Internet-based HIV and sexually transmitted infection testing in British Columbia, Canada: opinions and expectations of prospective clients.
Internet-based HIV and sexually transmitted infection testing in British Columbia, Canada: opinions and expectations of prospective clients.
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DOI：
10.2196/jmir.1948
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发表时间：
2012-03-06
影响因子：
7.4
通讯作者：
Gilbert M
中科院分区：
文献类型：
--
作者：
Hottes TS;Farrell J;Bondyra M;Haag D;Shoveller J;Gilbert M
已经证明了基于互联网的性传播感染(STI)检测的可行性和可接受性；然而，很少有项目包括人类免疫缺陷病毒(HIV)检测。在加拿大不列颠哥伦比亚省，一项新的倡议将提供在线获取衣原体、淋病、梅毒和艾滋病毒检测的机会，并与现有的以诊所为基础的服务相结合。我们通过一系列焦点小组向男同性恋者和其他男男性行为者(MSM)和现有的诊所客户展示了这个模型。确定潜在最终用户对基于互联网的性传播感染和艾滋病毒检测的新模式的感知好处、担忧和期望。参与者是通过电子邮件邀请、在线分类广告和性传播感染诊所的传单招募的。采用了结构化的面试指南。焦点小组被录音，一名观察员做了详细的实地笔记。分析师随后收听录音，以验证实地笔记。使用剪刀和排序技术对数据进行编码和分析。总共有39人参加了6个焦点小组。大多数是男男性接触者，所有人都是活跃的互联网用户，都有过STI/HIV检测经验。基于互联网的STI检测的公认好处包括匿名性、便利性和以客户为中心的控制。突出的关切是不愿在线提供个人信息，不信任在线提供的数据的安全性，以及需要全面的检测前信息和对那些获得阳性结果的人的支持，特别是在艾滋病毒方面。提出了缓解这些担忧的建议：提供关于该模型的预先和详细的信息，只询问测试所需的最低限度的信息，只通过电话或亲自给出积极的结果，并确保那些检测呈阳性的人被转介接受咨询和支持。终端用户希望互联网测试能够提供持续的在线服务，从预约预约，到将信息传输到实验室，再到获得处方。大多数参与者表示，他们会使用这项服务，或者将其推荐给其他人。那些表示他们不太可能使用它的人通常要么住在性传播感染诊所附近，要么经常去看他们觉得舒服的家庭医生。与会者预计，这项服务将为那些尚未获得敏感的性健康服务、由于耻辱而不愿进行检测或希望立即采取行动(例如，由于最近潜在的性传播感染/艾滋病毒暴露)的个人提供最大的好处。基于互联网的性传播感染/艾滋病毒检测有可能减少检测的障碍，作为现有基于诊所的服务的补充。然而，对新的在线服务的信任是客户接受的先决条件，可能是由于关于该模型的信息的透明度，以及考虑到与保密、数据使用和提供阳性(特别是艾滋病毒)结果有关的关切而产生的。目前对这一新模式的评价对其成功和用户的信心至关重要。
The feasibility and acceptability of Internet-based sexually transmitted infection (STI) testing have been demonstrated; however, few programs have included testing for human immunodeficiency virus (HIV). In British Columbia, Canada, a new initiative will offer online access to chlamydia, gonorrhea, syphilis, and HIV testing, integrated with existing clinic-based services. We presented the model to gay men and other men who have sex with men (MSM) and existing clinic clients through a series of focus groups. To identify perceived benefits, concerns, and expectations of a new model for Internet-based STI and HIV testing among potential end users. Participants were recruited through email invitations, online classifieds, and flyers in STI clinics. A structured interview guide was used. Focus groups were audio recorded, and an observer took detailed field notes. Analysts then listened to audio recordings to validate field notes. Data were coded and analyzed using a scissor-and-sort technique. In total, 39 people participated in six focus groups. Most were MSM, and all were active Internet users and experienced with STI/HIV testing. Perceived benefits of Internet-based STI testing included anonymity, convenience, and client-centered control. Salient concerns were reluctance to provide personal information online, distrust of security of data provided online, and the need for comprehensive pretest information and support for those receiving positive results, particularly for HIV. Suggestions emerged for mitigation of these concerns: provide up-front and detailed information about the model, ask only the minimal information required for testing, give positive results only by phone or in person, and ensure that those testing positive are referred for counseling and support. End users expected Internet testing to offer continuous online service delivery, from booking appointments, to transmitting information to the laboratory, to getting prescriptions. Most participants said they would use the service or recommend it to others. Those who indicated they would be unlikely to use it generally either lived near an STI clinic or routinely saw a family doctor with whom they were comfortable testing. Participants expected that the service would provide the greatest benefit to individuals who do not already have access to sensitive sexual health services, are reluctant to test due to stigma, or want to take immediate action (eg, because of a recent potential STI/HIV exposure). Internet-based STI/HIV testing has the potential to reduce barriers to testing, as a complement to existing clinic-based services. Trust in the new online service, however, is a prerequisite to client uptake and may be engendered by transparency of information about the model, and by accounting for concerns related to confidentiality, data usage, and provision of positive (especially HIV) results. Ongoing evaluation of this new model will be essential to its success and to the confidence of its users.
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影响因子：
7.4
作者：
Nijland, Nicol;van Gemert-Pijnen, Julia E. W. C.;Seydel, Erwin R.
通讯作者：
Seydel, Erwin R.
影响因子：
3.1
作者：
Gaydos, Charlotte A.;Barnes, Mathilda;Hogan, Terry
通讯作者：
Hogan, Terry
影响因子：
2.6
作者：
Rietmeijer, C. A.;Shamos, S. J.
通讯作者：
Shamos, S. J.
影响因子：
15.8
作者：
Lilford RJ;Foster J;Pringle M
通讯作者：
Pringle M
DOI：
10.1007/bf03404062
发表时间：
2012-01-01
影响因子：
4.3
作者：
Shoveller, Jean;Knight, Rod;Ogilvie, Gina
通讯作者：
Ogilvie, Gina