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Improving HIV screening and receipt of results by nurse-initiated streamlined counseling and rapid testing.

Publication ,  Journal Article
Anaya, HD; Hoang, T; Golden, JF; Goetz, MB; Gifford, A; Bowman, C; Osborn, T; Owens, DK; Sanders, GD; Asch, SM
Published in: J Gen Intern Med
June 2008

BACKGROUND: HIV testing is cost-effective in unselected general medical populations, yet testing rates among those at risk remain low, even among those with regular primary care. HIV rapid testing is effective in many healthcare settings, but scant research has been done within primary care settings or within the US Department of Veteran's Affairs Healthcare System. OBJECTIVES: We evaluated three methods proven effective in other diseases/settings: nurse standing orders for testing, streamlined counseling, and HIV rapid testing. DESIGN: Randomized, controlled trial with three intervention models: model A (traditional counseling/testing); model B (nurse-initiated screening, traditional counseling/testing); model C (nurse-initiated screening, streamlined counseling/rapid testing). PARTICIPANTS: Two hundred fifty-one patients with primary/urgent care appointments in two VA clinics in the same city (one large urban hospital, one freestanding outpatient clinic in a high HIV prevalence area). MEASUREMENTS: Rates of HIV testing and receipt of results; sexual risk reduction; HIV knowledge improvement. RESULTS: Testing rates were 40.2% (model A), 84.5% (model B), and 89.3% (model C; p = <.01). Test result receipt rates were 14.6% (model A), 31.0% (model B), 79.8% (model C; all p = <.01). Sexual risk reduction and knowledge improvement did not differ significantly between counseling methods. CONCLUSIONS: Streamlined counseling with rapid testing significantly increased testing and receipt rates over current practice without changes in risk behavior or posttest knowledge. Increased testing and receipt of results could lead to earlier disease identification, increased treatment, and reduced morbidity/mortality. Policymakers should consider streamlined counseling/rapid testing when implementing routine HIV testing into primary/urgent care.

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Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

June 2008

Volume

23

Issue

6

Start / End Page

800 / 807

Location

United States

Related Subject Headings

  • United States Department of Veterans Affairs
  • United States
  • Risk Reduction Behavior
  • Reagent Kits, Diagnostic
  • Nurses
  • Nurse-Patient Relations
  • Middle Aged
  • Mass Screening
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Anaya, H. D., Hoang, T., Golden, J. F., Goetz, M. B., Gifford, A., Bowman, C., … Asch, S. M. (2008). Improving HIV screening and receipt of results by nurse-initiated streamlined counseling and rapid testing. J Gen Intern Med, 23(6), 800–807. https://doi.org/10.1007/s11606-008-0617-x
Anaya, Henry D., Tuyen Hoang, Joya F. Golden, Matthew Bidwell Goetz, Allen Gifford, Candice Bowman, Teresa Osborn, Douglas K. Owens, Gillian D. Sanders, and Steven M. Asch. “Improving HIV screening and receipt of results by nurse-initiated streamlined counseling and rapid testing.J Gen Intern Med 23, no. 6 (June 2008): 800–807. https://doi.org/10.1007/s11606-008-0617-x.
Anaya HD, Hoang T, Golden JF, Goetz MB, Gifford A, Bowman C, et al. Improving HIV screening and receipt of results by nurse-initiated streamlined counseling and rapid testing. J Gen Intern Med. 2008 Jun;23(6):800–7.
Anaya, Henry D., et al. “Improving HIV screening and receipt of results by nurse-initiated streamlined counseling and rapid testing.J Gen Intern Med, vol. 23, no. 6, June 2008, pp. 800–07. Pubmed, doi:10.1007/s11606-008-0617-x.
Anaya HD, Hoang T, Golden JF, Goetz MB, Gifford A, Bowman C, Osborn T, Owens DK, Sanders GD, Asch SM. Improving HIV screening and receipt of results by nurse-initiated streamlined counseling and rapid testing. J Gen Intern Med. 2008 Jun;23(6):800–807.
Journal cover image

Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

June 2008

Volume

23

Issue

6

Start / End Page

800 / 807

Location

United States

Related Subject Headings

  • United States Department of Veterans Affairs
  • United States
  • Risk Reduction Behavior
  • Reagent Kits, Diagnostic
  • Nurses
  • Nurse-Patient Relations
  • Middle Aged
  • Mass Screening
  • Male
  • Humans