EACS2023: 476 Fostering Patient-Clinician communication to promote rapid HIV, HBV, and HCV diagnostic testing: the conceptual development of a multilingual application C. Brown , G. Roucoux , O. Torrent-Roussel , S. Ali , L. Yombo-Kokule , J.E. Chaplin , O. Chassany , M. Duracinsky Université Paris Cité, Inserm, ECEVE, UMR-S 1123, Paris, France, Hôpital Hôtel-Dieu, AP-HP, Patient-Reported Outcomes Research (PROQOL), Unité de Recherche Clinique en Economie de la Santé (URC-ECO), Paris, France, Gothenburg University, Institute of Health and Care Sciences, University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, Gothenburg, Sweden, Hôpital Bicêtre, AP-HP, Service de Médecine Interne et d'Immunologie Clinique, Le Kremlin-Bicêtre, France General data Abstract category: Access and delivery of care Abstract body Purpose: Clinicians often fail to offer rapid diagnostic testing (RDT) for HIV, HBV, and HCV when a language barrier exists thus testing opportunities are missed. Despite their effectiveness, in-person interpreters are costly and underused in practice resulting in the use of ad hoc interpreters although digital solutions exist to establish communication concordance. The development of a multilingual and multicultural application has never been documented in France. Our goal is to design a multilingual application to overcome language barriers to promote rapid diagnostic testing of HIV, HBV, and HCV in the non-Francophone migrant population in France. Method: A combination of qualitative methods and agile development were used. We conducted 2 focus groups with 12 participants, including physicians, nurses, and social workers conducting RDT, and 1 modified Delphi survey with 68 participants including physicians and nurses. Focus groups explored the content (risk factors, medical history), functions (cultural adaptation, instant translation), and interface ergonomics (graphics, font) needed in the application. The Delphi presented 95 items the researchers sought to include in the application. User testing of prototype was conducted with 23 migrant patients and 8 healthcare providers. Results: AIDA application contains both migrant and clinician interfaces, includes a sociodemographic questionnaire and risk assessment, health literacy, and testing barriers questionnaires available in 11 languages. Educational content is related to HIV, HBV, and HCV along with the ability to understand if the migrant agrees to be tested. We found that both migrants and healthcare professionals are majoritarily in favour of using the application. Participants found the app user-friendly and provided feedback used to improve content and usability. Conclusions: We conceptualised a multilingual application that aims to promote and increase acceptance of RDT for HIV, HBV, and HCV to overcome testing barriers in the non-Francophone migrant population. An implementation study is underway to validate the application. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 1,2 2 1 1 3 1,2 1,2,4 1 2 3 4 22 19TH EUROPEAN AIDS CONFERENCE | WARSAW 2023
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