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 AronsonEmail author
  • Lisa A. Marsch
  • Sonali Rajan
  • Juline Koken
  • Theodore C. Bania
Brief Report


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.


HIV Emergency department Video Technology Decline 



This work was partially supported by Grant # R03 DA031603 from the National Institute on Drug Abuse, by P30 Center Grant # P30DA029926 from the National Institute on Drug Abuse and by P30 Center Grant # P30DA011041 from the National Institute on Drug Abuse. Madiha Tariq and Kate Haley collected data. Kevicha Echols, Ph.D. contributed to data analysis. Mary Ann Greene, MS contributed to the literature review.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Ian David Aronson
    • 1
    Email author
  • 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

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