A qualitative descriptive study exploring perspectives on a school-based take-home COVID-19 saliva testing program

Saliva testing, a safe and comfortable screening modality, can effectively detect SARS-CoV-2 in children. Recognizing the need for accessible testing in schools, a COVID-19 School Testing Program was launched across 677 schools, providing take-home saliva kits, educational materials, and ongoing support to families and school leadership. This study aimed to explore participants' experiences with the program to inform future school-based public health initiatives.

Using a prospective qualitative descriptive design, we conducted semi-structured interviews until thematic saturation was reached. Interviews were audio recorded, transcribed, and analyzed through inductive content analysis, with reflexivity, use of a critical friend, and thick description ensuring methodological rigor. Twenty-one participants were interviewed.

Six themes emerged: (1) improved access, (2) flexibility in testing environment, (3) less invasive option, (4) convenient drop-off, (5) prompt results, and (6) enhanced school safety.

Findings emphasize accessibility, convenience, and flexibility as essential for effective school-based viral testing models.