Comprehensive at-home sexually transmitted and blood borne infection (STBBI) testing program: A pilot study
Brandon L Christensen1,2, Chantal L Rytz1,3, Jason E Black1,4
1Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
International Journal of STD & AIDS
|August 25, 2025
Summary
A pilot program for remote sexually transmitted and blood borne infections (STBBI) testing in Canada was feasible and acceptable. This at-home testing approach shows promise for managing rising STBBI rates.
Area of Science:
- Public Health
- Infectious Diseases
- Digital Health
Background:
- Rising rates of sexually transmitted and blood borne infections (STBBI) pose a significant public health challenge.
- Existing STBBI testing programs in Canada lack fully remote options, despite the high accuracy of self-testing.
- A gap exists in accessible, at-home STBBI diagnostic services.
Purpose of the Study:
- To evaluate the feasibility and acceptability of a fully remote, web-based, at-home STBBI testing program in Calgary, Canada.
- To assess participant engagement and satisfaction with a novel self-collection testing model.
- To determine the potential of digital health platforms in expanding STBBI testing access.
Main Methods:
- Participants (≥16 years, Alberta residents) enrolled via a web platform (Feb 2023-Mar 2024).
- Self-collection kits (swabs, urine, dried blood spot) were mailed; results were communicated securely.
- Feasibility and acceptability were assessed via post-testing surveys.
Main Results:
- 156 participants completed intake; 43% returned kits. High prevalence of low condom use and recent lack of STBBI testing noted.
- Six participants (9.0%) tested positive for an STBBI and were linked to treatment.
- High satisfaction reported with the web platform and most testing modalities, except for dried blood spot collection challenges.
Conclusions:
- The web-based, comprehensive STBBI testing pilot was feasible and acceptable.
- Remote, at-home self-collection testing models are valuable for addressing rising STBBI rates.
- Digital health solutions can enhance the accessibility and reach of infectious disease diagnostics.
Keywords:
Sexually transmitted infections and blood borne infectionsdiagnosispilot studyremote testingsurveillanceMore Related Videos
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