In what month were you born?

In what year were you born?

What is your zip code?

This is your County:

What is your gender? Do you identify as:

Female Male Transgender Genderqueer, gender-non-binary, or other Cisgender My gender is not listed here Prefer not to answer

Please describe your race/ethnicity. Please mark one.

Black or African American Asian American Indian or Alaska Native Native Hawaiian or other Pacific Islander Hispanic or Latino White Biracial, multiracial, of mixed race I do not know Prefer not to answer

How would you describe your ability status?

I do not have a disability I do not have a disability, but I do consider myself differently abled I have a disability My experience with disability is not listed here Prefer not to answer

What is your marital status now: are you married, living together with someone as if married, widowed, divorced, or separated?

Married Living together Widowed Divorced Separated I do not know Prefer not to answer

In what year did you graduate from graduate school?

How long have you worked in your current practice?

Less than a year 1-3 years >3-5 years >5-10 years >10-15 years >15-20 years > 20 years I do not know Prefer not to answer

Does your office have a TTY machine that allows individuals to call the office and staff to make outgoing calls?

Yes No I do not know Prefer not to answer

Is your staff familiar with how to use the Relay Service to receive calls and make outgoing calls?

Yes No I do not know Prefer not to answer

Do you allow patients to communicate with your office through email?

Yes No I do not know Prefer not to answer

Does your office provide qualified Sign Language Interpreters or Real Time Captioners, if requested, for patients to facilitate communication during an appointment?

Yes No I do not know Prefer not to answer

Does your office provide assistive listening devices to patients to make it easier for a patient to understand a provider during an appointment?

Yes No I do not know Prefer not to answer

Does your office provide forms, medical information, and instructions, other healthcare related materials related to HIV prevention for patients with vision disabilities in formats other than standard print (i.e. CD, Braille, enlarged print) either as a general practice or on request?

Yes No I do not know Prefer not to answer Yes

Does your office provide additional disability accommodations for patients with disabilities including but not limited to any of the following? Check all that apply.

Providing extended appointment times for individuals with complex medical histories Ensuring appointment times are scheduled in a flexible way for individuals that relay on transit services that do not always run on time Provide assistance in filling out paperwork, including reading and writing information according to HIPAA’s rules I do not know Prefer not to answer Other

Did you receive training on the any of the following? Check all that apply.

Various types of chronic conditions and disabilities Legal requirements presented in the American with Disabilities Act (ADA) Disabilities Awareness Training How to use a TTY How to use the Relay Service How to schedule a sign language interpreter or real time captioner when a patient requests one I do not know Prefer not to answer

Do you always offer HIV testing to patients with disability?

Yes No I do not know Prefer not to answer Other

When was the last time you offered an HIV test to a patient with disability?

Never offered Within the past year (anytime less than 12 months ago) Within the last 2 years (1 year but less than 2 years ago) Within the last 3 years (2 years but less than 3 years ago) Within the last 5 years (3 years but less than 5 years ago) Within the last 10 years (5 years but less than 10 years ago) 10 years ago or more I do not know Prefer not to answer

Why have you never offered an HIV test to a patient with disability? Check all that apply.

Don´t how to communicate information in an accessible manner Patient was not alone and I was afraid to violate privacy Assumed patient had low risk of acquiring HIV Forgot Religious reasons I do not know Prefer not to answer Other

Do you find it more difficult to offer an HIV test to a patient with disabilities than to a non-disabled patient?

Yes No I do not know Prefer not to answer

With a self‐test kit you can test yourself for HIV at home. There are instructions on how to interpret the results. Have you ever counselled a patient with disabilities to test for HIV in private using a self‐test kit?

Yes No I do not know Prefer not to answer

When was the last time you counselled a patient with disabilities to test for HIV in private using a self‐test kit?

Never Within the past year (anytime less than 12 months ago) Within the last 2 years (1 year but less than 2 years ago) Within the last 3 years (2 years but less than 3 years ago) Within the last 5 years (3 years but less than 5 years ago) I do not know Prefer not to answer

Do you think that patients with disability might be at risk for HIV?

Yes No I do not know Prefer not to answer

Do you think that disabled people are at greater risk for HIV/AIDS than non-disabled people?

Yes No I do not know Prefer not to answer Other

Do you think that the chances of patients with disability acquiring HIV are no risk, small risk, moderate risk or great risk?

No risk Small risk Moderate risk Great risk I do not know Prefer not to answer

“PrEP” or pre‐exposure prophylaxis, is daily medicine that can reduce your chance of getting HIV. Have you ever heard of PrEP before now?

Yes No I do not know Prefer not to answer

Have you ever offered PrEP to your patients with disabilities?

Yes No I do not know Prefer not to answer

“PEP” or post‐exposure prophylaxis, is daily medicine that can reduce your chance of getting HIV after exposure to someone of unknown HIV status, or exposure with someone who is HIV‐infected. Have you ever heard of PEP before now?

Yes No I do not know Prefer not to answer

Have you ever offered PEP to patients with disabilities?

Yes No I do not know Prefer not to answer

Do you think the amount of information concerning HIV/AIDS that is reaching the disability community is:

Less than that reaching the general population Equal to that reaching the general population More than that reaching the general population I do not know Prefer not to answer

Have there been large HIV Prevention campaigns (by non-disability organizations) that were inaccessible to the people you serve in the following formats. Check all that apply.

