HIV
Conditions
Keywords
HIV, testing, non traditional settings, acceptability, feasibility
Brief summary
Surveillance data suggests that approximately one third of the 82 000 HIV infected adults in the UK remain undiagnosed - that is, they are living with the infection but do not know this. The majority of HIV testing in the UK to date has taken place in sexual health clinics and in antenatal care. Published National guidelines advocate routine HIV testing of 16-65 year olds in more general healthcare settings in parts of the country with relatively high rates of HIV (more than 2 per thousand individuals diagnosed locally). The HINTS Study investigates the utility, feasibility and acceptability, to patients and staff, of offering routine HIV testing in four general medical settings, all set in areas of high HIV prevalence. The settings comprise: Primary Care, Outpatients, an Acute Care Unit and an Emergency Department.
Interventions
Administration of written questionnaire to assess attitudes towards the introduction of routine HIV testing programmes to that healthcare setting
FGD to explore attitudes within each group towards the introduction of routine HIV screening programmes in each medical setting
An HIV test offered to all 16-65 year olds (not known already to be HIV-positive) accessing the healthcare setting during the twelve week pilot period
Telephone interview administered to patients offered an HIV test during the pilot period
Sponsors
Study design
Eligibility
Inclusion criteria
(patient study only): * aged 16 - 65 and accessing relevant healthcare setting for care * able to consent to HIV test * able to provide adequate contact details * to complete written questionnaire: adequate written English * to participate in focus group discussion (pre-study group)/participate in semi-structured telephone interview (intra-study group): ability to provide fully informed consent
Exclusion criteria
* known HIV positive * unable to provide adequate contact details * unable to provide consent (to HIV test and/or participation in questionnaire/focus group/semi-structured interview studies)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| (1) Feasibility of delivering opt-out HIV testing in ED/ACU/OPD/Primary Care setting | At end of twelve week testing period at each site |
Secondary
| Measure | Time frame |
|---|---|
| (2) Estimate of prevalence of undiagnosed HIV with risk factor/demographic assessment | At end of twelve week testing period |
Countries
United Kingdom