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. 2021 Nov 17;3(4):dlab161. doi: 10.1093/jacamr/dlab161

Table 3.

Results of the patient questionnaires for the three swab screening scenarios

Question Scenario Disagree + strongly disagree Slightly disagree Slightly agree Agree + Strongly agree I don’t know; NA
Before collection of the swab

I found the explanation on the instruction form clear 1. Patient home (37) 2.7% 0.0% 10.8% 86.5% 0.0%
2. Patient hospital (334) 3.3% 1.8% 2.4% 90.4% 2.1%

I found the explanation I received prior to collection of the swab clear 3. HP hospital (37) 5.4% 2.7% 5.4% 81.1% 5.4%

I was afraid that I was physically incapable to collect the swab properly 1. Patient home (40) 92.5% 0.00% 2.5% 5.0% 0.0%
2. Patient hospital (342) 86.0% 2.9% 5.6% 3.2% 2.3%
3. HP hospitala (4) 75.0% 25.0% 0.0% 0.0% 0.0%

I was confident that I could collect the swab properly 1. Patient home (40) 10.0% 2.5% 5.0% 82.5% 0.0%
2. Patient hospital (341) 4.7% 3.5% 5.0% 84.8% 2.1%
3. HP hospitala (4) 25.0% 50.0% 0.0% 25.0% 0.0%

I was confident that the doctor/nurse was capable to collect the swab properly 1. Patient home NA NA NA NA NA
2. Patient hospital NA NA NA NA NA
3. HP hospital (37) 0.0% 0.0% 2.7% 91.9% 5.4%

I was afraid to hurt myself when collecting the swab 1. Patient home (37) 89.2% 2.7% 5.4% 2.7% 0.0%
2. Patient hospital (331) 87.0% 2.1% 4.8% 3.6% 2.4%

I was afraid that collecting the swab would hurt 3. HP hospital (37) 78.4% 2.7% 8.1% 8.1% 2.7%

I appreciated the opportunity to collect the swab myself 1. Patient home (37) 5.4% 0.0% 0.0% 89.2% 5.4%
2. Patient hospital (329) 7.6% 3.7% 6.4% 73.0% 9.4%
3. HP hospital NA NA NA NA NA

I appreciated being able to decide when to collect the swab 1. Patient home (36) 5.6% 0.0% 0.0% 80.6% 13.9%
2. Patient hospital NA NA NA NA NA
3. HP hospital NA NA NA NA NA

I was afraid that it would be difficult to collect the swab 1. Patient home (40) 77.5% 2.5% 12.5% 7.5% 0.0%
2. Patient hospital (337) 80.7% 4.8% 5.9% 6.5% 2.1%
3. HP hospitala (4) 50.0% 0.0% 25.0% 25.0% 0.0%

I was afraid I couldn’t collect the swab on my own 1. Patient home (40) 82.5% 0.0% 5.0% 12.5% 0.0%
2. Patient hospital (337) 84.3% 5.0% 4.2% 4.5% 2.1%
3. HP hospitala (4) 75.0% 0.0% 0.0% 25.0% 0.0%

During collection of the swab

I was able to collect the swab on my own 1. Patient home (37) 0.0% 0.0% 0.0% 97.3% 2.7%
2. Patient hospital (330) 5.5% 1.5% 2.1% 89.7% 1.2%
3. HP hospital NA NA NA NA NA

I felt that, if needed, I could ask for help with the collection of the swab 1. Patient home (37) 24.3% 2.7% 5.4% 48.7% 18.9%
2. Patient hospital (327) 28.1% 4.3% 4.3% 48.3% 15.0%
3. HP hospital NA NA NA NA NA

I was physically capable to collect the swab properly 1. Patient home (37) 2.7% 2.7% 0.0% 91.9% 2.7%
2. Patient hospital (326) 2.5% 1.2% 3.1% 92.0% 1.2%
3. HP hospital NA NA NA NA NA

I found it difficult to collect the swab 1. Patient home (37) 86.5% 2.7% 2.7% 5.4% 2.7%
2. Patient hospital (327) 81.7% 2.5% 7.0% 6.4% 2.5%
3. HP hospital NA NA NA NA NA
I found it annoying to touch myself in the area of the anus and intestine 1. Patient home (37) 81.1% 2.7% 5.4% 8.1% 2.7%
2. Patient hospital (326) 86.5% 2.5% 5.2% 3.1% 2.8%
3. HP hospital NA NA NA NA NA

I found it difficult to insert the cotton swab 1. Patient home (37) 67.6% 8.1% 16.2% 5.4% 2.7%
2. Patient hospital (326) 76.1% 4.9% 9.5% 7.1% 2.5%
3. HP hospital NA NA NA NA NA

