If you build it, will they use it? Use of a Digital Assistant for Self-Reporting of COVID-19 Rapid Antigen Test Results during Large Nationwide Community Testing Initiative [preprint]
Authors
Herbert, CarlyShi, Qiming
Kheterpal, Vik
Nowak, Chris
Suvarna, Thejas
Durnam, Basyl
Schrader, Summer
Behar, Stephanie
Naeem, Syed
Tarrant, Seanan
Kalibala, Ben
Singh, Aditi
Gerber, Ben S
Barton, Bruce
Lin, Honghuang
Cohen-Wolkowiez, Michael
Corbie-Smith, Giselle
Kibbe, Warren
Marquez, Juan
Baek, Jonggyu
Hafer, Nathaniel
Gibson, Laura
O'Connor, Laurel
Broach, John
Heetderks, William
McManus, David
Soni, Apurv
UMass Chan Affiliations
Center for Clinical and Translational ScienceEmergency Medicine
Medicine
Morningside Graduate School of Biomedical Sciences
Population and Quantitative Health Sciences
Document Type
PreprintPublication Date
2022-04-01Keywords
Infectious Diseases (except HIV/AIDS)Digital Assistant
COVID-19
Rapid Antigen Test
UMCCTS funding
Metadata
Show full item recordAbstract
Importance Wide-spread distribution of rapid-antigen tests is integral to the United States’ strategy to address COVID-19; however, it is estimated that few rapid-antigen test results are reported to local departments of health. Objective To characterize how often individuals in six communities throughout the United States used a digital assistant to log rapid-antigen test results and report them to their local Department of Health. Design This prospective cohort study is based on anonymously collected data from the beneficiaries of The Say Yes! Covid Test program, which distributed 3,000,000 rapid antigen tests at no cost to residents of six communities between April and October 2021. We provide a descriptive evaluation of beneficiaries’ use of digital assistant for logging and reporting their rapid antigen test results. Main Outcome and Measures Number and proportion of tests logged and reported to the Department of Health through the digital assistant Results A total of 178,785 test kits were ordered by the digital assistant, and 14,398 households used the digital assistant to log 41,465 test results. Overall, a small proportion of beneficiaries used the digital assistant (8%), but over 75% of those who used it reported their rapid antigen test results to their state public health department. The reporting behavior varied between communities and was significantly different for communities that were incentivized for reporting test results (p < 0.001). In all communities, positive tests were less reported than negative tests (60.4% vs 75.5%; p<0.001). Conclusions and Relevance These results indicate that app-based reporting with incentives may be an effective way to increase reporting of rapid tests for COVID-19; however, increasing the adoption of the digital assistant is a critical first step.Source
Herbert C, Shi Q, Kheterpal V, Nowak C, Suvarna T, Durnam B, Schrader S, Behar S, Naeem S, Tarrant S, Kalibala B, Singh A, Gerber B, Barton B, Lin H, Cohen-Wolkowiez M, Corbie-Smith G, Kibbe W, Marquez J, Baek J, Hafer N, Gibson L, O'Connor L, Broach J, Heetderks W, McManus D, Soni A. If you build it, will they use it? Use of a Digital Assistant for Self-Reporting of COVID-19 Rapid Antigen Test Results during Large Nationwide Community Testing Initiative. medRxiv [Preprint]. 2022 Apr 1:2022.03.31.22273242. doi: 10.1101/2022.03.31.22273242. Update in: JAMA Netw Open. 2022 Aug 1;5(8):e2228885. PMID: 35411338; PMCID: PMC8996627.DOI
10.1101/2022.03.31.22273242Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51339PubMed ID
35411338Notes
This article is a preprint. Preprints are preliminary reports of work that have not been certified by peer review.Related Resources
Now published in JAMA Network Open doi: 10.1001/jamanetworkopen.2022.28885Rights
The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission.ae974a485f413a2113503eed53cd6c53
10.1101/2022.03.31.22273242