A feasibility study for 3 strategies promoting HIV testing in primary health care in Madrid, Spain (ESTVIH project). Issue 6 (2nd October 2017)

• Record Type: Journal Article
• Authors: Domínguez‐Berjón, M. Felicitas; Pichiule‐Castañeda, Myrian; García‐Riolobos, M. Carmen; Esteban‐Vasallo, María D.; Arenas‐González, Sonia M.; Morán‐Arribas, Mónica; Verdejo‐Ortés, José; Zoni, Ana Clara; Álvarez‐Castillo, M. Carmen; Astray, Jenaro
• Other Names: Aguirre Martín‐Gil Ramón investigator.; Casado López Mariano investigator.; Cevallos García Carlos investigator.; Diezma Criado Juan Carlos investigator.; Granado de la Orden Susana investigator.; Hernández Pascual Montserrat investigator.; Martínez Vidal Manuel investigator.; Moreno Guillén Santiago investigator.; Ordobás Gavín María investigator.; Rico Bermejo Juan investigator.; Ruiz Alonso Sergio investigator.; Zorrilla Torras Belén investigator.; Ferruelo Magán Manuela investigator.; García Valverde Concepción investigator.; López Delgado María Eugenia investigator.; Martínez Gómez Marta investigator.; Martínez Urroz María Belén investigator.; Pascual Malanda Mercedes investigator.; Abad Esteban Ana María investigator.; Alejo Díaz‐Zorita Concepción investigator.; Alfaro León Gisella investigator.; Alonso Martín M del Pilar investigator.; Arbocco Morales Fabiola María investigator.; Bravo Martin Isabel investigator.; Cadenas Giralt Rosario investigator.; Carmena Díaz Silvia investigator.; Castro Pastor María Luisa investigator.; Caudevilla Galligo Fernando investigator.; Cobos López Cristina investigator.; Crespo Fernández María Rosa investigator.; Cruz Pérez María investigator.; Escudero Rodrigo David investigator.; Ferreiro La Sal Lucia investigator.; Ferrer Signes Miryam investigator.; Fortuny Gil Almudena investigator.; García Rabanal María del Mar investigator.; García Rodríguez Ana Belén investigator.; García Soltero Jesús investigator.; Gil Agapito Paulo investigator.; Gómez Neo Rosa investigator.; Góngora Maldonado Francisco investigator.; González Fernández Cristina investigator.; González San Segundo Rosa María investigator.; Grandes Velasco Sonia investigator.; Herrero Martínez María José investigator.; Hidalgo Rodrigo M. Ángeles investigator.; Hurtado La Torre Reyes investigator.; López Uriarte Beatriz investigator.; López‐Hermosa Seseña Paloma investigator.; Martín García Socorro investigator.; Menéndez Álvarez Susana investigator.; Metola Gómez Montserrat investigator.; Molero García José María investigator.; Moreno Puerta Sara Isabel investigator.; Moreno Valencia Lucía investigator.; Muñoz Martínez de Salinas Cristina investigator.; Muros Muñoz Carmen María investigator.; Navarro Mellen Julia investigator.; Orcera Valero Ana investigator.; Prieto Barbosa Dolores investigator.; Quintana Luzón Celia investigator.; Ramos Zamorano Azucena investigator.; Saa Sarria Rosario investigator.; San Feliu Gilabert M. Teresa investigator.; Sánchez Iñigo Cristina investigator.; Sánchez Melero M. Teresa investigator.; Santos Alonso Belén investigator.; Valverde Vadillo Concepción investigator.; Velasco Gutiérrez Rafaela investigator.; Yepes Doblado M Blanca investigator.; Zamorano Benito Carmen investigator.;
• Is Part Of: Journal of evaluation in clinical practice. Volume 23:Issue 6(2017)
• Page Start: 1408
• Page End: 1414
• Publication Date: 2017-10-02
• Subjects: early diagnosis of HIV -- feasibility study -- guidelines -- HIV screening -- primary care; Clinical medicine -- Periodicals; 616.005
• DOI: 10.1111/jep.12813
• Languages: English
• ISSNs: 1356-1294

Abstract

Abstract: Rationale and objectives: Late diagnosis of HIV infection is a public health problem. Framed by the international guidelines for improving HIV testing, in 2014, the Spanish Ministry of Health published a guide of recommendations to promote early diagnosis of HIV in health care settings. In the Community of Madrid, in order to implement these recommendations, we defined 3 new HIV testing strategies in primary health care. The objectives of this study were to know the interest of professionals and the acceptability for patients towards these strategies. Methods: We performed a quasi‐experimental study to assess the feasibility of the implementation of new strategies (indicator condition, risk based, and universal offer) to promote early detection of HIV infection in the framework of the ESTVIH project. The centres participating in this project were randomly chosen among centres located in the health areas with the highest incidence of HIV infection. The feasibility was assessed in 6 centres. We considered outcomes by strategy in relation to the participation of professionals (family physician and nursing) and patients. Results: Overall, 56.9% of eligible professionals agreed to take part in the study; however, the percentage of professionals who recruited patients was 25.9%. This percentage was higher in the indicator condition strategy (47.2%, versus 18.5% in the universal offer and 14.3% in the risk‐based strategy, P ‐value < 0.05). The test uptake percentage was greater than 80%, and there were no statistically significant differences between strategies. Conclusion: Different strategies promoting HIV testing in primary care had different acceptability among professionals and similar among patients. At the end of the ESTVIH project, these results will be complemented with others related to the contribution of each strategy to improving the early diagnosis of HIV infection.