title: Increasing willingness to be tested for human immunodeficiency virus in the emergency department during off-hour tours: a randomized trial.
abstract: 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.
authors.affiliation: Emergency Medicine Department, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA. ycal333@yahoo.com
authors.forename: Yvette
authors.initials: Y
authors.lastname: Calderon
authors.forename: Marianne
authors.initials: M
authors.lastname: Haughey
authors.forename: Jason
authors.initials: J
authors.lastname: Leider
authors.forename: Polly E
authors.initials: PE
authors.lastname: Bijur
authors.forename: Paul
authors.initials: P
authors.lastname: Gennis
authors.forename: Laurie J
authors.initials: LJ
authors.lastname: Bauman
mesh_terms: 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