A feasibility study for 3 strategies promoting HIV testing in primary health care in Madrid, Spain (ESTVIH project)

• Published in: Journal of evaluation in clinical practice Vol. 23; no. 6; pp. 1408 - 1414
• Main 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, Aguirre Martín‐Gil, Ramón, Casado López, Mariano, Cevallos García, Carlos, Diezma Criado, Juan Carlos, Granado de la Orden, Susana, Hernández Pascual, Montserrat, Martínez Vidal, Manuel, Moreno Guillén, Santiago, Ordobás Gavín, María, Rico Bermejo, Juan, Ruiz Alonso, Sergio, Zorrilla Torras, Belén, Ferruelo Magán, Manuela, García Valverde, Concepción, López Delgado, María Eugenia, Martínez Gómez, Marta, Martínez Urroz, María Belén, Pascual Malanda, Mercedes, Abad Esteban, Ana María, Alejo Díaz‐Zorita, Concepción, Alfaro León, Gisella, Alonso Martín, M del Pilar, Arbocco Morales, Fabiola María, Bravo Martin, Isabel, Cadenas Giralt, Rosario, Carmena Díaz, Silvia, Castro Pastor, María Luisa, Caudevilla Galligo, Fernando, Cobos López, Cristina, Crespo Fernández, María Rosa, Cruz Pérez, María, Escudero Rodrigo, David, Ferreiro La Sal, Lucia, Ferrer Signes, Miryam, Fortuny Gil, Almudena, García Rabanal, María del Mar, García Rodríguez, Ana Belén, García Soltero, Jesús, Gil Agapito, Paulo, Gómez Neo, Rosa, Góngora Maldonado, Francisco, González Fernández, Cristina, González San Segundo, Rosa María, Grandes Velasco, Sonia, Herrero Martínez, María José, Hidalgo Rodrigo, M. Ángeles, Hurtado La Torre, Reyes, López Uriarte, Beatriz, López‐Hermosa Seseña, Paloma, Martín García, Socorro, Menéndez Álvarez, Susana, Metola Gómez, Montserrat, Molero García, José María, Moreno Puerta, Sara Isabel, Moreno Valencia, Lucía, Muñoz Martínez de Salinas, Cristina, Muros Muñoz, Carmen María, Navarro Mellen, Julia, Orcera Valero, Ana, Prieto Barbosa, Dolores, Quintana Luzón, Celia, Ramos Zamorano, Azucena, Saa Sarria, Rosario, San Feliu Gilabert, M. Teresa, Sánchez Iñigo, Cristina, Sánchez Melero, M. Teresa, Santos Alonso, Belén, Valverde Vadillo, Concepción, Velasco Gutiérrez, Rafaela, Yepes Doblado, M Blanca, Zamorano Benito, Carmen
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.12.2017
• Subjects: early diagnosis of HIV; Family Nursing; Feasibility Studies; feasibility study; Female; guidelines; Health Personnel - psychology; Health promotion; Health Promotion - organization & administration; HIV; HIV Infections - diagnosis; HIV screening; Human immunodeficiency virus; Humans; Male; Mass Screening - organization & administration; Medical diagnosis; Medical screening; Medical tests; Patient Acceptance of Health Care; Patient compliance; Physicians, Family; Primary care; Primary Health Care - organization & administration; Socioeconomic Factors; Spain; Madrid Spain; Spain; guidelines; primary care; HIV screening; feasibility study; early diagnosis of HIV
• ISSN: 1356-1294; 1365-2753
• DOI: 10.1111/jep.12813

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.