{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:53:22Z","timestamp":1782842002439,"version":"3.54.5"},"reference-count":16,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"\n Background<\/jats:title>\n The incidence of sexually transmitted infections (STIs) is increasing in the United States. The COVID-19 pandemic resulted in significant reductions in access to health care services, including STI testing and treatment, leading to underreporting of STI cases and a need for alternatives to clinic-based testing. Moreover, concerns around confidentiality, accessibility, and stigma continue to limit access to clinic-based STI testing, particularly for high-priority populations. IWantTheKit (IWTK) is a web-based platform that mails free, confidential, self-administered sample collection kits for testing for gonorrhea, chlamydia (both genital and extragenital sites), and vaginal trichomonas. Individuals visiting the IWTK website may select genital, pharyngeal, and rectal samples for chlamydia and gonorrhea testing. Vaginal samples are tested for trichomoniasis. Self-collected samples are processed in a College of American Pathologists\u2013accredited laboratory, and results are posted to an individual\u2019s secure digital account.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to (1) describe users\u2019 experience with the IWTK service through analysis of routine data and (2) optimize retention among current users and expand reach among high-priority populations by responding to user needs through programmatic and functional changes to the IWTK service.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Free-text entries were submitted by IWTK users via a confidential \u201cContact Us\u201d page on the IWTK website from May 17, 2021, to January 31, 2022. All entries were deidentified prior to analysis. Two independent analysts coded these entries using a predefined codebook developed inductively for thematic analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 254 free-text entries were analyzed after removing duplicates and nonsensical entries. Themes emerged regarding the functionality of the website and personal experiences using IWTK\u2019s services. Users\u2019 submissions included requests related to order status, address changes, replacement of old kits, clinical information (eg, treatment options and symptom reports), and reported risk behaviors.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This analysis demonstrates how routine data can be used to propose potential programmatic improvements. IWTK implemented innovations on the website based on the study results to improve users\u2019 experience, including a tracking system for orders, address verification for each order, a physical drop box, additional textual information, direct linkage to care navigation, and printable results. Web-based, mail-order STI testing programs can leverage user feedback to optimize implementation and retention among current users and potentially expand reach among high-priority populations. This analysis is supported by other data that demonstrate how comprehensive support and follow-up care for individuals testing positive are critical components of any self-testing service. Additional formal assessments of the IWTK user experience and efforts to optimize posttesting linkage to care may be needed.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/48670","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:58:09Z","timestamp":1690333089000},"page":"e48670","source":"Crossref","is-referenced-by-count":0,"title":["A Web-Based, Mail-Order Sexually Transmitted Infection Testing Program: Qualitative Analysis of User Feedback"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1714-628X","authenticated-orcid":false,"given":"Abagail","family":"Edwards","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8561-6753","authenticated-orcid":false,"given":"Aries","family":"Nu\u00f1o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1231-1546","authenticated-orcid":false,"given":"Christopher","family":"Kemp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8404-8531","authenticated-orcid":false,"given":"Emily","family":"Tillett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5976-6471","authenticated-orcid":false,"given":"Gretchen","family":"Armington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5773-6852","authenticated-orcid":false,"given":"Rachel","family":"Fink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1277-819X","authenticated-orcid":false,"given":"Matthew M","family":"Hamill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8619-5598","authenticated-orcid":false,"given":"Yukari C","family":"Manabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2023,9,11]]},"reference":[{"key":"ref1","unstructured":"Sexually transmitted disease surveillance 2021Centers for Disease Control and Prevention2023-05-02https:\/\/www.cdc.gov\/std\/statistics\/2021\/default.htm"},{"key":"ref2","unstructured":"2019 STD surveillance reportCenters for Disease Control and Prevention2023-02-10https:\/\/www.cdc.gov\/std\/statistics\/2019\/tables\/2019-STD-Surveillance-State-Ranking-Tables.pdf"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.03.009"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-4-21"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2017-053325"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31818f2ae1"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-08582-z"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001787"},{"key":"ref9","unstructured":"IWantTheKit (IWTK)2023-05-02https:\/\/iwantthekit.org\/"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2013.808730"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-014-0719-x"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303049"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-020-01835-z"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101059"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001675"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/formative.jmir.org\/2023\/1\/e48670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:29:34Z","timestamp":1782840574000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2023\/1\/e48670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,11]]},"references-count":16,"URL":"https:\/\/doi.org\/10.2196\/48670","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.48670","asserted-by":"object"}]},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,11]]}}}