Acceptability and feasibility of universal offer of rapid point of care testing for HIV in an acute admissions unit: results of the RAPID project.

PloS One
F BurnsMichael Brown

Abstract

UK guidance recommend all acute medical admissions be offered an HIV test. Our aim was to determine whether a dedicated staff member using a multimedia tool, a model found to be effective in the USA, is an acceptable, feasible, and cost-effective model when translated to a UK setting. Between 14(th) Jan to 12(th) May 2010, a Health advisor (HA) approached 19-65 year olds at a central London acute medical admissions unit (AAU) and offered a rapid HIV point of care test (POCT) with the aid of an educational video. Patients with negative results had the option to watch a post-test video providing risk-reduction information. For reactive results the HA arranged a confirmatory test, and ensured linkage into HIV specialist care. Feasibility and acceptability were assessed through surveys and uptake rates. Costs per case of HIV identified were established. Of the 606 eligible people admitted during the pilot period, 324 (53.5%) could not be approached or testing was deemed inappropriate. In total 23.0% of eligible admissions had an HIV POCT. Of the patients who watched the video and had not recently tested for HIV, 93.6% (131/140) agreed to an HIV test; four further patients had an HIV test but did not watch the video. Three tests (2....Continue Reading

References

Feb 24, 1998·BMJ : British Medical Journal·K M De Cock, A M Johnson
May 5, 2004·Archives of Pediatrics & Adolescent Medicine·Bob K FonsecaJonathan C Craig
May 17, 2005·BMJ : British Medical Journal·Ann K SullivanMargaret A Johnson
Jun 20, 2006·Annals of Emergency Medicine·Yvette CalderonLaurie J Bauman
Jul 30, 2009·Qualitative Health Research·Moji AndersonPhilippa Easterbrook
Aug 25, 2009·AIDS Patient Care and STDs·Yvette CalderonLaurie Bauman
Dec 31, 2009·QJM : Monthly Journal of the Association of Physicians·L PeckM Brown

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Citations

Apr 16, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Yvette CalderonLaurie J Bauman
Sep 20, 2016·British Journal of Hospital Medicine·S KellyN Vaid
Jul 18, 2016·The Journal of the Association of Nurses in AIDS Care : JANAC·Christopher W Blackwell, Frank Guido-Sanz

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