An Effective Alternative to the Standard Referral System for HIV Testing in the Emergency Department During Off Hour Tours: A Randomized Trial

Study Overview
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Brief Summary
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To compare HIV testing rates in ED patients offered video-assisted informed consent off-hours versus those referred to an HIV counselor the next business day.

Detailed Description
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ED-based HIV counseling and testing (C&T) is in its early stages of development. Most urban ED patients requesting or requiring HIV testing are referred to C&T sites that are usually available only during regular business hours. Patient compliance with these referrals has been disappointing. To improve ED access to HIV testing, we developed a video alternative to in-person pre-test counseling to provide the fundamental elements of the counseling. The video was based on the educational elements required by the New York State Department of Health (DOH) for HIV pre-test counseling. In a previous study, we demonstrated that the educational video performed as well as live counselors in conveying the information needed for inner city ED patients to consent to HIV testing. The present study was designed to compare HIV testing rates in ED patients offered video-assisted informed consent for HIV testing versus the standard referral for live C&T the next business day.

Official Title
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An Effective Alternative to the Standard Referral System for HIV Testing in the ED

Conditions
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HIV Counseling and Testing, HIV Infections

Intervention / Treatment
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* Procedure: HIV educational video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients 18 years and older were approached while waiting for ED provider. Exclusion Criteria: Patients who were clinically unstable Unable to understand the consent process Had been HIV tested within 6 months and were informed of the result, or had a confirmed diagnosis of HIV were excluded from the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Educational/Counseling/Training
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: HIV educational video|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HIV testing rates in ED patients offered video-assisted informed consent off-hours versus those referred to an HIV counselor the next business day. |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparing return rates for HIV results in both groups. |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV prevention, HIV screening, Emergency Medicine, HIV counseling and Testing, HIV Seronegativity