TY - JOUR
T1 - Computer-facilitated rapid HIV testing in emergency care settings
T2 - Provider and patient usability and acceptability
AU - Spielberg, Freya
AU - Kurth, Ann E.
AU - Severynen, Anneleen
AU - Hsieh, Yu Hsiang
AU - Moring-Parris, Daniel
AU - Mackenzie, Sara
AU - Rothman, Richard
PY - 2011
Y1 - 2011
N2 - Providers in emergency care settings (ECSs) often face barriers to expanded HIV testing. We undertook formative research to understand the potential utility of a computer tool, CARE, to facilitate rapid HIV testing in ECSs. Computer tool usability and acceptability were assessed among 35 adult patients, and provider focus groups were held, in two ECSs in Washington State and Maryland. The computer tool was usable by patients of varying computer literacy. Patients appreciated the tool's privacy and lack of judgment and their ability to reflect on HIV risks and create risk reduction plans. Staff voiced concerns regarding ECS-based HIV testing generally, including resources for follow-up of newly diagnosed people. Computer-delivered HIV testing support was acceptable and usable among low-literacy populations in two ECSs. Such tools may help circumvent some practical barriers associated with routine HIV testing in busy settings though linkages to care will still be needed.
AB - Providers in emergency care settings (ECSs) often face barriers to expanded HIV testing. We undertook formative research to understand the potential utility of a computer tool, CARE, to facilitate rapid HIV testing in ECSs. Computer tool usability and acceptability were assessed among 35 adult patients, and provider focus groups were held, in two ECSs in Washington State and Maryland. The computer tool was usable by patients of varying computer literacy. Patients appreciated the tool's privacy and lack of judgment and their ability to reflect on HIV risks and create risk reduction plans. Staff voiced concerns regarding ECS-based HIV testing generally, including resources for follow-up of newly diagnosed people. Computer-delivered HIV testing support was acceptable and usable among low-literacy populations in two ECSs. Such tools may help circumvent some practical barriers associated with routine HIV testing in busy settings though linkages to care will still be needed.
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U2 - 10.1521/aeap.2011.23.3.206
DO - 10.1521/aeap.2011.23.3.206
M3 - Article
C2 - 21696240
AN - SCOPUS:79959845005
SN - 0899-9546
VL - 23
SP - 206
EP - 221
JO - AIDS Education and Prevention
JF - AIDS Education and Prevention
IS - 3
ER -