HIV Testing in Non-traditional Settings Study

Chelsea and Westminster NHS Foundation Trust6,350 enrolled

Overview

Surveillance data suggests that approximately one third of the 82 000 HIV infected adults in the UK remain undiagnosed - that is, they are living with the infection but do not know this. The majority of HIV testing in the UK to date has taken place in sexual health clinics and in antenatal care. Published National guidelines advocate routine HIV testing of 16-65 year olds in more general healthcare settings in parts of the country with relatively high rates of HIV (more than 2 per thousand individuals diagnosed locally). The HINTS Study investigates the utility, feasibility and acceptability, to patients and staff, of offering routine HIV testing in four general medical settings, all set in areas of high HIV prevalence. The settings comprise: Primary Care, Outpatients, an Acute Care Unit and an Emergency Department.

Study Type

OBSERVATIONAL

Enrollment

6,350

Conditions

HIV

Interventions

QuestionnaireOTHER

Administration of written questionnaire to assess attitudes towards the introduction of routine HIV testing programmes to that healthcare setting

Eligibility

Sex: ALLMin age: 16 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria (patient study only): * aged 16 - 65 and accessing relevant healthcare setting for care * able to consent to HIV test * able to provide adequate contact details * to complete written questionnaire: adequate written English * to participate in focus group discussion (pre-study group)/participate in semi-structured telephone interview (intra-study group): ability to provide fully informed consent Exclusion Criteria: * known HIV positive * unable to provide adequate contact details * unable to provide consent (to HIV test and/or participation in questionnaire/focus group/semi-structured interview studies)

Locations (4)

Homerton University NHS Foundation Trust

London, United Kingdom

Kings College Hospital NHS Foundation Trust

London, United Kingdom

Chelsea and Westminster NHS Foundation Trust

London, United Kingdom

North End Medical Centre, Hammersmith and Fulham Primary Care NHS Trust

London, United Kingdom

Outcomes

Primary Outcomes

(1) Feasibility of delivering opt-out HIV testing in ED/ACU/OPD/Primary Care setting

Time frame: At end of twelve week testing period at each site

Secondary Outcomes

(2) Estimate of prevalence of undiagnosed HIV with risk factor/demographic assessment

Time frame: At end of twelve week testing period