Understanding and Applying the HIV Self-Test Program Preferences of Black and Latino Sexual and Gender Minorities in the Southern United States: an Online Discrete Choice Experiment with Patients and CFIR Interviews with Providers

John Guigayoma, PhD
Northwestern University

ABSTRACT:
Black and Latino sexual and gender minorities in the Southern United States have experienced the greatest burden of HIV for the past 25 years. HIV self-testing is an effective strategy to identify individuals living with undiagnosed HIV, but little implementation research is known about which program characteristics foster the highest patient engagement. Discrete choice experiments are a survey tool that can answer this question by providing insight on the most important program components to patients. This presentation will report on the design and results of an online discrete choice experiment with Black and Latino sexual and gender minorities living in the South to optimize the design of HIV self-test programs. Results will include preference estimates and marginal willingness to pay. This presentation will then report on the application of these results to a qualitative study examining barriers and facilitators to implementing a low-price HIV self-test home-delivery program from the perspectives of HIV prevention program decisionmakers in the South using the updated Consolidated Framework for Implementation Research. This presentation will include considerations in study design, data collection, and analysis for those who may use discrete choice experiments in their own research.