Bridging barriers to clinic-based HIV testing with new technology: translating self-implemented testing for African American youth

J A Catania, M M Dolcini, G W Harper, D P Dowhower, L G Dolcini-Catania, S L Towner, A Timmons, D N Motley, D H Tyler, J A Catania, M M Dolcini, G W Harper, D P Dowhower, L G Dolcini-Catania, S L Towner, A Timmons, D N Motley, D H Tyler

Abstract

Numerous barriers to clinic-based HIV testing exist (e.g., stigmatization) for African American youth. These barriers may be addressed by new technology, specifically HIV self-implemented testing (SIT). We conducted a series of formative phase 3 translation studies (49 face-to-face interviews, 9 focus groups, 1 advisory panel review) among low-income African American youth (15-19 years) and providers of adolescent services in two US cities to identify potential translation difficulties of the OraQuick SIT. Based on content analysis, we found that providers and African American youth viewed SITs positively compared to clinic-based testing. Data suggest that SITs may reduce social stigma and privacy concerns and increase convenience and normalization of HIV testing. Challenges with SIT implementation include difficulties accessing confirmatory testing, coping with adverse outcomes, and instructional materials that may be inappropriate for low socioeconomic status (SES) persons. Study results underscore the need for translation studies to identify specific comprehension and implementation problems African American youth may have with oral SITs.

Keywords: Fidelity; HIV self-implemented testing; Implementation; Phase 3 studies.

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