Use of tablet-based kiosks in the emergency department to guide patient HIV self-testing with a point-of-care oral fluid test

Charlotte A. Gaydos, Melissa Solis, Yu Hsiang Hsieh, Mary Jett-Goheen, Samah Nour, Richard E. Rothman

Research output: Contribution to journalArticlepeer-review

Abstract

Despite successes in efforts to integrate HIV testing into routine care in emergency departments, challenges remain. Kiosk-facilitated, directed HIV self-testing offers one novel approach to address logistical challenges. Emergency department patients, 18-64 years, were recruited to evaluate use of tablet-based-kiosks to guide patients to conduct their own point-of-care HIV tests followed by standard-of-care HIV tests by healthcare workers. Both tests were OraQuick Advance tests. Of 955 patients approached, 473 (49.5%) consented; 467 completed the test, and 100% had concordant results with healthcare workers. Median age was 41 years, 59.6% were female, 74.8% were African-American, and 19.6% were White. In all, 99.8% of patients believed the self-test was "definitely" or "probably" correct; 91.7% of patients "trusted their results very much"; 99.8% reported "overall" self-testing was "easy or somewhat easy" to perform. Further, 96.9% indicated they would "probably" or "definitely" test themselves at home were the HIV test available for purchase; 25.9% preferred self-testing versus 34.4% who preferred healthcare professional testing (p > 0.05). Tablet-based kiosk testing proved to be highly feasible, acceptable, and an accurate method of conducting rapid HIV self-testing in this study; however, rates of engagement were moderate. More research will be required to ascertain barriers to increased engagement for self-testing.

Original languageEnglish (US)
Pages (from-to)716-721
Number of pages6
JournalInternational Journal of STD and AIDS
Volume24
Issue number9
DOIs
StatePublished - May 2013

Keywords

  • AIDS
  • HIV
  • Human immunodeficiency virus
  • OraQuick Advance
  • acceptability
  • emergency department
  • oral fluid
  • point of care test
  • rapid test
  • screening
  • self-testing
  • tablet-based-kiosks
  • testing

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

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