Oral HIV Self-Implemented Testing: Performance Fidelity Among African American MSM

Joseph A. Catania, M. Margaret Dolcini, Gary Harper, Dennis Fortenberry, Ryan R. Singh, Omar Jamil, Amy W. Young, Lance Pollack, E. Roberto Orellana

Research output: Contribution to journalArticlepeer-review


Oral-Self Implemented HIV Testing (Oral-SIT) offers a low-cost way to extend the reach of HIV testing systems. It is unclear, however, if high risk populations are able to perform the test with high fidelity. Using a simulation-based research design, we administered desensitized Oral-SIT kits to African American MSM (AAMSM; 17–24 years, N = 178). Participants were HIV negative or never tested, and had never self-administered an Oral-SIT kit. We assessed performance fidelity, and hypothesized antecedents. High levels of social stigma were associated with lower levels of training knowledge (Range = No Errors: 51.9%, 4 Errors: 0.6%) and performance fidelity (Range = No Errors: 39.9%, 3 Errors: 1.7%). Training knowledge and prior testing history were positively associated with performance fidelity. The present work extends research on HIV-related social stigma and suggests that social stigma inhibits knowledge acquisition and task performance. The Oral-SIT training materials were understood by individuals with a wide-range of educational backgrounds. Interventions are needed, however, to further improve Oral-SIT performance fidelity.

Original languageEnglish (US)
Pages (from-to)395-403
Number of pages9
JournalAIDS and Behavior
Issue number2
StatePublished - Feb 1 2020


  • African American
  • MSM
  • Oral-HIV testing
  • Performance fidelity
  • Social Stigma

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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