Improving HIV Rapid Testing Rates Among STD Clinic Patients: a Randomized Controlled Trial

Overview

Journal Health Psychol

Specialty Public Health

Date 2008 Nov 26

PMID 19025280

Citations 17

Authors

Michael P Carey

Patricia Coury-Doniger

Theresa E Senn

Peter A Vanable

Marguerite A Urban

Affiliations

Soon will be listed here.

Abstract

Objective: The Centers for Disease Control and Prevention recommends that HIV testing be a standard part of medical care; however, testing is voluntary and some patients decline. We evaluated 2 brief interventions to promote rapid HIV testing among STD clinic patients who initially declined testing.

Method: Using a randomized controlled trial, patients either viewed an educational digital video disc (DVD) or participated in stage-based behavioral counseling (SBC) provided by a nurse. Sixty clients presenting for care at a STD clinic who initially declined HIV testing at registration and during risk behavior screening participated in the study.

Results: The primary outcome was whether patients agreed to be tested for HIV. The secondary outcomes included attitudes, knowledge, and stage-of-change regarding HIV testing. Patients receiving both interventions improved their attitudes and knowledge about testing (ps < .01). Patients receiving SBC agreed to testing more often (45%) than did patients who viewed the DVD (19%; p < .05).

Conclusions: Brief interventions can increase rapid HIV testing acceptance among patients who are reluctant to be tested; counseling guided by behavioral science theory is more effective than a well-designed information-based intervention.

Citing Articles

A bibliometric analysis of HIV nursing research between 1999 and 2022.

Hao J, Zhang Q, Du X, Wang F, Liu J, Chen J Nurs Open. 2024; 11(4):e2156.

PMID: 38606838 PMC: 11010645. DOI: 10.1002/nop2.2156.

Demand creation for HIV testing services: A systematic review and meta-analysis.

Wagner A, Njuguna I, Neary J, Lawley K, Louden D, Tiwari R PLoS Med. 2023; 20(3):e1004169.

PMID: 36943831 PMC: 10030044. DOI: 10.1371/journal.pmed.1004169.

Transparent reporting of hypotheses and analyses in behavioral medicine research: An audit of publications in 2018 and 2008.

McVay M, Cooper K, Carrera Seoane M, Donahue M, Scherer L Health Psychol Behav Med. 2021; 9(1):285-297.

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Substance use, violence experiences, and mental health issues: are these health risks associated with HIV testing among sexually experienced U.S. high school students?.

Pampati S, Lowry R, Steiner R AIDS Care. 2019; 31(9):1106-1113.

PMID: 31129997 PMC: 8130217. DOI: 10.1080/09540121.2019.1619666.

HIV Point-of-Care Testing in Canadian Settings: A Scoping Review.

Minichiello A, Swab M, Chongo M, Marshall Z, Gahagan J, Maybank A Front Public Health. 2017; 5:76.

PMID: 28459048 PMC: 5394765. DOI: 10.3389/fpubh.2017.00076.

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