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Comparison of patient comprehension of rapid HIV pre-test fundamentals by information delivery format in an emergency department setting.

Abstract：

BACKGROUND:Two trials were conducted to compare emergency department patient comprehension of rapid HIV pre-test information using different methods to deliver this information. METHODS:Patients were enrolled for these two trials at a US emergency department between February 2005 and January 2006. In Trial One, patients were randomized to a no pre-test information or an in-person discussion arm. In Trial Two, a separate group of patients were randomized to an in-person discussion arm or a Tablet PC-based video arm. The video, "Do you know about rapid HIV testing?", and the in-person discussion contained identical Centers for Disease Control and Prevention-suggested pre-test information components as well as information on rapid HIV testing with OraQuick. Participants were compared by information arm on their comprehension of the pre-test information by their score on a 26-item questionnaire using the Wilcoxon rank-sum test. RESULTS:In Trial One, 38 patients completed the no-information arm and 31 completed the in-person discussion arm. Of these 69 patients, 63.8% had twelve years or fewer of formal education and 66.7% had previously been tested for HIV. The mean score on the questionnaire for the in-person discussion arm was higher than for the no information arm (18.7 vs. 13.3, p < or = 0.0001). In Trial Two, 59 patients completed the in-person discussion and 55 completed the video arms. Of these 114 patients, 50.9% had twelve years or fewer of formal education and 68.4% had previously been tested for HIV. The mean score on the questionnaire for the video arm was similar to the in-person discussion arm (20.0 vs. 19.2; p < or = 0.33). CONCLUSION:The video "Do you know about rapid HIV testing?" appears to be an acceptable substitute for an in-person pre-test discussion on rapid HIV testing with OraQuick. In terms of adequately informing ED patients about rapid HIV testing, either form of pre-test information is preferable than for patients to receive no pre-test information.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Merchant RC,Gee EM,Clark MA,Mayer KH,Seage GR 3rd,Degruttola VG

doi

10.1186/1471-2458-7-238

subject

Has Abstract

pub_date

2007-09-12 00:00:00

pages

238

issn

1471-2458

pii

1471-2458-7-238

journal_volume

7

pub_type

杂志文章,随机对照试验

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