST doubled uptake of testing among men (RR = 2.12; 95% CI: 1.51, 2.98). Meta-analysis of two RCTs among men who have sex with men showed frequency of testing nearly doubled (Rate ratio = 1.88; 95% CI: 1.17; 3.01), resulting in two more tests in a 12–15-month period (Mean difference = 2.13; 95% CI: 1.59, 2.66). Meta-analysis of two RCTs showed HIVST also doubled the likelihood of an HIV-positive diagnosis (RR = 2.02; 95% CI: 0.37, 10.76, 5.32). Across all RCTs, there was no indication of harm attributable to HIVST and potential increases in risk-taking behaviour appeared to be minimal.Conclusions: HIVST is associated with increased uptake and frequency of testing in RCTs. Such increases, particularly among those at risk who may not otherwise test, will likely identify more HIV-positive individuals as compared to standard testing services alone. However, further research on how to support linkage to confirmatory testing, prevention, treatment and care services is needed. WHO now recommends HIVST as an additional HIV testing approach.

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Section: Resultsmentioning

confidence: 99%

“…In this same study, MSM who reported condomless anal intercourse at baseline were more likely to test if they were in the HIVST group compared to if they were in the standard testing group (RR = 1.75; 95% CI: 1.26, 1.81) [31,32]. …”

Section: Resultsmentioning

confidence: 99%

Examining the effects of HIV self‐testing compared to standard HIV testing services: a systematic review and meta‐analysis

Johnson

Kennedy

Fonner

et al. 2017

Journal of the International AIDS Society

323

319

View full text Add to dashboard Cite

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“…Two other RCTs conducted in China to promote HIV testing [80,98] and sexual risk reduction [80]. While Tang et al's trial, without information about applied theory, found no significant difference between intervention and control groups in HIV testing rate [98], Wang et al's intervention, using the Health Belief Model, obtained significantly positive outcomes in increasing HIV testing and decreasing the number of sex partners in the intervention group compared to the control group [80].…”

Section: Video-based Intervention (N = 7)mentioning

confidence: 99%

“…Seven trials, six RCTs [60,69,80,[97][98][99] and one pre-post experiment [88], used videos as the main modality of the intervention. Chiassonn et al [88], in their pilot pre-post trial, designed nine-minute online videos so-called "The Morning After" to facilitate HIV disclosure, HIV testing, as well as reduce alcohol use and sexual risk behaviours for HIV/STIs.…”

Section: Video-based Intervention (N = 7)mentioning

confidence: 99%

A Systematic Review of eHealth Interventions Addressing HIV/STI Prevention Among Men Who Have Sex With Men

et al. 2019

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A systematic review was conducted to summarize and appraise the eHealth interventions addressing HIV/STI prevention among men who have sex with men (MSM), and characterize features of successful eHealth interventions. Fifty-five articles (17 pilots and 38 full efficacy trials) were included with the predominance of web-based interventions in the United Statesbased settings. Intervention modalities include web-based, short message service (SMS)/text messges/email reminder, online video-based, computer-assisted, multimedia-based, social network, live chat and chat room, virtual simulation intervention, and smartphone applications. Forty-nine eHealth interventions achieved a short-term behaviour change among participants. Four studies were conducted with 12-month follow-ups; and only one of them could maintain the behaviour change over this longer time period which could be due to the lack of booster interventions. Our study suggests that eHealth interventions can achieve short term behaviour change among MSM, however limited interventions could maintain behaviour change over 12 months. Further eHealth intervention strategies to promote HIV prevention among MSM should be conducted and rigorously evaluated.

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“…12 Data are now available to support that HIV selftesting that is voluntary, not coercive or mandatory, can increase testing rates among primary male partners of pregnant or postpartum women, 8 sex workers, 13 and men who have sex with men. 14 …”

Section: Family-centered Differentiated Hiv Testingmentioning

confidence: 99%

The Case For Family-Centered Differentiated Service Delivery for HIV

Grimsrud

Bygrave

Wilkinson

2018

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Differentiated care, or differentiated service delivery (DSD), is increasingly being promoted as one of the possible ways to address and improve access, quality, and efficiency of HIV prevention, care, and treatment. Family-centered care has long been promoted within the provision of HIV services, but the full benefits have not necessarily been realized. In this article, we bring together these two approaches and make the case for how family-centered DSD can offer benefits to both people affected by HIV and the health system. Family-centered DSD approaches are presented for HIV testing and antiretroviral therapy (ART) delivery, referencing policies, best practice examples, and evidence from the field. With differentiated family-centered ART delivery, the potential efficiencies gained by extending ART refills can both benefit clients by reducing the frequency and intensity of contact with the health service and lead to health system gains by not requiring multiple providers to care for one family. A family-centered DSD approach should also be leveraged along the HIV care cascade in the provision of prevention technologies and mobilizing family members to receive regular HIV testing. Furthermore, a family-centered lens should be applied wherever DSD is implemented to ensure that, for example, adolescents who are pregnant receive an adapted package of quality care.

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A Randomized Controlled Trial Evaluating Efficacy of Promoting a Home-Based HIV Self-Testing with Online Counseling on Increasing HIV Testing Among Men Who Have Sex with Men

Cited by 108 publications

References 34 publications

Examining the effects of HIV self‐testing compared to standard HIV testing services: a systematic review and meta‐analysis

Examining the effects of HIV self‐testing compared to standard HIV testing services: a systematic review and meta‐analysis

A Systematic Review of eHealth Interventions Addressing HIV/STI Prevention Among Men Who Have Sex With Men

The Case For Family-Centered Differentiated Service Delivery for HIV

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