SMARTtest: A Smartphone App to Facilitate HIV and Syphilis Self- and Partner-Testing, Interpretation of Results, and Linkage to Care
Acceptability of rapid HIV self-testing is high but potential users remain concerned about correct use, interpretation of test results, and linkage to care. This article describes user preferences for a smartphone app to mitigate these challenges and how these were integrated into the SMARTtest app...
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| Published in | AIDS and behavior Vol. 24; no. 5; pp. 1560 - 1573 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer US
01.05.2020
Springer Nature B.V |
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| Online Access | Get full text |
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| Abstract | Acceptability of rapid HIV self-testing is high but potential users remain concerned about correct use, interpretation of test results, and linkage to care. This article describes user preferences for a smartphone app to mitigate these challenges and how these were integrated into the SMARTtest app to support self- and partner-testing using the INSTI Multiplex
®
. Sixty men and transgender women who have sex with men self-tested for HIV and syphilis while guided by a prototype app that provided a video, pictorial step-by-step instructions, and sample test results presented textually (“positive,” “negative”). Subsequently, participants provided feedback on revisions and additional app content. Participants recommended offering different user modes (self, partner, both), and retaining the video, step-by-step instructions, and textual test results. They strongly favored the ability to save and send test results to sexual partners or providers. These features were integrated into the SMARTtest app to facilitate HIV/syphilis self- and partner-testing, HIV/syphilis status awareness and disclosure, and linkage to care. |
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| AbstractList | Acceptability of rapid HIV self-testing is high but potential users remain concerned about correct use, interpretation of test results, and linkage to care. This article describes user preferences for a smartphone app to mitigate these challenges and how these were integrated into the SMARTtest app to support self- and partner-testing using the INSTI Multiplex
. Sixty men and transgender women who have sex with men self-tested for HIV and syphilis while guided by a prototype app that provided a video, pictorial step-by-step instructions, and sample test results presented textually ("positive," "negative"). Subsequently, participants provided feedback on revisions and additional app content. Participants recommended offering different user modes (self, partner, both), and retaining the video, step-by-step instructions, and textual test results. They strongly favored the ability to save and send test results to sexual partners or providers. These features were integrated into the SMARTtest app to facilitate HIV/syphilis self- and partner-testing, HIV/syphilis status awareness and disclosure, and linkage to care. Acceptability of rapid HIV self-testing is high but potential users remain concerned about correct use, interpretation of test results, and linkage to care. This article describes user preferences for a smartphone app to mitigate these challenges and how these were integrated into the SMARTtest app to support self- and partner-testing using the INSTI Multiplex®. Sixty men and transgender women who have sex with men self-tested for HIV and syphilis while guided by a prototype app that provided a video, pictorial step-by-step instructions, and sample test results presented textually (“positive,” “negative”). Subsequently, participants provided feedback on revisions and additional app content. Participants recommended offering different user modes (self, partner, both), and retaining the video, step-by-step instructions, and textual test results. They strongly favored the ability to save and send test results to sexual partners or providers. These features were integrated into the SMARTtest app to facilitate HIV/syphilis self- and partner-testing, HIV/syphilis status awareness and disclosure, and linkage to care. Acceptability of rapid HIV self-testing is high but potential users remain concerned about correct use, interpretation of test results, and linkage to care. This article describes user preferences for a smartphone app to mitigate these challenges and how these were integrated into the SMARTtest app to support self- and partner testing using the INSTI Multiplex®. Sixty men and transgender women who have sex with men self-tested for HIV and syphilis while guided by a prototype app that provided a video, pictorial step-by-step instructions, and sample test results presented textually (“positive,” “negative”). Subsequently, participants provided feedback on revisions and additional app content. Participants recommended offering different user modes (self, partner, both), and retaining the video, step-by-step instructions, and textual test results. They strongly favored the ability to save and send test results to sexual partners or providers. These features were integrated into the SMARTtest app to facilitate HIV/syphilis self- and partner testing, HIV/syphilis status awareness and disclosure, and linkage to care. Acceptability of rapid HIV self-testing is high but potential users remain concerned about correct use, interpretation of test results, and linkage to care. This article describes user preferences for a smartphone app to mitigate these challenges and how these were integrated into the SMARTtest app to support self- and partner-testing using the INSTI Multiplex ® . Sixty men and transgender women who have sex with men self-tested for HIV and syphilis while guided by a prototype app that provided a video, pictorial step-by-step instructions, and sample test results presented textually (“positive,” “negative”). Subsequently, participants provided feedback on revisions and additional app content. Participants recommended offering different user modes (self, partner, both), and retaining the video, step-by-step instructions, and textual test results. They strongly favored the ability to save and send test results to sexual partners or providers. These features were integrated into the SMARTtest app to facilitate HIV/syphilis self- and partner-testing, HIV/syphilis status awareness and disclosure, and linkage to care. |
| Author | Okrah, Michael Nayak, Samiksha Sia, Samuel K. Wang Ying, Alexander Balán, Iván C. Dolezal, Curtis Pabari, Tejit Kutner, Bryan Macar, Ongun Uzay Lopez-Rios, Javier Arumugam, Siddarth Lentz, Cody |
| AuthorAffiliation | 2 Department of Biomedical Engineering, Columbia University, New York, NY 10027, USA 3 Department of Computer Science, Columbia University, New York, NY 10027, USA 1 HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA |
| AuthorAffiliation_xml | – name: 3 Department of Computer Science, Columbia University, New York, NY 10027, USA – name: 2 Department of Biomedical Engineering, Columbia University, New York, NY 10027, USA – name: 1 HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA |
| Author_xml | – sequence: 1 givenname: Iván C. surname: Balán fullname: Balán, Iván C. email: ivan.balan@nyspi.columbia.edu organization: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University – sequence: 2 givenname: Javier surname: Lopez-Rios fullname: Lopez-Rios, Javier organization: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University – sequence: 3 givenname: Samiksha surname: Nayak fullname: Nayak, Samiksha organization: Department of Biomedical Engineering, Columbia University – sequence: 4 givenname: Cody surname: Lentz fullname: Lentz, Cody organization: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University – sequence: 5 givenname: Siddarth surname: Arumugam fullname: Arumugam, Siddarth organization: Department of Biomedical Engineering, Columbia University – sequence: 6 givenname: Bryan surname: Kutner fullname: Kutner, Bryan organization: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University – sequence: 7 givenname: Curtis surname: Dolezal fullname: Dolezal, Curtis organization: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University – sequence: 8 givenname: Ongun Uzay surname: Macar fullname: Macar, Ongun Uzay organization: Department of Computer Science, Columbia University – sequence: 9 givenname: Tejit surname: Pabari fullname: Pabari, Tejit organization: Department of Computer Science, Columbia University – sequence: 10 givenname: Alexander surname: Wang Ying fullname: Wang Ying, Alexander organization: Department of Biomedical Engineering, Columbia University – sequence: 11 givenname: Michael surname: Okrah fullname: Okrah, Michael organization: Department of Biomedical Engineering, Columbia University – sequence: 12 givenname: Samuel K. surname: Sia fullname: Sia, Samuel K. organization: Department of Biomedical Engineering, Columbia University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31679075$$D View this record in MEDLINE/PubMed |
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| Keywords | Smartphone technology HIV/STI testing Linkage to care HIV/STI prevention |
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| Title | SMARTtest: A Smartphone App to Facilitate HIV and Syphilis Self- and Partner-Testing, Interpretation of Results, and Linkage to Care |
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