1. inSPOT Training 101 Nevada State Health Division Office of Epidemiology Lazara Paz, MPH STD Prevention and Control Program Manager Sandi Noffsinger, MPH HIV/STD Surveillance and Control Program Manager

2. inSPOT http://www.inSPOT.org/ http://www.inSPOT.org/ inSPOT developed by Internet Sexuality Information Services (ISIS) A peer-to-peer, Web-based, STD partner notification system A website that uses electronic postcards (e-cards) to assist people in disclosing an STD diagnosis to their sex partner(s) Not to replace the use of traditional partner services referrals, per your jurisdiction

3. Uses… Used by infected persons who are unwilling or unable to disclose partner identifying information May be used by local health dept or the client when they have limited locating info A great option when policy, limited staff, or funding prohibit the delivery of traditional partner services DIS staff may assist the client by providing internet access & facilitating the sending of the postcard

4. Same Mission…New Tool inSPOTPartner Referral Packet Traditional PS Notification Method Disease Intervention

5. Notification Services 1.Go to www.inspot.org 2. Click TELL THEM 3. Select Languagewww.inspot.org 4. Select Region: NEVADA 5. Pick A Card6. Create, Preview, Send

6. Examples of cards

7. Information Required Fields inSPOT e-cards require: Personal Message STD Gender Sexual Partner Zip Code Recipient email address(es) Sender email address(es) or ANONYMOUSLY Age Range Race/Ethnicity

8. Security and Guidelines Can not use inSPOT.org postcards as a means to send commercial advertisements or web pages redirected to pay sites. Personal information is not stored anywhere, and so can not be shared, forwarded or sold Any expressions of hatred, bigotry, abuse or harassment will not be tolerated by inSPOT.org If clients are having problems with a person who may have maliciously sent ecards from the site, please contact inSPOT at feedback@inspot.org.feedback@inspot.org A Security Question will be asked before sending; prevents automated programs from sending cards

9. Email Notification Format Based on card selected by sender: Recipient can click on card and it will take you to the respective disease info page

10. Technical Limitations Higher-speed internet (flash player use) Use with Internet Explorer or Firefox only Pop-up blockers Anonymous cards may go to spam and junkmail folders Must be sent to a valid email address (social networking or dating sites names are not valid) inSPOT and your local jurisdiction is not held liable for any (emotional or physical) damages incurred from sending e-cards.

11. Testing Services Test site locations are a click away… 1. Select Country2. Select by ZIP or by STATE/REGION

12. Other Site Uses 1. STD Info2. e-Reources

13. Data & Use Evaluation How many e-cards have been sent out? How many people present for services as a result of an inSPOT notification? Which infections are clients notifying partners of? Of those who receive an e-card, how many look up a test site in their area? Are your facilities/STD clinic willing to modify intake forms and provide activity reports based on: 1. # of clients presented as a referral to inSPOT 2. # of clients presenting with a partner referral card or email notification 3. How many people say they will use inSPOT for notification?

14. Output Measures Does measure: Number of cards sent Number of diseases selected “Click-through” rate Anonymous senders (and how many clicked through card) Personalized messaged used in card Number of recipients sent Doesn’t measure: No specific jurisdiction info, race/ethnicity or age data ISIS does not have data on the proportion of site users who ultimately access STD testing as a direct result of receiving an e-card. ISIS does not have specific data linking site users to STD diagnoses.

15. Access to Output Data NSHD has regular access to data Based on usage, a biannual report will be provided to local jurisdictions electronically Upon increased usage, data is available on a need basis

16. Getting the WORD out… Palm cards (business card-like, double sided items targeted at African-Americans, MSM and Hetero-couples) Social media sites (local HD websites, Tumblr, Facebook and Twitter) Word-of-mouth

17. Contact Us Lazara Paz, MPH STD Prevention and Control Program Manager lpaz@health.nv.gov 702.486.6515 x 239 Sandi Noffsinger, MPH HIV/STD Surveillance and Control Program Manager snoffsinger@health.nv.gov 702.486.6515 x 261.org