Designing HIV Testing and Self-Testing Services for Young People in Nigeria: A Discrete Choice Experiment

Author(s):  
Jason J. Ong ◽  
Ucheoma Nwaozuru ◽  
Chisom Obiezu-Umeh ◽  
Collins Airhihenbuwa ◽  
Hong Xian ◽  
...  
2018 ◽  
Vol 19 (2) ◽  
pp. 195-201
Author(s):  
Ben F. M. Wijnen ◽  
Ruben P. L. B. Van Engelen ◽  
Jan Ostermann ◽  
Axel Muhlbacher ◽  
Arnolf F. W. Hendriks ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023663 ◽  
Author(s):  
Sue Eaton ◽  
Deborah Biggerstaff ◽  
Stavros Petrou ◽  
Leeza Osipenko ◽  
Jo Gibbs ◽  
...  

ObjectiveTo undertake a comprehensive assessment of the strength of preferences among young people for attributes of emerging technologies for testing and treatment of asymptomatic chlamydia.DesignDiscrete choice experiment (DCE) with sequential mixed methods design. A staged approach to selection of attributes/levels included two literature reviews, focus groups with young people aged 16–24 years (n=21), experts’ review (n=13) and narrative synthesis. Cognitive testing was undertaken to pilot and adapt the initial questionnaire. Online national panel was used for final DCE survey to maximise generalisability. Analysis of questionnaire responses used multinomial logit models and included validity checks.SettingEngland.Participants1230 young people aged 16–24 from a national online panel (completion rate 73%).Outcome measuresORs for service attributes in relation to reference levels.ResultsThe strongest attribute influencing preferences was chlamydia test accuracy (OR 3.24, 95% CI 3.13 to 3.36), followed by time to result (OR 1.81, 95% CI 1.71 to 1.91). Respondents showed a preference for remote chlamydia testing options (self-testing, self-sampling and postal testing) over attendance at a testing location. For accessing treatment following a positive test result, there was a general preference for online (OR 1.21, 95% CI 1.15 to 1.28) versus traditional general practitioner (OR 1.18, 95% CI 1.12 to 1.24) or pharmacy (OR 1.15, 95% CI 1.10 to 1.22) over clinic services. For accessing a healthcare professional and receipt of antibiotics, there was little difference in preferences between options.ConclusionsBoth test accuracy and very short intervals between testing and results were important factors for young people when deciding whether to undergo a routine test for asymptomatic chlamydia, with test accuracy being more important. These findings should assist technology developers, policymakers, commissioners and service providers to optimise technology adoption in service redesign, although use of an online panel may limit generalisability of findings to other populations.


AIDS Care ◽  
2017 ◽  
Vol 30 (1) ◽  
pp. 72-80 ◽  
Author(s):  
Michael Strauss ◽  
Gavin George ◽  
Emma Lansdell ◽  
Joanne E. Mantell ◽  
Kaymarlin Govender ◽  
...  

Author(s):  
Michael Strauss ◽  
Gavin George ◽  
Emma Lansdell ◽  
Joanne Mantell ◽  
Kaymarlin Govender ◽  
...  

PLoS Medicine ◽  
2019 ◽  
Vol 16 (4) ◽  
pp. e1002779 ◽  
Author(s):  
Alec Miners ◽  
Tom Nadarzynski ◽  
Charles Witzel ◽  
Andrew N. Phillips ◽  
Valentina Cambiano ◽  
...  

2019 ◽  
Vol 39 (5) ◽  
pp. 568-582
Author(s):  
Maya Durvasula ◽  
Stephen W. Pan ◽  
Jason J. Ong ◽  
Weiming Tang ◽  
Bolin Cao ◽  
...  

Introduction. While a growing literature documents the effectiveness of public health messaging on social media, our understanding of the factors that encourage individuals to engage with and share messages is limited. In the context of human immunodeficiency virus (HIV) among men who have sex with men (MSM) in China, rising incidence and low testing rates despite decades of interventions suggest the need for effective, targeted messaging to reach underserved populations. Social media platforms and sex-seeking apps present a promising avenue, as web-based strategies can take advantage of existing trust within dense social networks. Methods. We conducted an online discrete-choice experiment in January 2017 with MSM from across China. Participants were presented with 6 choice tasks, each composed of 2 messages about HIV testing, and were asked in which scenario they were more likely to share the content. Participants were given information about the source of the HIV testing message, the social media sharing platform, and the recipients with whom they would share the message. They were given the option of sharing 1 message or neither. Multinomial and mixed logit models were used to model preferences within 4 subgroups. Results. In total, 885 MSM joined the survey, completing 4387 choice tasks. The most important attribute for 3 of the 4 subgroups was social media sharing platform. Men were more willing to share messages on sex-seeking mobile applications and less willing to share materials on generic (non-MSM) social media platforms. We found that men with more active online presences were less willing to share HIV testing messages on generic social media platforms. Conclusions. Our findings suggest that sex-seeking platforms represent a targeted, efficient method of actively engaging MSM in public health interventions.


2020 ◽  
Vol 18 (3) ◽  
pp. 413-432 ◽  
Author(s):  
Elisabeth M. Schaffer ◽  
Juan Marcos Gonzalez ◽  
Stephanie B. Wheeler ◽  
Dalsone Kwarisiima ◽  
Gabriel Chamie ◽  
...  

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