Impact of counseling methods on HIV retesting uptake in at-risk individuals : a randomized controlled study

2020

Article référencé dans le Web of Science WOS:000490028000001

Salvadori Nicolas, Decker Luc, Ngo-Giang-Huong Nicole, Mary J. Y., Chevret S., Arunothong S., Adam P., Khamduang W., Samleerat T., Luangsook P., Suksa-ardphasu V., Achalapong J., Rouzioux C., Sirirungsi W., Jourdain Gonzague

Aids and Behavior, 2020, 24 (5), p. 1505-1516 ISSN 1090-7165

Systematic face-to-face pre-HIV test counseling is costly and may discourage clients to present for regular testing. In a randomized, controlled, non-inferiority trial conducted in four facilities providing free-of-charge anonymous HIV testing in Thailand, participants received either: standard counseling according to national guidelines (reference); computer-assisted counseling: interactive counseling on a tablet computer followed by an invitation to ask questions to the counselor; or on-demand counseling: invitation to ask questions to the counselor. Primary endpoint was a HIV retest within 7 months after enrolment visit. Following the planned interim analysis, on-demand counseling was discontinued for futility. In the final analysis in 1036 HIV-uninfected at-risk participants, computer-assisted counseling was non-inferior to standard counseling and had similar acceptability and improvements in HIV knowledge and sexual risk behaviors; however, it significantly reduced the time spent by counselors on counseling. Implementation of pre-HIV test computer-assisted counseling may ease the burden on staff involved in HIV testing.

Santé : généralités [050] ; Entomologie médicale / Parasitologie / Virologie [052] ; Informatique [122]

THAILANDE

Fonds IRD [F B010077092]

fdi:010077092