title: Slow diffusion of home HIV-specimen collection: provider concerns at odds with client preferences.
abstract: BACKGROUND
  Home specimen collection and telephone counseling (HSCTC) may be a convenient new method for detection of HIV infection among cohorts at high-risk for HIV.
  
  
  OBJECTIVE
  To evaluate attitudes about HSCTC among participants, HIV counselors, and community advisory board members associated with a national multisite study of persons at high risk for HIV.
  
  
  METHODS
  Twelve focus groups and surveys were conducted at six sites among 126 counselors, community advisory board members, and cohort participants.
  
  
  RESULTS
  Staff and community advisory board members raised concerns about the acceptability, feasibility, safety, and effectiveness of HSCTC. In contrast, participants (92%) reported a willingness to collect blood and oral samples on a frequent basis, and preferred telephone (73%) to office-based counseling.
  
  
  CONCLUSIONS
  Home specimen collection and telephone counseling appear to be preferred by study participants at high risk of HIV infection. Staff and community advisory board members had stronger reservations than prospective users.
authors.affiliation: Department of Family Medicine, University of Washington, Seattle, USA.
authors.forename: F
authors.initials: F
authors.lastname: Spielberg
authors.forename: C
authors.initials: C
authors.lastname: Critchlow
authors.forename: E
authors.initials: E
authors.lastname: Vittinghoff
authors.forename: M
authors.initials: M
authors.lastname: Gross
authors.forename: P
authors.initials: P
authors.lastname: Doherty-Iddings
authors.forename: R
authors.initials: R
authors.lastname: Scotti
authors.forename: F N
authors.initials: FN
authors.lastname: Judson
authors.forename: M
authors.initials: M
authors.lastname: Marmor
authors.forename: S
authors.initials: S
authors.lastname: Buchbinder
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003376:Counseling / Q000379:methods; D003625:Data Collection; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D013048:Specimen Handling / Q000379:methods*; D013689:Telephone