{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:36:53Z","timestamp":1789148213760,"version":"build-2803163510"},"reference-count":30,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PHE-114129"],"award-info":[{"award-number":["PHE-114129"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PHE-318068"],"award-info":[{"award-number":["PHE-318068"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2018,11,1]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Internet-based HIV testing offers the potential to address privacy-related barriers to testing and increase frequency of testing but may result in missed opportunities related to sexual health education and prevention that typically occur in face-to-face encounters. In this study, we assessed the HIV test knowledge and sexual risk behaviour of clients testing for HIV through<jats:italic>GetCheckedOnline<\/jats:italic>, an internet-based sexually transmitted and bloodborne infection testing platform inclusive of HIV testing, in comparison to clients testing through a large sexual health clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We concurrently recruited<jats:italic>GetCheckedOnline<\/jats:italic>clients and clinic clients from Vancouver, Canada, over the course of a 10-month period during 2015\u20132016. Participants completed baseline and 3-month questionnaires, anonymous and online. A six-item score was used to estimate knowledge of HIV test concepts typically conveyed during an HIV pretest encounter in a clinic. We used multiple regression to estimate associations between testing modality (online vs clinic based) and two outcomes\u2014HIV test knowledge and change in condom use pre\/post-test\u2014with adjustment for relevant background factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 352 participants, online testers demonstrated higher HIV post-test knowledge than clinic-based testers (mean score 4.65\/6 vs 4.09\/6; p&lt;0.05); this difference was reduced in adjusted analysis (p&gt;0.05). Men who have sex with men, clients with a university degree, those who have lived in Canada &gt;10 years and English speakers had higher HIV post-test knowledge (p&lt;0.05). Eighteen per cent of online testers and 10% of clinic-based testers increased condom use during the 3 months post-test (p&gt;0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this comparative study between online and clinic-based testers, we found no evidence of decreased HIV test knowledge or decreased condom use following HIV testing through<jats:italic>GetCheckedOnline<\/jats:italic>. Our findings suggest that with careful design and attention to educational content, online testing services may not lead to missed opportunities for HIV education and counselling.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2018-053652","type":"journal-article","created":{"date-parts":[[2019,1,13]],"date-time":"2019-01-13T22:25:20Z","timestamp":1547418320000},"page":"102-107","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Post-test comparison of HIV test knowledge and changes in sexual risk behaviour between clients accessing HIV testing online versus in-clinic"],"prefix":"10.1136","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5699-5444","authenticated-orcid":false,"given":"Travis","family":"Salway","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Thomson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darlene","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devon","family":"Haag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Elliot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher K","family":"Fairley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy","family":"Grennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Shoveller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Ogilvie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Gilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,1,13]]},"reference":[{"key":"2024092304402092000_95.2.102.1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000200497.14326.fb"},{"key":"2024092304402092000_95.2.102.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000149783.67826.4d"},{"key":"2024092304402092000_95.2.102.3","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31816fcb0a"},{"key":"2024092304402092000_95.2.102.4","doi-asserted-by":"crossref","DOI":"10.2196\/resprot.6293","article-title":"Get checked\u2026 where? the development of a comprehensive, integrated internet-based testing program for sexually transmitted and blood-borne infections in British Columbia, Canada","volume":"5","author":"Gilbert","year":"2016","journal-title":"JMIR Res Protoc"},{"key":"2024092304402092000_95.2.102.5","doi-asserted-by":"crossref","unstructured":"Gilbert M , Thomson K , Salway T , et al . 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