Addressing unmet need for HIV testing in emergency care settings: A role for computer-facilitated rapid HIV testing?

Ann E. Kurth, Anneleen Severynen, Freya Spielberg

Research output: Contribution to journalArticlepeer-review

Abstract

HIV testing in emergency departments (EDs) remains underutilized. The authors evaluated a computer tool to facilitate rapid HIV testing in an urban ED. Randomly assigned nonacute adult ED patients were randomly assigned to a computer tool (CARE) and rapid HIV testing before a standard visit (n = 258) or to a standard visit (n = 259) with chart access. The authors assessed intervention acceptability and compared noted HIV risks. Participants were 56% nonWhite and 58% male; median age was 37 years. In the CARE arm, nearly all (251/258) of the patients completed the session and received HIV results; four declined to consent to the test. HIV risks were reported by 54% of users; one participant was confirmed HIV-positive, and two were confirmed false-positive (seroprevalence 0.4%, 95% CI [0.01, 2.2]). Half (55%) of the patients preferred computerized rather than face-to-face counseling for future HIV testing. In the standard arm, one HIV test and two referrals for testing occurred. Computer-facilitated HIV testing appears acceptable to ED patients. Future research should assess cost-effectiveness compared with staff-delivered approaches.

Original languageEnglish (US)
Pages (from-to)287-301
Number of pages15
JournalAIDS Education and Prevention
Volume25
Issue number4
DOIs
StatePublished - 2013

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint Dive into the research topics of 'Addressing unmet need for HIV testing in emergency care settings: A role for computer-facilitated rapid HIV testing?'. Together they form a unique fingerprint.

Cite this