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- Title
Impact of Counseling Methods on HIV Retesting Uptake in At-Risk Individuals: A Randomized Controlled Study.
- Authors
Salvadori, Nicolas; Decker, Luc; Ngo-Giang-Huong, Nicole; Mary, Jean-Yves; Chevret, Sylvie; Arunothong, Surachet; Adam, Pierrick; Khamduang, Woottichai; Samleerat, Tanawan; Luangsook, Prapan; Suksa-ardphasu, Visitsak; Achalapong, Jullapong; Rouzioux, Christine; Sirirungsi, Wasna; Jourdain, Gonzague
- Abstract
Systematic face-to-face pre-HIV test counseling is costly and may discourage clients to present for regular testing. In a randomized, controlled, non-inferiority trial conducted in four facilities providing free-of-charge anonymous HIV testing in Thailand, participants received either: standard counseling according to national guidelines (reference); computer-assisted counseling: interactive counseling on a tablet computer followed by an invitation to ask questions to the counselor; or on-demand counseling: invitation to ask questions to the counselor. Primary endpoint was a HIV retest within 7 months after enrolment visit. Following the planned interim analysis, on-demand counseling was discontinued for futility. In the final analysis in 1036 HIV-uninfected at-risk participants, computer-assisted counseling was non-inferior to standard counseling and had similar acceptability and improvements in HIV knowledge and sexual risk behaviors; however, it significantly reduced the time spent by counselors on counseling. Implementation of pre-HIV test computer-assisted counseling may ease the burden on staff involved in HIV testing.
- Subjects
THAILAND; DIAGNOSIS of HIV infections; COMPUTER assisted instruction; COST control; COUNSELING; MEDICAL screening; RISK assessment; RISK-taking behavior; STATISTICAL sampling; RANDOMIZED controlled trials; HEALTH literacy
- Publication
AIDS & Behavior, 2020, Vol 24, Issue 5, p1505
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-019-02695-2