The Implementation and Acceptability of a Combined Mobile Application with a COVID-19 at-Home Test Kit

Zai, Adrian H.; Caffrey, M.; O’Brien, Conor S; Jiang, Dawei; Kanyat, Remona; Silacci, Sara

doi:10.1089/tmj.2021.0487

Cited by 2 publications

(2 citation statements)

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“…High SVI has been associated with an increased risk for COVID-19, and differences in testing motivation have been found across race and ethnicity, education levels, and by socioeconomic status 9,10. National strategies implementing home-based, high-frequency self-testing have been predicted to improve COVID-19 pandemic control,11,12 and jurisdictional and community-supported testing programs for COVID-19 have been associated with increased testing in populations at a higher risk for the disease 13,14. The objective of this study was to gather qualitative in-depth information on the experiences of HDs with the SYCT program to better understand successes and barriers to implementing community-focused self-testing programs.…”

mentioning

confidence: 99%

“…9,10 National strategies implementing home-based, highfrequency self-testing have been predicted to improve *Social vulnerability index (SVI) is a CDC measure at the county-level based on 15 census variables grouped into 4 themes (socioeconomic status, household composition and disability, minority status and language, and housing type and transportation) and calculated as a composite rank score to measure a county's social vulnerability (ability to prevent human suffering and financial loss in a disaster). CDC/ATSDR Social Vulnerability Index (SVI) COVID-19 pandemic control, 11,12 and jurisdictional and community-supported testing programs for COVID-19 have been associated with increased testing in populations at a higher risk for the disease. 13,14 The objective of this study was to gather qualitative in-depth information on the experiences of HDs with the SYCT program to better understand successes and barriers to implementing community-focused self-testing programs.…”

mentioning

confidence: 99%

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Experiences of Health Departments on Community Engagement and Implementation of a COVID-19 Self-testing Program

Lane-Barlow

Thomas

Horter

et al. 2022

Journal of Public Health Management and Practice

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Context: Health departments (HDs) work on the front lines to ensure the health of their communities, providing a unique perspective to public health response activities. Say Yes! COVID Test (SYCT) is a US federally funded program providing free COVID-19 self-tests to communities with high COVID-19 transmission, low vaccination rates, and high social vulnerability. The collaboration with 9 HDs was key for the program distribution of 5.8 million COVID-19 self-tests between March 31 and November 30, 2021. Objective: The objective of this study was to gather qualitative in-depth information on the experiences of HDs with the SYCT program to better understand the successes and barriers to implementing community-focused self-testing programs. Design: Key informant (KI) interviews. Setting: Online interviews conducted between November and December 2021. Participants: Sixteen program leads representing 9 HDs were purposefully sampled as KIs. KIs completed 60-minute structured interviews conducted by one trained facilitator and recorded. Main Outcome Measures: Key themes and lessons learned were identified using grounded theory. Results: Based on perceptions of KIs, HDs that maximized community partnerships for test distribution were more certain that populations at a higher risk for COVID-19 were reached. Where the HD relied predominantly on direct-to-consumer distribution, KIs were less certain that communities at higher risk were served. Privacy and anonymity in testing were themes linked to higher perceived community acceptance. KIs reported that self-test demand and distribution levels increased during higher COVID-19 transmission levels. Conclusion: HDs that build bridges and engage with community partners and trusted leaders are better prepared to identify and link high-risk populations with health services and resources. When collaborating with trusted community organizations, KIs perceived that the SYCT program overcame barriers such as mistrust of government intervention and desire for privacy and motivated community members to utilize this resource to protect themselves against COVID-19.

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