Evaluating the Implementation of Home-Based Sexual Health Care Among Men Who Have Sex with Men: Limburg4zero.
Home-based sexual health care (including self-sampling testing) could reduce barriers to clinic-based testing. This study systematically evaluated the implementation of home-based sexual health care ('Limburg4Zero') among men who have sex with men (MSM) in a mixed urban–rural region of the Netherlan...
| Published in: | AIDS & Behavior Vol. 29; no. 3; pp. 976 - 993 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Springer Nature
Mar2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183073058&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183073058 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Mar2025 vid: 29 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 183073058 182117389 183073058 183073058 10.1007/s10461-024-04579-6 183073058 ppf: 976 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluating the Implementation of Home-Based Sexual Health Care Among Men Who Have Sex with Men: Limburg4zero. aug: au: Goense, Cornelia Johanna Dorothy Evers, Ymke J. Manait, Jonas Hoebe, Christian J. P. A. van Loo, Inge H. M. Posthouwer, Dirk Ackens, Robin van Hooren, Roland Theuerzeit, Rocxanne Crutzen, Rik Stutterheim, Sarah E. Dukers-Muijrers, Nicole H. T. M. affil: https://ror.org/02jz4aj89 Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands sug: subj: Home Health Care Sexual Health Services Men Who Have Sex With Men Psychosocial Factors Program Implementation Program Evaluation Urban Areas Rural Areas Implementation Science Human Male Netherlands Funding Source Multimethod Studies Interviews Field Notes Comparative Studies Health Personnel Professional Practice, Evidence-Based Polymerase Chain Reaction Health Behavior Evaluation Sexually Transmitted Diseases Diagnosis HIV Infections Diagnosis Reagent Kits, Diagnostic Self-Testing Consumer Health Information Sexual Counseling Home Diagnostic Tests Adult Middle Age Clinical Trials Adult: 19-44 years Middle Aged: 45-64 years Male ab: Home-based sexual health care (including self-sampling testing) could reduce barriers to clinic-based testing. This study systematically evaluated the implementation of home-based sexual health care ('Limburg4Zero') among men who have sex with men (MSM) in a mixed urban–rural region of the Netherlands. We systematically assessed implementation outcomes (contextual domains, population reached, effectiveness, adoption by health care providers (HCP), implementation fidelity, and maintenance) using the practical, robust implementation and sustainability model. We used a mixed-methods research design that combined survey and in-depth interview data from our priority population (MSM) and implementers with insights from our community advisory board and field notes from monthly meetings with the implementers. Of 1076 requested tests, 906 MSM received a (self-sampling STI/HIV) test kit and sexual health information. Most participants (median age 31) had a university or college degree and had a Western ethnicity. The return rate for laboratory testing was 67%. Home-based care participants more often never tested HIV before (39%) compared to STI clinic attendees (28%). Adoption by HCP was highly acceptable, although perceived pragmatic and technical challenges were experienced. Key elements of the home-based care service were implemented as designed, with co-created adjustments for optimization during the implementation. Maintaining the innovation in the long term was desirable, although future recommendations for efficient continuation should be considered. Implementation of home-based sexual health care has demonstrably increased care accessibility for MSM who had never previously been tested. Therefore, a systematic approach is crucial to foster the impact of home-based sexual health care. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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