Sunday , December 5 2021

McGill: You & # 39; smart app encourages HIV testing lending in Canada? | health



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The strategies of self HIV testing were recommended by the World Health Organization (WHO) from 2016, since empower people to find HIV to their status for their convenience. Kits & # 39; testing based on the house yet to be approved for sale in Canada. However, a team from the Research Institute of the University Health Center & # 39; McGill (RI-MUHC) and collaborators from Clinique MEDICALE the & # 39; ACTUEL f & # 39; Montreal considered a & # 39 program; self-testing unsupervised by HIV & # 39; for smartphone and tablet application called HIVSmart!, among population in & # 39; risk (men who have sex with men). The findings & # 39; their study – the first Canada – were published online this week in the Journal & # 39; Medical Internet Research.

"To meet the first 95 of the so-called 95-95-95 targets set by UNAIDS * until 2030, it is imperative that we help to detect HIV in & # 39; those living unaware of the status of their -HIV. Strategy & # 39; screening that has the potential to reach those not diagnosed as self HIV testing ", says Dr. Nitika Pant Pai, main author & # 39; this study and researcher of Infectious Diseases and Immunity in the Global Health Program of the RI-MUHC and Associate Professor of Medicine at McGill University. "HIVSmart! Recalls that all the deficiencies in the process & # 39; self-testing; works with any self-approved HIV test, facilitate testing and inform b & # 39; proactive approach to the user."

"By promoting screening, HIVSmart! You & # 39; help reduce the number of & # 39; people living with HIV do not know their status and allow them to start treatment before", adds Dr. Réjean Thomas , co-author & # 39; study, which is also the founder and CEO & # 39; Clinique MEDICALE L & # 39; ACTUEL. & # 39; & # 39; Application as HIVSmart! increase accessibility to testing, especially outside the big cities, where it is sometimes difficult to examine because & # 39; confidentiality issues. "

HIVSmart! is available for software & # 39; software configured by a smartphone, tablet or web (Android, iPhone, and iPad) that was developed by Dr. Pant Pai and her team in the RI-MUHC. Inform, interpret and store data with & # 39; confidentially but, most important, linking users to counseling or treatment rapidly and encourages the user to continue & # 39; in the treatment. Initially developed by & # 39; funding from Grand Challenges Canada, HIVSmart! was evaluated in & # 39; Montreal thanks to this study funded by the Canadian Institutes of Health Research (CIHR).

HIVSmart! feasibility f & # 39; Montreal

Between July 2016 and February 2017, researchers conducted a study of 451 men who have sex with men (sometimes called MSM) of & # 39; between 18 and 73 years forward in Clinique MEDICALE L & # 39; ACTUEL to be tested for HIV. They were offered HIV test based on saliva at home and tablet equipped with HIVSmart! App. The strategy proved testing at & # 39; unsupervised domestic environment. Using & # 39; HIVSmart!, Participants were guided through the process & # 39; self-testing, learn how to perform and interpret the test, store the results and receive treatment with & # 39; speed.

"Our study shows that HIVSmart! The strategy & # 39; the application is feasible, accepted and preferred by educated urban population & # 39; MSM in & # 39; Montreal," says Dr. Pant Pai . "As a strategy, it is appropriate for individuals who prefer to test themselves at their convenience, comfort & # 39; private space such as home, office or kiosks. That & # 39; s Empowering!"

Automatic testing for HIV populations in & # 39; risk

In Canada, the epidemic & # 39; HIV is represented by & # 39; & # 39 in a disproportionate way, key populations, such as MSM, users & # 39; drugs with & # 39; injection, Indigenous and immigrant populations from endemic countries & # 39; HIV. About 18 to 25 percent of the populations of & # 39; Canadian MSM are not aware of & # 39; positive HIV status to their number can & # 39; be proportionally higher for IDUs, migrants and indigenous peoples, stressing the need for & # 39; services accessible for self-testing for HIV.

"At present, we have all the means to eradicate HIV. The HIVSmart! The application is device & # 39; support for patient autonomy," says Dr. Thomas. "The promotion of screening reduces the number of & # 39; people who do not know their HIV status, put to the positive people for HIV on quick treatment so that their viral charge undetectable, and in ultimately destroy HIV. "

The researchers plan to adapt HIVSmart! a & # 39; self-testing strategy for many populations in & # 39; risk in Canada and worldwide, and b & # 39; so maximize its impact on public health. HIVSmart! The strategy is also being tested in Africa & # 39; South.

The UNAIDS Fast Stop AIDS Strategy to 2030:

  • By 2030, 95% of all people living with HIV know the status & # 39; their HIV.
  • By 2030, 95% of all people with & # 39; diagnosed HIV infection will receive support antiretroviral therapy.
  • By 2030, 95% of all people receiving antiretroviral therapy will have viral suppression.

KEY FINDINGS

Profile of Participants

  • 84.7% were educated beyond high school;
  • 79.5% were employed;
  • 52.5% had been tested in the last 6 months.

Main results

  • 99.3% of participants were tested and received counseling themselves after their test;
  • 0.7% of the participants themselves who tested positive and were confirmed positive lab were linked & # 39; doctor on the same day;
  • 98.8% of participants found that the application is useful;
  • 94% of respondents were willing to jirrakkomandawh to a friend or partner.

Research -Istitut the MUHC

-Www.rimuhc.ca.

-McGill University Health Center

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