Implementing community-based Dried Blood Spot (DBS) testing for HIV and hepatitis C: A qualitative analysis of key facilitators and ongoing challenges

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dc.contributor.authorYoung, James
dc.contributor.authorAblona, Aidan
dc.contributor.authorKlassen, Benjamin J.
dc.contributor.authorHiggins, Rob
dc.contributor.authorKim, John
dc.contributor.authorLavoie, Stephanie
dc.contributor.authorKnight, Rod
dc.contributor.authorLachowsky, Nathan J.
dc.date.accessioned2023-01-03T23:22:36Z
dc.date.available2023-01-03T23:22:36Z
dc.date.copyright2022en_US
dc.date.issued2022
dc.description.abstractBackground: In 2018, the Community-Based Research Centre (CBRC) invited gay, bisexual, trans, queer men and Two-Spirit and non-binary people (GBT2Q) at Pride Festivals across Canada to complete in-person Sex Now surveys and provide optional dried blood spot (DBS) samples screening for human immunodeficiency virus (HIV) and hepatitis C virus (HCV). As there is a lack of research evaluating the implementation of DBS sampling for GBT2Q in community settings, we aimed to evaluate this intervention, identifying key facilitators and ongoing challenges to implementing community-based DBS screening for HIV/HCV among GBT2Q. Methods: We conducted sixteen one-on-one interviews with individuals involved with the community-based DBS collection protocol, including research staff, site coordinators, and volunteer DBS collectors. Most individuals involved with DBS collection were “peers” (GBT2Q-identified). The Consolidated Framework for Implementation Research (CFIR) guided our data collection and analysis. Results: Interviewees felt that DBS collection was a low-barrier, cost-effective, and simple way for peers to quickly screen a large number of Sex Now respondents. Interviewees also noted that the community and peer-based aspects of the research helped drive recruitment of Sex Now respondents. Most interviewees felt that the provision of results took too long, and that some Sex Now respondents would have preferred to receive their test results immediately (e.g., rapid or point-of-care testing). Conclusion: Peer-based DBS sampling can be an effective and relatively simple way to screen GBT2Q at Pride Festivals for more than one sexually transmitted and blood borne infection.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipSex Now 2018 received funding support from Canadian Blood Services MSM Research Fund, funded by the federal government (Health Canada) and the provincial and territorial ministries of health. The views herein do not necessarily reflect the views of Canadian Blood Services or the federal, provincial, or territorial governments of Canada. Additional in-kind contributions were received from the Public Health Agency of Canada’s National Microbiology Laboratory. This qualitative project was funded by REACH Nexus (CIHR FRN: 97105). NJL is supported by a Scholar Award from the Michael Smith Foundation for Health Research (#16863).en_US
dc.identifier.citationYoung, J., Ablona, A., Klassen, B. J., Higgins, R., Kim, J., Lavoie, S., . . . Lachowsky, N. J. (2022). “Implementing community-based Dried Blood Spot (DBS) testing for HIV and hepatitis C: A qualitative analysis of key facilitators and ongoing challenges.” BMC Public Health, 22(1085). https://doi.org/10.1186/s12889-022-13525-xen_US
dc.identifier.urihttps://doi.org/10.1186/s12889-022-13525-x
dc.identifier.urihttp://hdl.handle.net/1828/14603
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectHIV Testing
dc.subjectHCV Testing
dc.subjectDried blood spot
dc.subjectCommunity setting
dc.subjectImplementation Research
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleImplementing community-based Dried Blood Spot (DBS) testing for HIV and hepatitis C: A qualitative analysis of key facilitators and ongoing challengesen_US
dc.typeArticleen_US

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