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