Evidence mapPaperPMID 32785665Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Usability and Acceptability of Home-based Self-testing for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Antibodies for Population Surveillance.

Christina Atchison, Philippa Pristerà, Emily Cooper, Vasiliki Papageorgiou, Rozlyn Redd, Maria Piggin, Barnaby Flower, Gianluca Fontana, Sutha Satkunarajah, Hutan Ashrafian and 11 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07200401 (A Feasibility Study to Explore the Safety, Acceptability and Potential Cost Effectiveness of Self-swabbing at Home to Obtain Usable Surgical Wound Culture Swabs), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07200401 nacompletednot on this mapstarted 2026, after this paper: background citation

A Feasibility Study to Explore the Safety, Acceptability and Potential Cost Effectiveness of Self-swabbing at Home to Obtain Usable Surgical Wound Culture Swabs

TypeinterventionalSponsorGuy's and St Thomas' NHS Foundation TrustRan2026 to 2026Enrolled43ConditionsCardiac Surgery, Infection, Soft Tissue, Wound Healing, SwabsArmsSelf-swabbing of surgical wound
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 2 institutions in 1 country.

Christina AtchisonPatient Experience Research Centre, School of Public Health, Imperial College London, United Kingdom.
Philippa PristeràPatient Experience Research Centre, School of Public Health, Imperial College London, United Kingdom.
Emily CooperPatient Experience Research Centre, School of Public Health, Imperial College London, United Kingdom.
Vasiliki PapageorgiouPatient Experience Research Centre, School of Public Health, Imperial College London, United Kingdom.
Rozlyn ReddPatient Experience Research Centre, School of Public Health, Imperial College London, United Kingdom.
Maria PigginPatient Experience Research Centre, School of Public Health, Imperial College London, United Kingdom.
Barnaby FlowerImperial College Healthcare NHS Trust, United Kingdom.
Gianluca FontanaInstitute of Global Health Innovation at Imperial College London, United Kingdom.
Sutha SatkunarajahInstitute of Global Health Innovation at Imperial College London, United Kingdom.
Hutan AshrafianInstitute of Global Health Innovation at Imperial College London, United Kingdom.ORCID 0000-0003-1668-0672
Anna Lawrence-JonesInstitute of Global Health Innovation at Imperial College London, United Kingdom.
Lenny NaarInstitute of Global Health Innovation at Imperial College London, United Kingdom.
Jennifer ChigwendeREACT Public Advisory Board, School of Public Health, Imperial College London, United Kingdom.
Steve GibbardREACT Public Advisory Board, School of Public Health, Imperial College London, United Kingdom.
Steven RileyMRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, United Kingdom.
Ara DarziInstitute of Global Health Innovation at Imperial College London, United Kingdom.
Paul ElliottImperial College Healthcare NHS Trust, United Kingdom.ORCID 0000-0002-7511-5684
Deborah AshbySchool of Public Health, Imperial College London, United Kingdom.
Wendy BarclayDepartment of Infectious Disease, Imperial College London, United Kingdom.
Graham S CookeDepartment of Infectious Disease, Imperial College London, United Kingdom.
Helen WardPatient Experience Research Centre, School of Public Health, Imperial College London, United Kingdom.
Imperial College London · GBImperial College Healthcare NHS Trust · GB

Funding

British Heart Foundation RE/18/4/34215Department of Health RP-2016-07-012Medical Research Council MC_PC_19012Medical Research Council MR/J008761/1Medical Research Council MR/R015600/1Medical Research Council MR/S019669/1Wellcome Trust 200861/Z/16/Z
6 · The paper itself

Abstract

backgroundThis study assesses acceptability and usability of home-based self-testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies using lateral flow immunoassays (LFIA).

methodsWe carried out public involvement and pilot testing in 315 volunteers to improve usability. Feedback was obtained through online discussions, questionnaires, observations, and interviews of people who tried the test at home. This informed the design of a nationally representative survey of adults in England using two LFIAs (LFIA1 and LFIA2) which were sent to 10 600 and 3800 participants, respectively, who provided further feedback.

resultsPublic involvement and pilot testing showed high levels of acceptability, but limitations with the usability of kits. Most people reported completing the test; however, they identified difficulties with practical aspects of the kit, particularly the lancet and pipette, a need for clearer instructions and more guidance on interpretation of results. In the national study, 99.3% (8693/8754) of LFIA1 and 98.4% (2911/2957) of LFIA2 respondents attempted the test and 97.5% and 97.8% of respondents completed it, respectively. Most found the instructions easy to understand, but some reported difficulties using the pipette (LFIA1: 17.7%) and applying the blood drop to the cassette (LFIA2: 31.3%). Most respondents obtained a valid result (LFIA1: 91.5%; LFIA2: 94.4%). Overall there was substantial concordance between participant and clinician interpreted results (kappa: LFIA1 0.72; LFIA2 0.89).

conclusionsImpactful public involvement is feasible in a rapid response setting. Home self-testing with LFIAs can be used with a high degree of acceptability and usability by adults, making them a good option for use in seroprevalence surveys.

Indexed as

COVID-19SARS-CoV-2AdultAntibodies, ViralEnglandHumansPopulation SurveillanceSelf-TestingSeroepidemiologic StudiesAntibodies, ViralCOVID-19home-testinglateral flow immunoassaySARS-CoV-2usability

Identifiers

PMID32785665
PMCPMC7454392
OpenAlexW3158772406

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.