Increasing HIV testing engagement through provision of home HIV self-testing kits for patients who decline testing in the emergency department: a pilot randomisation study
| Autor: | Richard E. Rothman, Yu Hsiang Hsieh, Samuel M. Abrams, Mary Jett-Goheen, Anuj V. Patel, Carl A. Latkin, Charlotte A. Gaydos |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Referral Human immunodeficiency virus (HIV) HIV Infections Pilot Projects Dermatology Hiv testing Rate ratio medicine.disease_cause Article Screening programme 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires Medicine Humans Mass Screening 030212 general & internal medicine 030505 public health business.industry Emergency department Middle Aged Triage Test (assessment) Self Care Infectious Diseases Family medicine Female Reagent Kits Diagnostic 0305 other medical science business Emergency Service Hospital |
| Zdroj: | Sex Transm Infect |
| Popis: | ObjectiveUp to 60% of patients decline routine HIV testing offer in US emergency departments (EDs). The objective of this study is to determine whether the provision of HIV self-testing (HIVST) kit would increase engagement of HIV testing among these HIV test ‘Decliners’.MethodsPatients who declined a test offered in an ED-based triage nurse-driven HIV screening programme were enrolled and randomised to either the HIVST or the control group. The patients in the HIVST group received HIVST kits to take home, were encouraged to report test results to an established internet-based STI/HIV testing recruitment website ‘I Want the Kit’ (IWTK) and received five referral cards for their peers to request HIVST kits from IWTK. The control group received pamphlets about publicly available HIV testing sites. HIV testing from both groups after enrolment was determined via telephone follow-up at 1 month. Testing rate ratio (RR) was determined using χ2 tests.ResultsFifty-two patients were randomised to the HIVST group and 48 to the control group. Among all 64 patients completing any follow-up, 14/29 (48%) patients in the HIVST group tested themselves at home with the provided kit. Four of these had never had an HIV test. Only 2/35 (6%) in the control group reported having an HIV test after enrolment (RR: 8.45 (95% CI: 2.09 to 34.17)). 57% (8/14) in the HIVST group reported test results to IWTK.ConclusionProvision of HIVST kits supplements ED-based screening programme and significantly improved engagement of HIV testing among those test ‘Decliners’ in the ED.Trial registration numberNCT03021005, results. |
| Databáze: | OpenAIRE |
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