PDF(Pubmed)
Abstract：
OBJECTIVE: To report the development, implementation, acceptability and feasibility of vending machines offering HIV and sexually transmitted infection (STI) testing kits.
METHODS: A qualitative study using the Person-Based Approach with patient and public involvement workshops and stakeholder involvement and interviews with machine users, sexual health service (SHS) staff, venue staff and local authority sexual health commissioners. Transcripts were analysed thematically.
METHODS: Bristol, North Somerset and South Gloucestershire (BNSSG).
METHODS: 15 machine users, 5 SHS staff, 3 venue staff and 3 local authority commissioners.
METHODS: Four vending machines dispensing free HIV self-testing and STI self-sampling kits in publicly accessible venues across BNSSG were introduced to increase access to testing for groups at higher risk of HIV and STI infection who are less likely to access SHS clinic testing services (young people, people from black communities, and gay, bisexual and other men who have sex with men).
RESULTS: Machine users reported the service was convenient, easy to use and accessible; however, concerns regarding privacy related to machine placement within the venues and issues of maintenance were raised. Promotional material was inclusive and informative; however, awareness of the service through the promotional campaign was limited. Vending machines were acceptable to venue staff once clear processes for their management were agreed with the SHS. SHS staff identified challenges with the implementation of the service related to the limited involvement of the whole SHS team in the planning and development.
CONCLUSIONS: The codeveloped vending machine service was acceptable, addressing some barriers to testing. Resources and protected staff time are needed to support greater involvement of the whole SHS team and service providers in venues. Adopting a similarly robust coproduction approach to the implementation of the machines could avoid the challenges reported. The placement of the machines to assure users privacy and repeated, targeted promotion could encourage service use among target groups.
METHODS: A qualitative study using the Person-Based Approach with patient and public involvement workshops and stakeholder involvement and interviews with machine users, sexual health service (SHS) staff, venue staff and local authority sexual health commissioners. Transcripts were analysed thematically.
METHODS: Bristol, North Somerset and South Gloucestershire (BNSSG).
METHODS: 15 machine users, 5 SHS staff, 3 venue staff and 3 local authority commissioners.
METHODS: Four vending machines dispensing free HIV self-testing and STI self-sampling kits in publicly accessible venues across BNSSG were introduced to increase access to testing for groups at higher risk of HIV and STI infection who are less likely to access SHS clinic testing services (young people, people from black communities, and gay, bisexual and other men who have sex with men).
RESULTS: Machine users reported the service was convenient, easy to use and accessible; however, concerns regarding privacy related to machine placement within the venues and issues of maintenance were raised. Promotional material was inclusive and informative; however, awareness of the service through the promotional campaign was limited. Vending machines were acceptable to venue staff once clear processes for their management were agreed with the SHS. SHS staff identified challenges with the implementation of the service related to the limited involvement of the whole SHS team in the planning and development.
CONCLUSIONS: The codeveloped vending machine service was acceptable, addressing some barriers to testing. Resources and protected staff time are needed to support greater involvement of the whole SHS team and service providers in venues. Adopting a similarly robust coproduction approach to the implementation of the machines could avoid the challenges reported. The placement of the machines to assure users privacy and repeated, targeted promotion could encourage service use among target groups.
摘要：
目的：报告发展情况，实施，提供艾滋病毒和性传播感染(STI)检测试剂盒的自动售货机的可接受性和可行性。
方法：使用基于人的方法进行的定性研究，包括患者和公众参与研讨会，利益相关者参与以及与机器用户的访谈，性健康服务（SHS）工作人员，场馆工作人员和地方当局性健康专员。对成绩单进行了主题分析。
方法：布里斯托尔，北萨默塞特郡和南格洛斯特郡（BNSSG）。
方法：15个机器用户，5SHS员工，3名场馆工作人员和3名地方当局专员。
方法：引入了四台自动售货机，在BNSSG的公众可访问场所分发免费的HIV自检和STI自采样套件，以增加HIV和STI感染风险较高的群体获得检测的机会感染的机会，他们不太可能获得SHS诊所检测服务（年轻人，来自黑人社区的人，和同性恋,双性恋和其他与男性发生性关系的男性)。
结果：机器用户报告说服务很方便，易于使用和访问;然而,有人提出了与场地内机器放置相关的隐私问题和维护问题。宣传材料具有包容性和信息性；然而，通过促销活动对服务的认识有限。一旦与SHS达成明确的管理流程，场馆工作人员就可以接受自动售货机。SHS员工发现了与整个SHS团队在规划和开发中的有限参与有关的服务实施方面的挑战。
结论：联合开发的自动售货机服务是可以接受的，解决一些测试障碍。需要资源和受保护的员工时间来支持整个SHS团队和服务提供商在场馆中的更大参与。采用类似稳健的联合生产方法来实施机器可以避免所报告的挑战。机器的放置，以确保用户的隐私和重复，有针对性的推广可以鼓励目标群体之间的服务使用。
方法：使用基于人的方法进行的定性研究，包括患者和公众参与研讨会，利益相关者参与以及与机器用户的访谈，性健康服务（SHS）工作人员，场馆工作人员和地方当局性健康专员。对成绩单进行了主题分析。
方法：布里斯托尔，北萨默塞特郡和南格洛斯特郡（BNSSG）。
方法：15个机器用户，5SHS员工，3名场馆工作人员和3名地方当局专员。
方法：引入了四台自动售货机，在BNSSG的公众可访问场所分发免费的HIV自检和STI自采样套件，以增加HIV和STI感染风险较高的群体获得检测的机会感染的机会，他们不太可能获得SHS诊所检测服务（年轻人，来自黑人社区的人，和同性恋,双性恋和其他与男性发生性关系的男性)。
结果：机器用户报告说服务很方便，易于使用和访问;然而,有人提出了与场地内机器放置相关的隐私问题和维护问题。宣传材料具有包容性和信息性；然而，通过促销活动对服务的认识有限。一旦与SHS达成明确的管理流程，场馆工作人员就可以接受自动售货机。SHS员工发现了与整个SHS团队在规划和开发中的有限参与有关的服务实施方面的挑战。
结论：联合开发的自动售货机服务是可以接受的，解决一些测试障碍。需要资源和受保护的员工时间来支持整个SHS团队和服务提供商在场馆中的更大参与。采用类似稳健的联合生产方法来实施机器可以避免所报告的挑战。机器的放置，以确保用户的隐私和重复，有针对性的推广可以鼓励目标群体之间的服务使用。
