Interaction with residents |
The project team should include people who have already built up trust to the homeless community |
Be prepared for multiple languages and guarantee barrier-free communication |
Use audio- and video formats for provision of information |
Informed consent and sample collection may be influenced by intoxication of residents |
It's a nice way to talk to people you didn't know before. Many were happy about the conversation |
Willingness for participation |
During the cold season, homeless people might have other priorities, consider needs and daily routine of the residents in the planning |
Specimen collection |
Patience and understanding for repeated instructions are needed |
With more flexible times of sample collection, we could have reached more residents |
Without assistance, the collection would have not been possible for several residents |
Staff and workload |
Good and continuous communication among the health workers, social workers and language mediators, as well as supervision was essential |
Additional staff is needed due to high workload of monitoring activities |
Benefits for residents and staff should be identified and emphasised. The monitoring gave me a feeling of security in the shelter |
Ethical considerations |
Information on data use and consequences of a positive test result should be transparent |
Accept a “no”, take people as they are |