Increasing willingness to be tested for human immunodeficiency virus in the emergency department during off-hour tours: a randomized trial.
OBJECTIVE
To test a model designed to increase willingness of patients presenting to the emergency department off hours to be tested for human immunodeficiency virus (HIV) by using a pretest counseling video as a substitute for face-to-face counseling.


METHODS
We conducted a randomized controlled trial comparing the rate of testing in patients randomized to receive video counseling with immediate testing (video group) versus standard care, which was referral to counseling and testing the next day (standard referral group).


RESULTS
Fifty percent of 805 eligible patients consented to participate in the study, indicating willingness to be tested. The HIV testing rate was higher in the video group 92.6% (187 of 202) than in the standard referral group 4.5% (9 of 202) (difference = 88.1%, 95% confidence interval: 83.5%-92.7%). Thirty percent of 187 patients in the video group who were tested returned for their results; 8 of 9 patients in standard care returned to be tested and to get their results.


CONCLUSIONS
Half of the patients who were solicited for HIV testing agreed to be tested. When testing was immediate the patient was more likely to have the test completed.
Calderon
Yvette
Y
Emergency Medicine Department, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA. ycal333@yahoo.com
Haughey
Marianne
M
Leider
Jason
J
Bijur
Polly E
PE
Gennis
Paul
P
Bauman
Laurie J
LJ
D000328:Adult; D003376:Counseling; D004636:Emergency Service, Hospital; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D007258:Informed Consent / Q000706:statistics & numerical data*; D008297:Male; D010353:Patient Education as Topic; D016896:Treatment Outcome; D014743:Videotape Recording