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Publication Profiles

‘Test-To-PrEP’: Assessing Reach and Adoption of a New Approach to Increase HIV Testing and PrEP Knowledge Using HIV Self-Test Kit Distribution Through PrEP Clients’ Social Networks

Citation

Johnson AL, Butts SA, Rodriguez E, Craker L, Kanamori M, Doblecki-Lewis S. “Test-To-PrEP”: Assessing Reach and Adoption of a New Approach to Increase HIV Testing and PrEP Knowledge Using HIV Self-Test Kit Distribution Through PrEP Clients’ Social Networks. J Acquir Immune Defic Syndr. 2023;94(5):421-428. doi:10.1097/QAI.0000000000003294

Implementation stage:

Implementation

Implementation outcomes reported:

Adoption

Continuum target addressed:

HIV testing, Linkage to preventative care, PrEP initiation

Geography:

Miami-Dade County-FL

Study Participant Classification:

Recipients of care, Community member(s)

Plain Language Objectives

The researchers tested whether people already using PrEP could distribute HIV self-tests and information about HIV prevention medication to friends and other people in their social networks.

Plain Language Abstract

HIV self-testing can reach people who have not used clinic-based testing, and people taking pre-exposure prophylaxis, or PrEP, may be trusted sources of information. Researchers enrolled 100 PrEP clients in Miami from November 2021 to March 2022 and offered them self-test kits bundled with PrEP information to distribute. Participants described 414 people in their networks and received 293 kits. Forty-seven participants distributed at least one kit. Among people who scanned the kit’s quick-response code and completed a survey, 16.2% had never previously tested for HIV and 38.5% had not known about PrEP. About one-third expressed interest in distributing kits themselves; three did so, and two people started PrEP. Survey response was limited to people who scanned the code, so the findings do not describe every kit recipient. The study assessed reach and adoption rather than comparative effectiveness. The authors concluded that PrEP clients’ networks can extend testing and information to people with limited prior awareness, while future research should evaluate reach and efficiency more fully.

Key Takeaways

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