HIV
Conditions
Keywords
Rapid HIV test, Referral for HIV test, Community Health Center Dental Clinics, Behavioral Model for Vulnerable Populations
Brief summary
This is a cluster randomized trial among dental clinics (n=4) to evaluate whether rapid HIV testing (RHT) during dental visits improves HIV testing rates compared to referral for laboratory HIV testing. Clinics will be randomized to either RHT or referral for HIV testing for a nine-month period - HIV testing will be offered to n\ 6700 patients by \ 15 dental providers (dentists and dental hygienists). Outcomes will be assessed using electronic health record reports (EHR), which will include the completion rates of HIV testing among dental patients (84 days after dental visit) and the frequency at which dental providers offer HIV testing (Upon completion of the 9-month testing period). The objectives of this study are to: * Compare the effectiveness of on-site rapid HIV testing versus referral to a CHC lab in increasing HIV test completion within 84 days of a dental clinic visit, using EHR data. * Assess the sustainability of the HIV testing protocol by evaluating changes in dental clinic HIV testing rates over time.
Interventions
OTHERRapid HIV testing
At the designated sites for RHT, providers will offer RHT to patients as part of their dental routine care.
At the designated sites for HIV testing referral, providers will offer an HIV test referral to the affiliated CHC laboratory to patients as part of their dental routine care.
Sponsors
Boston University
National Institute of Dental and Craniofacial Research (NIDCR)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
This is a cluster randomized trial among dental clinics (n=4)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Community health center: * Must be located in Suffolk County in Massachusetts. * Must provide dental care services. * Must possess the infrastructure necessary for laboratory-based HIV testing and counseling or have an affiliation with a laboratory that provides these service. Provider: * Dental care provider working at a participating community health center during the study period. Patient: * Be 18 years of age or older. * Receive dental care at a participating community health center during the study period.
Exclusion criteria
Patient: * Self-report to be HIV positive at the time of the RHT/ referral. * Had an HIV test within 12 months (self-report or documented in EHR).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HIV Test Completed | 84 days | The number of dental patients completing at least one HIV test within 84 days of their dental visit abstracted from the Electronic Health Records (EHR). |
| Sustainability | 9 months | The number of dental patients completing at least one HIV test within 9 months of their dental visit abstracted from the Electronic Health Records (EHR). |
Countries
United States
Contacts
CONTACTMichelle Henshaw, DDS MPH
CONTACTGabriel Federo Hungria, MD MSCR
PRINCIPAL_INVESTIGATORMichelle Henshaw, DDS MPH
Boston University Goldman School of Dental Medicine
PRINCIPAL_INVESTIGATORCurt Beckwith, MD FACP FIDSA
The Miriam Hospital/Rhode Island Hospital
Outcome results
None listed