Radio programs Television programs Billboards Complex materials not appropriate for the intellectually disabled Training/education sessions in locations not accessible by wheelchair Training/education sessions in which no sign language or captioning was available for those who are deaf Other I do not know Prefer not to answer

Has there been any attempt by non-disabled organizations to put HIV prevention messages into a format that would be more accessible to people living with disabilities?

Yes No Don´t know Refused

Do you know any disabled people who were not able to be tested for HIV, or had trouble getting tested because of. Check all that apply.

Inaccessible clinics No one willing to treat them No Sign Language translation Other I do not know Prefer not to answer

Do you know any people living with disabilities who could not access health care programs for people with HIV/AIDS or obtain treatment for HIV/AIDS because of their disability?

Yes No Yes I do not know Prefer not to answer

Overall how confident are you in your ability to provide the same quality of care to patients with disability?

Very confident Somewhat confident Not very confident Not very confident Not at all confident I do not know Prefer not to answer

On a scale from 1 to 5 (1 = very poor, 2 = poor, 3 = neutral, 4 = good and 5 = very good), how would you rate the care you provide to patients with disabilities regarding HIV prevention services?

Very poor Poor Neutral Good Very good I do not know Prefer not to answer

What resources do you need to better provide services to your patients with disabilities?

If you would like to be contacted to participate in the key informant interview, please leave your email here

SURVEY CONSENT

Do you confirm that you are at least 18 years old and agree to participate by completing this online survey?

Do you understand that your participation is completely voluntary and you do not have to answer any survey questions you do not want to answer and that your name will in no way be associated with the research findings?

Do you currently live in the United States or United States Territory?

Are you a health care provider?

In what month were you born?

In what year were you born?

What is your zip code?

What is your gender? Do you identify as:

Please describe your race/ethnicity. Please mark one.

How would you describe your ability status?

What is your marital status now: are you married, living together with someone as if married, widowed, divorced, or separated?

What health care provider are you?

In what year did you graduate from graduate school?

How long have you worked in your current practice?

Does your office have a TTY machine that allows individuals to call the office and staff to make outgoing calls?

Is your staff familiar with how to use the Relay Service to receive calls and make outgoing calls?

Do you allow patients to communicate with your office through email?

Does your office provide qualified Sign Language Interpreters or Real Time Captioners, if requested, for patients to facilitate communication during an appointment?

Does your office provide assistive listening devices to patients to make it easier for a patient to understand a provider during an appointment?

Does your office provide forms, medical information, and instructions, other healthcare related materials related to HIV prevention for patients with vision disabilities in formats other than standard print (i.e. CD, Braille, enlarged print) either as a general practice or on request?

Does your office provide additional disability accommodations for patients with disabilities including but not limited to any of the following? Check all that apply.

Did you receive training on the any of the following? Check all that apply.

Do you always offer HIV testing to patients with disability?

When was the last time you offered an HIV test to a patient with disability?

Why have you never offered an HIV test to a patient with disability? Check all that apply.

Do you find it more difficult to offer an HIV test to a patient with disabilities than to a non-disabled patient?

With a self‐test kit you can test yourself for HIV at home. There are instructions on how to interpret the results. Have you ever counselled a patient with disabilities to test for HIV in private using a self‐test kit?

When was the last time you counselled a patient with disabilities to test for HIV in private using a self‐test kit?

Do you think that patients with disability might be at risk for HIV?

Do you think that disabled people are at greater risk for HIV/AIDS than non-disabled people?

Do you think that the chances of patients with disability acquiring HIV are no risk, small risk, moderate risk or great risk?

Why do you feel patients with disability are at moderate or great risk of acquiring HIV? Check all that apply.

“PrEP” or pre‐exposure prophylaxis, is daily medicine that can reduce your chance of getting HIV. Have you ever heard of PrEP before now?

Have you ever offered PrEP to your patients with disabilities?

“PEP” or post‐exposure prophylaxis, is daily medicine that can reduce your chance of getting HIV after exposure to someone of unknown HIV status, or exposure with someone who is HIV‐infected. Have you ever heard of PEP before now?

Have you ever offered PEP to patients with disabilities?

Do you think the amount of information concerning HIV/AIDS that is reaching the disability community is:

Have there been large HIV Prevention campaigns (by non-disability organizations) that were inaccessible to the people you serve in the following formats. Check all that apply.

Has there been any attempt by non-disabled organizations to put HIV prevention messages into a format that would be more accessible to people living with disabilities?

Do you know any disabled people who were not able to be tested for HIV, or had trouble getting tested because of. Check all that apply.

Do you know any people living with disabilities who could not access health care programs for people with HIV/AIDS or obtain treatment for HIV/AIDS because of their disability?

Overall how confident are you in your ability to provide the same quality of care to patients with disability?

On a scale from 1 to 5 (1 = very poor, 2 = poor, 3 = neutral, 4 = good and 5 = very good), how would you rate the care you provide to patients with disabilities regarding HIV prevention services?

What resources do you need to better provide services to your patients with disabilities?

If you would like to be contacted to participate in the key informant interview, please leave your email here