Feasibility of a Mobile Health Intervention for Providing a Continuum of HIV Services for MSM: Pilot Study of the WeTest Program in 3 Cities in China

Title:Feasibility of a Mobile Health Intervention for Providing a Continuum of HIV Services for MSM: Pilot Study of the WeTest Program in 3 Cities in China

Volume: 22 Issue: 3

Author(s): Zhihui Zhu, Xiaoyan Lu, Pan Gao, Xiaodong Wang, Xuejiao Hu, Nianhua Xie, Cong Liu, Yue Zhao, Yanqiu Zhao, Zhen Dai, Hongbo Zhang, Jun Wang, Yehuan Sun, Tao Liu, Shufang Sun, Cui Yang, Nickolas Zaller, Zhihua Zhang*Don Operario*

Affiliation:

• Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China

• Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA

Abstract:

Background: Men who have sex with men (MSM) in China have a high risk for HIV infection but experience suboptimal rates of HIV testing and service engagement due to various social and structural barriers. We developed a mobile health (mHealth) intervention entitled “WeTest-Plus” (WeTest+) as a user-centered “one-stop service” approach for delivering access to comprehensive information about HIV risk, HIV self-testing, behavioral and biomedical prevention, confirmatory testing, treatment, and care.

Objective: The goal of the current study was to investigate the feasibility of WeTest+ to provide continuous HIV services to high-risk MSM.

Methods: Participants completed a 3-week pilot test of WeTest+ to examine acceptability, feasibility, and recommendations for improvement. Participants completed a structured online questionnaire and qualitative exit interviews facilitated by project staff. “Click-through” rates were assessed to examine engagement with online content.

Results: 28 participants were included, and the average age was 27.6 years (standard deviation = 6.8). Almost all participants (96.4%) remained engaged with the WeTest+ program over a 3-week observational period. The majority (92.9%) self-administered the HIV self-test and submitted their test results through the online platform. Overall click-through rates were high (average 67.9%). Participants provided favorable comments about the quality and relevance of the WeTest+ information content, the engaging style of information presentation, and the user-centered features.

Conclusion: This pilot assessment of WeTest+ supports the promise of this program for promoting HIV self-testing and linkage to in-person services for MSM in China. Findings underscore the utility of a user-centered approach to mHealth program design.

Cite this article as:

Zhu Zhihui, Lu Xiaoyan, Gao Pan, Wang Xiaodong, Hu Xuejiao, Xie Nianhua, Liu Cong, Zhao Yue, Zhao Yanqiu, Dai Zhen, Zhang Hongbo, Wang Jun, Sun Yehuan, Liu Tao, Sun Shufang, Yang Cui, Zaller Nickolas, Zhang Zhihua*, Operario Don*, Feasibility of a Mobile Health Intervention for Providing a Continuum of HIV Services for MSM: Pilot Study of the WeTest Program in 3 Cities in China, Current HIV Research 2024; 22 (3) . https://dx.doi.org/10.2174/011570162X280190240105063449