Table 2 Young Sexual Minority Men Sample Quotes by the Consolidated Framework for Implementation Research

Intervention Characteristics:

Aspects of HIVST that may affect uptake and persistence, for example method of testing (e.g., oral fluid vs. fingerstick blood test)

“I do not like getting poked with needles or anything similar so I do not think I would be able to conduct that test on my own. I am squeamish and I would need someone else to conduct that test on me”

Outer Setting

External influences on HIVST implementation including economic, environmental, or political conditions that enable the Outer Setting to impact implementation or delivery of the innovation

“When I used the home blood test it was a huge problem because when I mailed it back to the lab to get results the lab closed and wasn’t able to receive the testing results…The very next day after sending all of the samples in they sent an email asking me to not send it in due to the pandemic”

Inner Setting

Characteristics of the implementing clinic, such as programs or resources addressing the needs and welfare of recipients

“I wouldn’t want pages upon pages of written text. Too overwhelming. I wouldn’t want excessive medical talk. Explain it in simple terms for those that are well not equipped with medical knowledge and use real people”

Characteristics of Individuals

Individual beliefs, knowledge, and other personal attributes that affect HIVST implementation

“I would want the results by email preferably, to maintain privacy and accessibility to the results. You don’t know who will get to the mail that day, so I would prefer to have control”

Process

The planning, execution, and delivery of HIVST implementation

“I feel like some people might feel insecure about picking the test up from a community organization, as your presence might imply your association with it, especially when you are in a small town”