title: Computer-based video to increase HIV testing among emergency department patients who decline.
abstract: The Centers for Disease Control and Prevention recommend routine HIV screening in clinical settings, including emergency departments (EDs), because earlier diagnosis enables treatment before symptoms develop and delivery of interventions to reduce continued transmission. However, patients frequently decline testing. This study delivered a 16-min video-based intervention to 160 patients who declined HIV tests in a high volume, urban ED. One third of participants (n = 53) accepted an HIV test post-intervention. Interviews with a subset of participants (n = 40) show that before the video, many were unaware HIV testing could be conducted without drawing blood, or that results could be delivered in 20 min.
authors: NDRI, Inc., 71 w. 23rd Street, New York, NY, 10010, USA, aronson@ndri.org.
authors: Ian David
authors: ID
authors: Aronson
authors: Lisa A
authors: LA
authors: Marsch
authors: Sonali
authors: S
authors: Rajan
authors: Juline
authors: J
authors: Koken
authors: Theodore C
authors: TC
authors: Bania
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S.; D003201:Computers; D042241:Early Diagnosis; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009518:New York / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data*; D010353:Patient Education as Topic; D014481:United States / Q000453:epidemiology; D014505:Urban Population; D014741:Video Recording