AIDS and Behavior

, Volume 19, Issue 3, pp 516–522 | Cite as

Computer-Based Video to Increase HIV Testing Among Emergency Department Patients Who Decline

  • Ian David Aronson
  • Lisa A. Marsch
  • Sonali Rajan
  • Juline Koken
  • Theodore C. Bania
Brief Report

Abstract

The Centers for Disease Control and Prevention recommend routine HIV screening in clinical settings, including emergency departments (EDs), because earlier diagnosis enables treatment before symptoms develop and delivery of interventions to reduce continued transmission. However, patients frequently decline testing. This study delivered a 16-min video-based intervention to 160 patients who declined HIV tests in a high volume, urban ED. One third of participants (n = 53) accepted an HIV test post-intervention. Interviews with a subset of participants (n = 40) show that before the video, many were unaware HIV testing could be conducted without drawing blood, or that results could be delivered in 20 min.

Keywords

HIV Emergency department Video Technology Decline 

References

  1. 1.
    Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recommendations and reports: Morbidity and mortality weekly report Recommendations and reports/Centers for Disease Control. 2006 Sep 22; 55(RR-14):1–17 (quiz CE1-4).Google Scholar
  2. 2.
    Health NYSDo. Frequently asked questions regarding the HIV testing law 2012 [cited 2014 May 8]. Available from: http://www.health.ny.gov/diseases/aids/providers/testing/law/faqs.htm.
  3. 3.
    Mealy A. In: Aronson ID, editor, personal communication, January 24, 2014.Google Scholar
  4. 4.
    Christopoulos KA, Weiser SD, Koester KA, Myers JJ, White DA, Kaplan B, et al. Understanding patient acceptance and refusal of HIV testing in the emergency department. BMC Public Health. 2012;12:3.CrossRefPubMedCentralPubMedGoogle Scholar
  5. 5.
    Czarnogorski M, Brown J, Lee V, Oben J, Kuo I, Stern R, et al. The prevalence of undiagnosed HIV infection in those who decline HIV screening in an urban emergency department. AIDS Res Treat. 2011;2011:879065.PubMedCentralPubMedGoogle Scholar
  6. 6.
    Merchant RC, Clark MA, Mayer KH, Seage Iii GR, DeGruttola VG, Becker BM. Video as an effective method to deliver pretest information for rapid human immunodeficiency testing. Acad Emerg Med. 2009;16(2):124–35.CrossRefPubMedCentralPubMedGoogle Scholar
  7. 7.
    Calderon Y, Leider J, Hailpern S, Haughey M, Ghosh R, Lombardi P, et al. A randomized control trial evaluating the educational effectiveness of a rapid HIV posttest counseling video. Sex Transm Dis. 2009;36(4):207–10.CrossRefPubMedCentralPubMedGoogle Scholar
  8. 8.
    Calderon Y, Cowan E, Nickerson J, Mathew S, Fettig J, Rosenberg M, et al. Educational effectiveness of an HIV pretest video for adolescents: a randomized controlled trial. Pediatrics. 2011;127(5):911–6.CrossRefPubMedCentralPubMedGoogle Scholar
  9. 9.
    Aronson ID, Bania TC. Race and emotion in computer-based HIV prevention videos for emergency department patients. AIDS education and prevention : official publication of the International Society for AIDS. Education. 2011;23(2):91–104.Google Scholar
  10. 10.
    Fisher JD, Fisher WA. Theoretical approaches to individual-level change in HIV risk behavior. In: DiClemente JPR, editor. Handbook of HIV prevention. New York: Klumer Academic/Plenum Press; 2000. p. 3–55.CrossRefGoogle Scholar
  11. 11.
    Aronson ID, Marsch LA, Acosta MC. Using findings in multimedia learning to inform technology-based behavioral health interventions. Transl Behav Med. 2013;3(3):234–43.CrossRefPubMedCentralPubMedGoogle Scholar
  12. 12.
    Gagné RM, Wager WW, Golas KC, Keller JM. Principles of instructional design. Belmont: Wadsworth/Thomson Learning; 2005.Google Scholar
  13. 13.
    Carey MP, Schroder KE. Development and psychometric evaluation of the brief HIV Knowledge Questionnaire. AIDS Educ Prev. 2002;14(2):172–82.CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Marsch LA, Bickel WK, Grabinski MJ, Badger GJ. Applying computer technology to substance abuse prevention science: results of a preliminary examination. J Child Adoles Subst. 2007;16:69–94.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Ian David Aronson
    • 1
  • Lisa A. Marsch
    • 2
  • Sonali Rajan
    • 3
  • Juline Koken
    • 1
  • Theodore C. Bania
    • 4
  1. 1.NDRI, Inc.New YorkUSA
  2. 2.Dartmouth CollegeHanoverUSA
  3. 3.Teachers CollegeColumbia UniversityNew YorkUSA
  4. 4.Department of Emergency Medicine, Icahn School of Medicine at Mt SinaiMt Sinai Roosevelt, Mt Sinai St. Luke’sNew YorkUSA

Personalised recommendations