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Alberta residents aged 16+ enrolled online, completed consent and intake questionnaires, received mailed kits, self-collected swabs, urine, and dried blood spot cards, and received secure result communication. Among 156 participants, 43% returned kits; some reported collection challenges with dried blood spot testing. 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infection (STBBI) testing program: A pilot study  \nInternational Journal of STD & AIDS 2026, Vol. 37(1) 36–45  \n© The Author(s) 2025  \nArticle reuse guidelines:  \n[sagepub.com/journals-permissions](sagepub.com/journals-permissions)  \n[DOI: 10.1177/09564624251371793](DOI: 10.1177/09564624251371793)[ ](DOI: 10.1177/09564624251371793)[journals.sagepub.com/home/std](journals.sagepub.com/home/std)  \nBrandon L. Christensen 1,2, Chantal L. Rytz 1,3, Jason E. Black 1,4, Grace Kwon 1, Nolan E. Hill5, Pam Krause5, Kevin Fonseca 1,6,7, Myles Leslie 1,4,8 􀀁, Deirdre L. Church 1,2,6,7 􀀁, Christopher T. Naugler 1,6,7, Phillip Lacap9, John Kim9, Caley B. Shukalek 1,2,4 and Ranjani Somayaji 1,2,4,10 􀀁  \nAbstract  \nBackground: Rates of sexually transmitted and blood borne infections (STBBI) are rapidly increasing. Despite the high diagnostic accuracy of self-testing, no fully remote STBBI testing programs are available in Canada. We aimed to evaluate the feasibility and acceptability of a fully-remote, web-based, at-home STBBI testing (self-collection) program in Calgary, Canada.  \nMethods: Participants who were Alberta residents aged ≥16 years self-enrolled into a web-based platform between February 2023 and March 2024 and completed consent and intake questionnaires consisting of demographic and sexual health data. Kits were mailed, and samples were self-collected including swabs, urine and dried blood spot cards. Results of processed kits were communicated securely to participants. Surveys to assess the feasibility and acceptability of the process were completed.  \nResults: Of the 156 participants (39.7% men, 37.3 ± 10.5 years) from diverse sex and gender backgrounds who completed the intake, 43%(n = 67) participants returned their testing kits. In the cohort, there was low reported condom use in more than 50%, and 40% had not had STBBI testing in the past 12 months. There were six participants (9.0%) with new positive tests for an STBBI and all were connected with appropriate treatment. Participants largely reported satisfaction with the web-based platform and testing process as well as ease with testing modalities with the except for dried blood spot testing which presented collection challenges.  \nConclusions: Our web-based comprehensive testing pilot was feasible and acceptable, demonstrating the value of such remote approaches to diminishing the threat of rising STBBI rates.  \nKeywords  \nSexually transmitted infections and blood borne infections, remote testing, surveillance, diagnosis, pilot study  \nIntroduction  \nRates of sexually transmitted and blood borne infections (STBBI) have seen a concerning rise in recent decades, with  \nan estimated one million curable cases acquired daily.1 Despite global progress, stigma and discrimination continue to present significant barriers to diagnosis, treatment and prevention strategies.2,3 These barriers are particularly  \n1 Cumming School of Medicine, University of Calgary, Calgary, AB, Canada  \n2 Department of Medicine, University of Calgary, Calgary, AB, Canada  \n3 Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada 4 O’Brien Institute for Public Health, University of Calgary, Calgary, AB,  \nCanada  \n5 Center for Sexuality, Calgary, AB, Canada  \n6 Alberta Precision Laboratories, Calgary, AB, Canada  \n7 Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, AB, Canada  \n8 School of Public Policy, University of Calgary, Calgary, AB, Canada  \n9 National Laboratory for HIV Reference Service, National Microbiology Laboratory Branch, Public Health Agency of Canada, Winnipeg, MB, Canada  \n10 Snyder Institute for Chronic Diseases, University of Calgary, Calgary, AB, Canada  \nCorresponding author:  \nRanjani Somayaji, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada.  \nEmail: rsomayaj@ucalgary.ca  \npronounced in popul","cbCaiemjPYukgisX","https://ap.wps.com/l/cbCaiemjPYukgisX","pdf",656642,"English","# Abstract\n# Introduction\n# Methods\n## Recruitment","[{\"question\":\"What was the purpose of the pilot study?\",\"answer\":\"To evaluate the feasibility and acceptability of a fully remote, web-based, at-home STBBI testing program with self-collection in Calgary, Canada.\"},{\"question\":\"Who could participate and how were they recruited?\",\"answer\":\"Alberta residents aged 16 years and older self-enrolled into a web-based platform between February 2023 and March 2024.\"},{\"question\":\"What samples and testing materials were used at home?\",\"answer\":\"Participants used mailed kits to self-collect swabs, urine, and dried blood spot cards, and processed-kit results were communicated securely.\"}]","Comprehensive at-home sexually transmitted and blood borne infection (STBBI) testing program: A pilot study | PDF",1790758899,25]