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P078 User participation in the development of HIV self-testing services: results of co-design workshops
  1. Nicole Pilarski1,
  2. Carlos Peralta2,
  3. Liliana Rodriguez3,
  4. Gillian Dean1,
  5. Suneeta Soni1,
  6. Carrie Llewellyn4,
  7. Jaime Vera1,4
  1. 1Brighton and Sussex University Hospitals, Brighton, UK
  2. 2School of Architecture and Design, University of Brighton, Brighton, UK
  3. 3Design School, Loughborough University, Loughborough, UK
  4. 4Brighton and Sussex Medical School, Brighton, UK


Introduction Novel ways to encourage HIV testing are urgently needed. In Brighton, the use of a digital vending machine to distribute free self-test kits to men who have sex with men (MSM) using saunas is being piloted along with a campaign to increase awareness of self-testing.

Methods Volunteers attended design workshops and designers attended an LGBT community meeting. Participants completed a questionnaire and discussed visual concepts for the campaign. Workshops utilised tools such as personas (creating ‘characters’ to explore theoretical individuals’ thoughts and behaviours), construction of user journeys, and mock-ups of vending machine design and interaction.

Results There were 11 respondents; 8 aged <25, two 25–34 and one 45–64 years. Eight had previously tested for HIV. Two had self-tested. Themes relating to concerns with self-testing were: perceived reliability or ‘faith in the results’; tests being ‘done properly’; familiarity with self-testing; fear of needles or blood; STI screening; support if test positive. Factors encouraging HIV self-testing were: awareness; accessibility; confidence in ease of use. Key themes relating to visual campaign options were: sense of community and support; clinical versus community settings; giving clear information. Participant discussions using personas included targeting appropriate populations for self-testing and framing the campaign within the ‘gay scene’.

Discussion Few participants had previously self-tested Knowledge and generating a ‘sense of a testing community’ were the most important factors for promoting self-testing. Collaboration with designers and communities ensures a user-centred approach to HIV self-testing.

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