Two Approaches to Routine HIV Testing in a Hospital Emergency Department
USHER
Optimizing Strategies for Universal HIV Testing (The USHER Trial): Phase II
2 other identifiers
interventional
1,651
1 country
1
Brief Summary
This study was initially designed to compare the effectiveness of two different approaches to providing routine HIV counseling, testing, and referral services in an urban hospital emergency department setting. The initial phase was closed in July 2008. The second phase of this trial consists of establishing the differences in acceptability of HIV testing based on the method of testing offered (rapid oral fluid vs. fingerstick).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable hiv-infections
Started May 2009
Shorter than P25 for not_applicable hiv-infections
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2010
CompletedFirst Submitted
Initial submission to the registry
December 10, 2010
CompletedFirst Posted
Study publicly available on registry
December 13, 2010
CompletedResults Posted
Study results publicly available
June 5, 2012
CompletedJune 13, 2012
May 1, 2012
8 months
December 10, 2010
May 3, 2012
June 10, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Acceptability of the HIV Test
The primary outcome measure was HIV test acceptance rate defined by the proportion of participants whom accepted HIV testing among those randomized within each trial arm (fingerstick or oral fluid).
Assess on day subject enrolled into the study
Study Arms (2)
Oral HIV testing
EXPERIMENTALFingerstick HIV testing
ACTIVE COMPARATORInterventions
Participants will undergo oral HIV screening and, if positive, further study visits for up to 6 months
Participants will undergo fingerstick HIV screening and, if positive, further study visits for up to 6 months
Eligibility Criteria
You may qualify if:
- Waiting to receive care in the Brigham and Women's Hospital emergency room
- English- or Spanish-speaking
- Enters the emergency room when an HIV counselor is available
You may not qualify if:
- An estimated severity index score of 1 or 2 who have mechanical ventilation or are not deemed alert, awake, and oriented to person, place and time by the triage nurse
- HIV infected
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
Related Publications (1)
Ganguli I, Collins JE, Reichmann WM, Losina E, Katz JN, Arbelaez C, Donnell-Fink LA, Walensky RP. Missed opportunities: refusal to confirm reactive rapid HIV tests in the emergency department. PLoS One. 2013;8(1):e53408. doi: 10.1371/journal.pone.0053408. Epub 2013 Jan 8.
PMID: 23308216DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Rochelle P. Walensky, MD, MPH
- Organization
- Massachusetts General Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Rochelle P Walensky, MD, MPH
Massachusetts General Hospital
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
December 10, 2010
First Posted
December 13, 2010
Study Start
May 1, 2009
Primary Completion
January 1, 2010
Study Completion
January 1, 2010
Last Updated
June 13, 2012
Results First Posted
June 5, 2012
Record last verified: 2012-05