Evidence map›Paper›PMID 31049809›Full record

Observational studyAIDS and behavior2020

Alone But Supported: A Qualitative Study of an HIV Self-testing App in an Observational Cohort Study in South Africa.

Ricky Janssen, Nora Engel, Aliasgar Esmail, Suzette Oelofse, Anja Krumeich, Keertan Dheda, Nitika Pant Pai

Abstract readObservational Study
In one paragraph

Observational study in AIDS and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. User Input in the Development of Digital Sexual Health Tools: A Scoping Review and Guidance for Tool Developers.Health expectations : an international journal of public participation in health care and health policy · 2025
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  17. Scoping review of health information technology usability methods leveraged in Africa.Journal of the American Medical Informatics Association : JAMIA · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ricky JanssenDepartment of Health, Ethics & Society, Research School for Public Health and Primary Care, Maastricht University, Postbus 616, 6200 MD, Maastricht, The Netherlands. ricky.janssen@maastrichtuniversity.nl.
Nora EngelDepartment of Health, Ethics & Society, Research School for Public Health and Primary Care, Maastricht University, Postbus 616, 6200 MD, Maastricht, The Netherlands.
Aliasgar EsmailDivision of Pulmonology, Department of Medicine, Centre for Lung Infection and Immunity, UCT Lung Institute, University of Cape Town, Anzio Road, Cape Town, 7925, South Africa.
Suzette OelofseDivision of Pulmonology, Department of Medicine, Centre for Lung Infection and Immunity, UCT Lung Institute, University of Cape Town, Anzio Road, Cape Town, 7925, South Africa.
Anja KrumeichDepartment of Health, Ethics & Society, Research School for Public Health and Primary Care, Maastricht University, Postbus 616, 6200 MD, Maastricht, The Netherlands.
Keertan DhedaDivision of Pulmonology, Department of Medicine, Centre for Lung Infection and Immunity, UCT Lung Institute, University of Cape Town, Anzio Road, Cape Town, 7925, South Africa.
Nitika Pant PaiDivision of Clinical Epidemiology, Department of Medicine, McGill University and Research Institute of the McGill University Health Centre, 5252 de Maisonneuve W, Montreal, H4A 3S5, Canada. nitika.pai@mcgill.ca.ORCID http://orcid.org/0000-0002-4672-0500

Funding

Grand Challenges Canada 0732-05
6 · The paper itself

Abstract

HIV self-testing has the potential to improve test access and uptake, but concerns remain regarding counselling and support during and after HIV self-testing. We investigated an oral HIV self-testing strategy together with a mobile phone/tablet application to see if and how it provided counselling and support, and how it might impact test access. This ethnographic study was nested within an ongoing observational cohort study in Cape Town, South Africa. Qualitative data was collected from study participants and study staff using 33 semi-structured interviews, one focus group discussion, and observation notes. The app provided information and guidance while also addressing privacy concerns. The flexibility and support provided by the strategy gave participants more control in choosing whom they included during testing. Accessibility concerns included smartphone access and usability issues for older and rural users. The adaptable access and support of this strategy could aid in expanding test access in South Africa.

Indexed as

CounselingMobile ApplicationsPrivacySmartphoneAdultAIDS SerodiagnosisCohort StudiesDelivery of Health CareFemaleHIV InfectionsHumansMaleMass ScreeningQualitative ResearchRural PopulationSelf CareCounsellingmHealthPrivacyStigmaTest access

Identifiers

PMID31049809
PMCPMC6989648

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.