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At-home self-collection of saliva, oropharyngeal swabs and dried blood spots for SARS-CoV-2 diagnosis and serology: post-collection acceptability of specimen collection process and patient confidence in specimens
Mariah Valentine-Graves; Eric Hall; Jodie Lynn Guest; Elizabeth Adam; Rachel Valencia; Isabel Hardee; Kaitlin Shinn; Travis Howard Sanchez; Aaron J Siegler; Patrick S Sullivan.
Affiliation
  • Mariah Valentine-Graves; Emory University
  • Eric Hall; Emory University
  • Jodie Lynn Guest; Emory University
  • Elizabeth Adam; Emory University
  • Rachel Valencia; Emory University
  • Isabel Hardee; Emory University
  • Kaitlin Shinn; Emory University
  • Travis Howard Sanchez; Emory University
  • Aaron J Siegler; Emory University
  • Patrick S Sullivan; Emory University
Preprint in English | medRxiv | ID: ppmedrxiv-20127845
Journal article
A scientific journal published article is available and is probably based on this preprint. It has been identified through a machine matching algorithm, human confirmation is still pending.
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ABSTRACT
BackgroundOptions to increase the ease of testing for SARS-CoV-2 infection and immune response are needed. Self-collection of diagnostic specimens at home offers an avenue to allow people to test for SARS-CoV-2 infection or immune response without traveling to a clinic or laboratory. Before this study, survey respondents indicated willingness to self-collect specimens for COVID-related tests, but hypothetical willingness can differ from post-collection acceptability after participants collect specimens. Methods153 US adults were enrolled in a study of the willingness and feasibility of patients to self-collect three diagnostic specimens (saliva, oropharyngeal swab (OPS) and dried blood spot (DBS) card) while observed by a clinician through a telehealth session. After the specimens were collected, 148 participants participated in a survey about the acceptability of the collection, packing and shipping process, and their confidence in the samples collected for COVID-related laboratory testing. ResultsA large majority of participants (>84%) reported that collecting, packing and shipping of saliva, OPS, and DBS specimens were acceptable. Nearly nine in 10 (87%) reported being confident or very confident that the specimens they collected were sufficient for laboratory analysis. There were no differences in acceptability for any specimen type, packing and shipping, or confidence in samples by gender, age, race/ethnicity, or educational level. ConclusionsSelf-collection of specimens for SARS-CoV-2 testing and preparing and shipping specimens for analysis were acceptable in a diverse group of US adults. Further refinement of materials and instructions to support self-collection of saliva, OPS and DBS specimens for COVID-related testing is needed. Trial registrationNo intervention was tested in this study
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Full text: Available Collection: Preprints Database: medRxiv Type of study: Diagnostic study / Observational study / Rct Language: English Year: 2020 Document type: Preprint
Full text: Available Collection: Preprints Database: medRxiv Type of study: Diagnostic study / Observational study / Rct Language: English Year: 2020 Document type: Preprint
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