We developed and pilot tested a 3-month HIV self-testing intervention called HiSTEP (“HIV Self-testing Engagement Project”) among 95 adult (18+ years) at-risk (condomless sex < 3 months) adults in Kampala, Uganda. HiSTEP leverages theoretically-grounded (in the Information-Motivation-Behavioral Skills model) text messages, a telehealth centre with live support, and “last-mile” HIV self-testing kit delivery to a location chosen by the participant. Nearly 94% of participants were retained at month 3. HIV self-testing was highly acceptable across age and gender groups (94% very satisfied), although older women had slightly lower acceptability ratings (92% very satisfied). Only 13% of participants used HIV self-testing prior to enrollment. Over the 3-month study period, 86% of participants ordered a total of 169 HIV self-testing kits (69% for participant use; 31% for use by others). Findings show that the intervention approach taken in HiSTEP may be particularly valuable for engaging at-risk Ugandan adults in HIV self-testing using a novel technology-assisted promotion and delivery method.

我们在乌干达坎帕拉的 95 名（18 岁以上）有风险（无安全套性行为 < 3 个月）的成年人中开发并试点测试了一项为期 3 个月的 HIV 自我检测干预措施，称为HiSTEP （“HIV 自我检测参与项目”）。高阶利用基于理论的（在信息-动机-行为技能模型中）短信、提供实时支持的远程医疗中心以及将“最后一英里”艾滋病毒自我检测试剂盒交付到参与者选择的位置。近 94% 的参与者在第 3 个月被保留。艾滋病毒自我检测在不同年龄和性别群体中都非常可接受（94% 非常满意），尽管老年女性的可接受性评分略低（92% 非常满意）。只有 13% 的参与者在入学前使用了 HIV 自我检测。在为期 3 个月的研究期间，86% 的参与者共订购了 169 个 HIV 自我检测试剂盒（69% 供参与者使用；31% 供他人使用）。研究结果表明，HiSTEP中采取的干预方法对于使用新技术辅助推广和交付方法让处于危险中的乌干达成年人参与 HIV 自我检测可能特别有价值。