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SARS-CoV-2 Testing Service Preferences of Adults in the United States: Discrete Choice Experiment.


ABSTRACT:

Background

Ascertaining preferences for SARS-CoV-2 testing and incorporating findings into the design and implementation of strategies for delivering testing services may enhance testing uptake and engagement, a prerequisite to reducing onward transmission.

Objective

This study aims to determine important drivers of decisions to obtain a SARS-CoV-2 test in the context of increasing community transmission.

Methods

We used a discrete choice experiment to assess preferences for SARS-CoV-2 test type, specimen type, testing venue, and results turnaround time. Participants (n=4793) from the US national longitudinal Communities, Households and SARS-CoV-2 Epidemiology (CHASING) COVID Cohort Study completed our online survey from July 30 to September 8, 2020. We estimated the relative importance of testing method attributes and part-worth utilities of attribute levels, and simulated the uptake of an optimized testing scenario relative to the current typical testing scenario of polymerase chain reaction (PCR) via nasopharyngeal swab in a provider's office or urgent care clinic with results in >5 days.

Results

Test result turnaround time had the highest relative importance (30.4%), followed by test type (28.3%), specimen type (26.2%), and venue (15.0%). In simulations, immediate or same-day test results, both PCR and serology, or oral specimens substantially increased testing uptake over the current typical testing option. Simulated uptake of a hypothetical testing scenario of PCR and serology via a saliva sample at a pharmacy with same-day results was 97.7%, compared to 0.6% for the current typical testing scenario, with 1.8% opting for no test.

Conclusions

Testing strategies that offer both PCR and serology with noninvasive methods and rapid turnaround time would likely have the most uptake and engagement among residents in communities with increasing community transmission of SARS-CoV-2.

SUBMITTER: Zimba R 

PROVIDER: S-EPMC7781587 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

SARS-CoV-2 Testing Service Preferences of Adults in the United States: Discrete Choice Experiment.

Zimba Rebecca R   Kulkarni Sarah S   Berry Amanda A   You William W   Mirzayi Chloe C   Westmoreland Drew D   Parcesepe Angela A   Waldron Levi L   Rane Madhura M   Kochhar Shivani S   Robertson McKaylee M   Maroko Andrew A   Grov Christian C   Nash Denis D  

JMIR public health and surveillance 20201231 4


<h4>Background</h4>Ascertaining preferences for SARS-CoV-2 testing and incorporating findings into the design and implementation of strategies for delivering testing services may enhance testing uptake and engagement, a prerequisite to reducing onward transmission.<h4>Objective</h4>This study aims to determine important drivers of decisions to obtain a SARS-CoV-2 test in the context of increasing community transmission.<h4>Methods</h4>We used a discrete choice experiment to assess preferences fo  ...[more]

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