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Randomized Controlled Trial
. 2015 Nov;19(11):2025-35.
doi: 10.1007/s10461-015-1103-1.

Factors Influencing Uptake of Rapid HIV and Hepatitis C Screening Among Drug Misusing Adult Emergency Department Patients: Implications for Future HIV/HCV Screening Interventions

Roland C Merchant  1   2 , Allison K DeLong  3 , Tao Liu  4 , Janette R Baird  5
Affiliations
Randomized Controlled Trial

Factors Influencing Uptake of Rapid HIV and Hepatitis C Screening Among Drug Misusing Adult Emergency Department Patients: Implications for Future HIV/HCV Screening Interventions

Roland C Merchant et al. AIDS Behav. 2015 Nov.

Abstract

In this randomized, controlled trial among 957 English- or Spanish-speaking drug misusing adult emergency department (ED) patients, we determined if a tailored brief intervention (BI) increased uptake of rapid HIV/HCV screening, and identified factors associated with greater screening uptake. Rapid HIV/HCV screening uptake was greater in the control than the BI arm (45 vs. 38 %; p < 0.04). Screening uptake depended on elapsed study time and which research staff member offered testing. In the control arm, uptake was lowest for those spending <30 or ≥90 min in the study. In the BI arm, screening uptake generally increased over time. Tailored BI content specifically addressing participant HIV/HCV knowledge, HIV/HCV risk behaviors, or need for HIV/HCV screening was not associated with greater screening uptake. These study findings suggested factors that should be considered when designing future ED-based screening initiatives, such as elapsed study time, who offers testing, and the content of interventions.

Keywords: Drug abuse; Emergency medicine; HIV; Hepatitis C; Intervention studies; Mass screening.

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Figures

Fig. 1
Fig. 1
Eligibility assessment and enrollment flow diagram
Fig. 2
Fig. 2
Generalized additive model plots of the relationship between the log-odds of HIV/HCV screening uptake and time elapsed in the study by study arm
See this image and copyright information in PMC

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