Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria

NCT ID: NCT03991767

Last Updated: 2020-01-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 297 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-04-04
• Study Completion Date: 2019-10-04

Brief Summary

In 2013 in France, 29,000 people are reported to be unaware of their HIV status. HIV testing is a priority in France where one third of all diagnoses remain late despite 5 million annual tests. It is recommended to offer at least one HIV test to the general population, over the life course, when seeking care and more frequently to populations at risk. Several international and national articles have shown that emergency screening is feasible and well accepted. But also that during systematic screening few infections were discovered, and the majority of newly diagnosed people belonged to the most exposed groups.

Our hypothesis is that an electronic alert would identify people who are unaware of their HIV status. This alert would be based on two data: social data (French health coverage) and the country of birth. This alert is only relevant in high-prevalence regions, as is the case in the Ile de France region.

Conditions

HIV Testing

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SCREENING
• Blinding Strategy: NONE

Study Groups

period 1

Period 1: Retrospective period:

Collection of data from the 12 months preceding the start of the research of hospitalized patients:

• number of hospitalizations,
• number of HIV serologies performed,
• number of patients with socio-demographic criteria justifying HIV screening.

Start of research: Implementation of the "POP-UP" electronic alert

Period 2: Prospective period: 18 months POP-UP opens for patient who meet the eligibility criteria.

Six possibility to answer:

1. Patient accept to participate: patient is include and receive HIV serology during their hospitalization.

2. Not time to answer to the alert

3. Patient already has a serology less than 3 months old

4. Patient followed for a known HIV infection.

5. Patient who refused the test

6. Clinical condition of the patient not allowing his no opposition Only choice 1 include patient The response close the electronic alert, but it re-opens when the medical file is re-consulted (2/ and 6/) or new hospitalization.

Group Type: EXPERIMENTAL

"POP-UP" electronic alert

Intervention Type: OTHER

Implementation of the "POP-UP" electronic alert for all patients with eligibility criteria

Serology HIV

Intervention Type: DIAGNOSTIC_TEST

Realization of HIV serology for included patients.

Interventions

"POP-UP" electronic alert

Implementation of the "POP-UP" electronic alert for all patients with eligibility criteria

Intervention Type: OTHER

Serology HIV

Realization of HIV serology for included patients.

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

• Patient hospitalized at Foch Hospital over 18 years of age.
• Patient with AME or CMU and/or CMUc, or patient born in one of the following countries/regions: Sub-Saharan Africa, Haiti, South America, Asia, Eastern Europe, Guadeloupe, Martinique and Guyana

Exclusion Criteria

• Patient whose vital prognosis at the time of admission does not allow him/her to indicate his/her non-opposition to an HIV test.
• Patient being followed for a known HIV infection.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hopital Foch

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

David Zucman, MD

Role: STUDY_DIRECTOR

FOCH Hospital

Locations

Hopital Foch

Suresnes, , France

Countries

France

Other Identifiers

2016/51

Identifier Type: -

Identifier Source: org_study_id