I wasn’t sure if I had inserted the cotton swab deep enough 1. Patient home (37) 48.7% 10.8% 24.3% 13.5% 2.7%
2. Patient hospital (324) 55.6% 5.6% 17.0% 17.9% 4.0%
3. HP hospital NA NA NA NA NA

I was afraid that the cotton swab might break while collecting the swab 1. Patient home (37) 81.1% 2.7% 10.8% 2.7% 2.7%
2. Patient hospital (326) 86.5% 3.1% 4.0% 4.0% 2.5%

I was afraid that the cotton swab might break during the swab collection 3. HP hospital (41) 80.5% 0.0% 0.0% 7.3% 12.2%

I experienced pain while collecting the swab 1. Patient home (40) 80.0% 5.0% 7.5% 5.0% 2.5%
2. Patient hospital (334) 86.8% 2.1% 6.9% 2.4% 1.8%

I experienced pain while the swab was collected 3. HP hospital (41) 85.4% 2.4% 0.0% 9.8% 2.4%

I felt shame while collecting the swab 1. Patient home (40) 87.5% 2.5% 0.0% 5.0% 5.0%
2. Patient hospital (334) 94.0% 1.5% 1.2% 0.9% 2.4%

I felt shame while the swab was collected 3. HP hospital (41) 85.4% 0.0% 4.9% 7.3% 2.4%

I found it unsanitary to collect the swab myself 1. Patient home (37) 86.5% 2.7% 5.4% 2.7% 2.7%
2. Patient hospital (325) 91.1% 1.9% 0.6% 3.7% 2.8%
3. HP hospital NA NA NA NA NA

I felt enough privacy while the swab was collected 1. Patient home NA NA NA NA NA
2. Patient hospital (334) 9.6% 1.8% 1.5% 84.1% 3.0%
3. HP hospital (41) 2.4% 2.4% 2.4% 87.8% 4.9%

I am confident that I have collected the swab properly 1. Patient home (37) 2.7% 2.7% 8.1% 83.8% 2.7%
2. Patient hospital (325) 4.9% 2.8% 8.9% 80.3% 3.1%

I am confident that the swab has been properly collected 3. HP hospital (36) 2.8% 2.8% 0.0% 91.7% 2.8%

After collection of the swab

I was concerned that the cotton swab would contact unsanitary surfaces before it was placed into the tube 1. Patient home (37) 86.5% 0.0% 13.5% 0.0% 0.0%
2. Patient hospital (324) 82.7% 2.5% 8.3% 4.3% 2.2%
3. HP hospital NA NA NA NA NA

I was concerned I would spill liquid from the tube 1. Patient home (37) 73.0% 2.7% 21.6% 2.7% 0.0%
2. Patient hospital (324) 83.6% 0.9% 8.3% 4.9% 2.2%
3. HP hospital NA NA NA NA NA

I found it difficult to break the cotton stick in the tube 1. Patient home (37) 86.5% 5.4% 5.4% 2.7% 0.0%
2. Patient hospital (324) 88.9% 2.5% 4.0% 2.8% 1.9%
3. HP hospital NA NA NA NA NA

I found it annoying to keep the tube in the refrigerator after sampling 1. Patient home (36) 72.2% 2.8% 0.0% 5.6% 19.4%
2. Patient hospital NA NA NA NA NA
3. HP hospital NA NA NA NA NA
It was clear how the tube should be packed in the special transport system 1. Patient home (37) 18.9% 10.8% 2.7% 67.6% 0.0%

It was clear how the tube should be packed 2. Patient hospital (324) 5.9% 0.6% 1.9% 89.8% 1.9%
3. HP hospital NA NA NA NA NA

It was clear where the tube should be hand in 1. Patient home NA NA NA NA NA
2. Patient hospital (324) 7.4% 2.8% 3.4% 85.2% 1.2%
3. HP hospital NA NA NA NA NA

I was afraid the package would get damaged or lost in the mail 1. Patient home (36) 66.7% 2.8% 11.1% 2.8% 16.7%
2. Patient hospital NA NA NA NA NA
3. HP hospital NA NA NA NA NA

I was concerned about the result of the test 1. Patient home (40) 70.0% 5.0% 10.0% 12.5% 2.5%
2. Patient hospital (332) 62.7% 4.8% 12.7% 13.6% 6.3%
3. HP hospital (41) 51.2% 4.9% 22.0% 17.1% 4.9%

HP, healthcare provider; NA, not applicable.

a

Question was only asked to four patients (self-sampling scenario) who indicated that the swab was collected by the healthcare provider at the patient’s request.