HOME-BASED HIV SELF-TESTING WITH ONLINE INSTRUCTION AND COUNSELING (HIVST-OIC)
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HOME-BASED HIV SELF-TESTING WITH ONLINE INSTRUCTION AND COUNSELING (HIVST-OIC)

  • 06/08/2020

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    The Home-Based HIV Self-Testing with Online Instruction and Counseling (HIVST-OIC) intervention is designed to increase HIV testing among men who have sex with men (MSM) in Hong Kong, China. The intervention consists of a home-based HIV self-testing (HIVST) service that includes a free HIVST kit mailed to participants, as well as online real-time instructions and pre-test/post-test counseling (HIVST-OIC) via online live-chat applications (e.g., Line, WhatsApp, Skype). The HIVST-OIC intervention also includes an online video featuring a local MSM who discusses HIVST-OIC and the availability of immediate online psychological support. The intervention also includes a 15-minute phone call from fieldworkers who conduct motivational interviewing. Participants also watch another threeminute online video promoting general HIV testing. This video is watched by participants in the control arm as well (See Comparison section below). Following the videos and motivational interviewing, participants are mailed one free HIV self-testing kit, and make an appointment with the fieldworkers to perform HIV testing on the live -chat application. An HIV test administrator, who is an experienced nurse familiar with the subculture of local MSM, provides verbal testing instructions via live chat. Participants perform the HIVST during the live chat, learn their results after 20 minutes, and visually show the results to the administrator. Following the test, the HIV test administrator conducts post-test counseling that includes developing consistent condom use goals and providing psychological support for participants who tested HIV positive, as well as a reminder to obtain free confirmatory HIV testing provided by the Department of Health. To ensure linkage to HIV care, research staff accompany participants who tested HIV positive to appointments with collaborating non-governmental organizations (NGOs) and/or the Department of Health.
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