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This study successfully linked HIV self-testers to pre-exposure prophylaxis (PrEP) services using a user-centered SMS text messaging program. The intervention showed high feasibility and acceptability, with many participants starting PrEP.

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Area of Science:

  • Public Health
  • Digital Health
  • HIV Prevention

Background:

  • HIV testing is crucial for the HIV prevention continuum.
  • Online programs like TakeMeHome.org offer free HIV and STI self-testing.
  • There's an opportunity to connect self-testers with pre-exposure prophylaxis (PrEP) services.

Purpose of the Study:

  • To develop an implementation strategy linking online HIV/STI self-testers to PrEP services.
  • To utilize a novel SMS text messaging navigation program (PrEPmate) for this linkage.

Main Methods:

  • Focus groups with TakeMeHome users informed the linkage intervention design.
  • A pilot study was launched in two US Ending the HIV Epidemic jurisdictions.
  • User preferences guided revisions to content and functionality for linking to PrEPmate.

Main Results:

  • Focus group participants found the linkage easy to navigate and appreciated SMS privacy.
  • 92% of participants were likely to use PrEPmate to learn about or access PrEP.
  • 16% of eligible individuals enrolled in PrEPmate, with 30% in stages of starting PrEP.

Conclusions:

  • A user-centered program successfully linked HIV self-testers to PrEP navigation via PrEPmate.
  • The intervention demonstrated high feasibility, acceptability, and initiated PrEP use.
  • Future steps include larger-scale effectiveness evaluation and expansion to other jurisdictions.