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Upon appointment, a trained testing administrator will implement HIVST and provide standard-of-care, real-time pretest and posttest counseling and instructions on how to use the HIVST kit through live-chat applications.

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Control group participants will watch a web-based video promoting HIVST-OIC and receive a free HIVST kit in the same manner. The chatbot will contact the participant to implement HIVST and provide standard-of-care, real-time pretest and posttest counseling and instructions on how to use the HIVST kit through WhatsApp. Intervention group participants will watch a web-based video promoting HIVST-chatbot and receive a free HIVST kit. After completing the baseline telephone survey, participants will be randomized evenly into the intervention or control groups. A total of 528 participants will be recruited through multiple sources, including outreach in gay venues, web-based advertisement, and peer referral.

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Methods: A parallel-group, noninferiority randomized controlled trial will be conducted with Chinese-speaking MSM aged ≥18 years with access to live-chat applications. Objective: This randomized controlled trial primarily aims to establish whether HIVST-chatbot, an innovative HIVST service with web-based real-time instruction and counseling provided by a fully automated chatbot, would produce effects that are similar to HIVST-OIC in increasing HIVST uptake and the proportion of HIVST users receiving counseling alongside testing among MSM within a 6-month follow-up period. The service capacity of HIVST-OIC cannot meet the increasing demands of HIVST. Although the HIVST-OIC was highly effective in increasing HIVST uptake and the proportion of HIVST users receiving counseling along with testing, it required intensive resources to implement and sustain. An HIVST service with web-based real-time instruction, pretest, and posttest counseling provided by trained administrators (HIVST-OIC) was developed by previous projects. Room 508, School of Public Health, Prince of Wales Hospital, Shatin, N.T.Įmail: Counseling support for HIV self-testing (HIVST) users is essential to ensure support and linkage to care among men who have sex with men (MSM).

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