title: Computer-facilitated rapid HIV testing in emergency care settings: provider and patient usability and acceptability.
abstract: Providers in emergency care settings (ECSs) often face barriers to expanded HIV testing. We undertook formative research to understand the potential utility of a computer tool, "CARE," to facilitate rapid HIV testing in ECSs. Computer tool usability and acceptability were assessed among 35 adult patients, and provider focus groups were held, in two ECSs in Washington State and Maryland. The computer tool was usable by patients of varying computer literacy. Patients appreciated the tool's privacy and lack of judgment and their ability to reflect on HIV risks and create risk reduction plans. Staff voiced concerns regarding ECS-based HIV testing generally, including resources for follow-up of newly diagnosed people. Computer-delivered HIV testing support was acceptable and usable among low-literacy populations in two ECSs. Such tools may help circumvent some practical barriers associated with routine HIV testing in busy settings though linkages to care will still be needed.
authors.affiliation: RTI International, San Francisco, CA 94104, USA. fspielberg@rti.org
authors.forename: Freya
authors.initials: F
authors.lastname: Spielberg
authors.forename: Ann E
authors.initials: AE
authors.lastname: Kurth
authors.forename: Anneleen
authors.initials: A
authors.lastname: Severynen
authors.forename: Yu-Hsiang
authors.initials: YH
authors.lastname: Hsieh
authors.forename: Daniel
authors.initials: D
authors.lastname: Moring-Parris
authors.forename: Sara
authors.initials: S
authors.lastname: Mackenzie
authors.forename: Richard
authors.initials: R
authors.lastname: Rothman
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003197:Computer Literacy; D003201:Computers / Q000706:statistics & numerical data*; D004632:Emergency Medical Services; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care / Q000639:trends; D012984:Software; D014481:United States; D055815:Young Adult