Horizon 1 1 17 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES Aids and Behavior 1505-1516 Counseling Computer Prevention Testing Retesting THAILANDE 2020 fdi:010077092 ENG Aids and Behavior 1090-7165 ISI:000490028000001 5 10.1007/s10461-019-02695-2 https://www.documentation.ird.fr/hor/fdi:010077092 https://www.documentation.ird.fr/intranet/publi/2019/10/010077092.pdf 24 Horizon (IRD) 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. 050 ; 052 ; 122 UR174 Thaïlande