%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Salvadori, Nicolas
%A Decker, Luc
%A Ngo-Giang-Huong, Nicole
%A Mary, J. Y.
%A Chevret, S.
%A Arunothong, S.
%A Adam, P.
%A Khamduang, W.
%A Samleerat, T.
%A Luangsook, P.
%A Suksa-ardphasu, V.
%A Achalapong, J.
%A Rouzioux, C.
%A Sirirungsi, W.
%A Jourdain, Gonzague
%T Impact of counseling methods on HIV retesting uptake in at-risk individuals : a randomized controlled study
%D 2020
%L fdi:010077092
%G ENG
%J Aids and Behavior
%@ 1090-7165
%K Counseling ; Computer ; Prevention ; Testing ; Retesting
%K THAILANDE
%M ISI:000490028000001
%N 5
%P 1505-1516
%R 10.1007/s10461-019-02695-2
%U https://www.documentation.ird.fr/hor/fdi:010077092
%> https://www.documentation.ird.fr/intranet/publi/2019/10/010077092.pdf
%V 24
%W Horizon (IRD)
%X 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.
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