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Increasing HIV Testing in Urban Emergency Departments Via Mobile Technology

NCT ID: NCT02154802

Last Updated: 2014-06-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Brief Summary

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Because people with undiagnosed HIV will not receive treatment and may unknowingly infect others, the investigators propose a mobile computer-based video intervention to increase HIV test rates in high volume urban hospital emergency departments (EDs). EDs offer important points of contact for many of those at greatest risk for HIV. Unfortunately, when ED patients are offered routine HIV testing, most decline. Our proposed intervention builds upon initial findings from a trial our research team conducted with patients who declined HIV testing. The intervention, grounded in the Information-Motivation and Behavioral Skills model (IMB), showed an onscreen physician explaining the importance of HIV testing (to build knowledge and motivation) and modeling a rapid HIV test (to increase motivation and behavioral skill). This brief intervention had a potent effect: a third accepted HIV testing post-intervention. While this preliminary study is highly encouraging, it revealed a number of other critical research questions. First, it remains unclear what intervention component most strongly contributed to patients' decisions to test: the video content or the offer of an HIV test by a computer rather than a person. Second, consistent with the literature, participants indicated a community member disclosing positive HIV status onscreen would increase the proportion of patients who test. Third, results suggest there is individual variation in the extent to which behavior is more strongly influenced by onscreen community members or experts (e.g. physicians). Therefore, the goal of the present study, guided by the IMB model, is to determine how the investigators can refine mobile computer-based interventions to maximize HIV testing rates among patients who initially decline to test in the ED. At the end of the computerized intervention, onscreen text will ask patients if they would agree to an HIV test. Those who agree will be tested by ED staff. The study's endpoint will be post-intervention HIV test rates. The investigators' study will inform scalable interventions for underserved populations nationwide.

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Detailed Description

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Conditions

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HIV Testing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Blinding Strategy

NONE

Study Groups

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video: community member

Participant watches video of a community member

Group Type EXPERIMENTAL

video: community member

Intervention Type BEHAVIORAL

video: physician

Participant watches video of a physician

Group Type EXPERIMENTAL

video: physician

Intervention Type BEHAVIORAL

video: choice of video

Participant can choose to watch video of either the community member of the physician

Group Type EXPERIMENTAL

video: choice of video

Intervention Type BEHAVIORAL

no video

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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video: community member

Intervention Type BEHAVIORAL

video: physician

Intervention Type BEHAVIORAL

video: choice of video

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 18 or over
* Capable of providing informed consent
* Reads English
* Declined HIV test offered by hospital staf at triage

Exclusion Criteria

* intoxicated
* a prisoner
* known to be HIV positive
* presenting to the hospital for a psychiatric problem
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Development and Research Institutes, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Ian Aronson

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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St. Luke's Emergency Department

New York, New York, United States

Site Status

Countries

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United States

Central Contacts

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Ian D Aronson, Ph.D.

Role: CONTACT

[email protected]
212-845-4567

Lisa Bernhard

Role: CONTACT

[email protected]

Other Identifiers

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1R34DA037129-01A1

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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