Individual in-depth Interview Guide

Form Approved

OMB No. 0920-XXXX

Expiration Date: XX/XX/XXXX

Evaluation of Free Rapid HIV self-testing in MSM (eSTAMP)

Attachment 3j

Individual in-depth interviews

Public reporting burden of this collection of information is estimated to average 1 hour and 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-XXXX)

In-Depth interview Guide for HIV-Positive Test Kit Distribution Evaluation Participants (PREVALENT Positives)

I would like to thank you for being available for this interview today. Emory University and MANILA Consulting Group, Inc. are conducting the study, which is funded by the Centers for Disease Control and Prevention (CDC). My name is __________ and I am conducting these interviews as part of a research project on home HIV testing among men who have sex with men. The research will be conducted in Atlanta, Chicago and New York City. We are conducting this research to identify your experiences of participating in the recent study of home-testing. I will be tape recording our discussion so that I don’t have to worry about getting every word down on paper. Please do not be concerned about this, our discussion will remain completely PRIVATE and will ONLY be used for this research project. As we are tape recording the discussion we ask that you refrain from using names or identifying information. If at any time during the discussion you feel uncomfortable you are free not answer questions or end the interview. Are there any questions before we start? Let us begin…

1. I would like to start by talking about the decision to participate in the recent study. What influenced your decision to be a participant in the study?

2. Before the study, had you heard of home-HIV testing? What did you know about it before the study? How has your perception of home testing changed during the study?

3. To what extent was the ability to test for HIV at home an important part of your decision to participate in the study?

4. I want to now talk about your experiences in the study. Did you order additional home testing kits? Which test kits did you order? How many kits did you order? How many did you use? Probe for the reasons why X were ordered and for why X were used. How many did you give away? Probe for the reasons why X were given away.

5. Ask only of persons who ordered and used additional test kits. Let’s talk about how the test kits were used. Who did you use the test kits with? How did you decide who to use the test kits with?

Probe: if were given to friends: what was their reaction to been given a test kit? Did they use it? Did you help them use it?

6. Ask only of persons who ordered and gave away additional test kits. Who did you give the tests kits to? Why did you give kits to those people? How did they react? Did they use the test kit? Did you help them use the test kit?

7. Now I want to talk specifically about sex partners. Did you give any of the kits you ordered to people you were having sex or want to have sex with? How did you choose who to give the kits to? How did your sex partners react to being given a home test kit? Did they use it? Did you help them use it?

8. For your sex partners, how soon after you met did you bring up the idea of home testing? Probe: at what point in the relationship was home testing brought up?

9. Did having the availability of home test kits change your sex behavior? Did it change any decisions you made around sex? Did it change who you chose to have sex with? Please tell me how it changed if it did.

10. Do you think you would use home test kits again in the future? Under what circumstances? What would need to be changed or improved about home tests?

11. Were you worried at all about harmful effects of home testing? What would these harmful effects be? What do you think are the negative things that could happen with a home test?

12. What are the benefits of home testing?

13. Is there anything else about the home test kits or your experience with them that we haven’t covered so far that you would like to add?

That brings our interview to an end. I would like to thank you for your participation, and ask if any of you have any questions for me. Thank you for your time.

In-Depth interview Guide for Intervention Arm Participants (INCIDENT Positives)

I would like to thank you for being available for this interview today. Emory University and MANILA Consulting Group, Inc. are conducting the study, which is funded by the Centers for Disease Control and Prevention (CDC). My name is __________ and I am conducting these interviews as part of a research project on home HIV testing among men who have sex with men. The research will be conducted in Atlanta, Chicago and New York City. We are conducting this research to identify your experiences of participating in the recent study of home-testing. I will be tape recording our discussion so that I don’t have to worry about getting every word down on paper. Please do not be concerned about this, our discussion will remain completely PRIVATE and will ONLY be used for this research project. As we are tape recording the discussion we ask that you refrain from using names or identifying information. If at any time during the discussion you feel uncomfortable you are free not answer questions or end the interview. Are there any questions before we start? Let us begin…

1. I would like to start by talking about the decision to participate in the recent study. What influenced your decision to be a participant in the study?

2. Before the study, had you heard of home-HIV testing? What did you know about it before the study? How has your view of home testing changed during the study?

3. To what extent was the ability to test for HIV at home an important part of your decision to participate in the study?

4. I want to now talk about your experiences in the study. Did you order additional home testing kits? Which test kits did you order? How many kits did you order? How many did you use? Probe for the reasons why X were ordered and for why X were used. How many did you give away? Probe for the reasons why X were given away.

5. Ask only of persons who ordered and used additional test kits. Let’s talk about how the test kits were used. Who did you use the test kits with? How did you decide who to use the test kits with?

Probe: if were given to friends: what was their reaction to been given a test kit? Did they use it? Did you help them use it?

6. Ask only of persons who ordered and gave away additional test kits. Who did you give the tests kits to? Why did you give kits to those people? How did they react? Did they use the test kit? Did you help them use the test kit?

1. I want to talk specifically now about your own test results: can you confirm that you received a positive result from the home HIV test kit?

2. What was testing positive like for you?

3. 9. When you received your result, did you believe it at first? How assured were you that the test was accurate?

10.. Can you explain to me what you did when you received the positive result? Probe for each of the following, and for each one ask how long after the test before they took action:

- Calling the study support number

- Reaching out for a confirmatory test

- Linkage to care and health care appointments

- Disclosure of results to others (family, friends, partners, sex partners)

11. Now I want to talk specifically about sex partners. Did you give any of the kits you ordered to people you were having sex with? How did you choose who to give the kits to? How did your sex partners react to being given a home test kit? Did they use it? Did you help them use it?

12. For your sex partners, how soon after you met did you bring up the idea of home testing? Probe: at what point in the relationship was home testing brought up?

13. Did having the availability of home test kits change your sex behavior at all? Did it change any decisions you made around sex? Did it change who you chose to have sex with?

14. Did you experience any negative effects from the home test? Can you describe these to me?

15. What are the benefits of home testing?

16. Do you think you would use home test kits again in the future? Under what circumstances? What would need to be changed or improved about home tests?

17. Would you recommend home testing to others? What would need to be changed or improved for you to recommend home tests to others?

18. Is there anything else about the home test kits or your experience with them that we haven’t covered so far that you would like to add?

That brings our interview to an end. I would like to thank you for your participation, and ask if any of you have any questions for me. Thank you for your time.