Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria

NCT03991767 | Completed

• 1 other identifier: 2016/51
• Study Type: interventional
• Target: 297
• Locations: 1 country
• Sites: 1

Brief Summary

In 2013 in France, 29,000 people are reported to be unaware of their HIV status. HIV testing is a priority in France where one third of all diagnoses remain late despite 5 million annual tests. It is recommended to offer at least one HIV test to the general population, over the life course, when seeking care and more frequently to populations at risk. Several international and national articles have shown that emergency screening is feasible and well accepted. But also that during systematic screening few infections were discovered, and the majority of newly diagnosed people belonged to the most exposed groups. Our hypothesis is that an electronic alert would identify people who are unaware of their HIV status. This alert would be based on two data: social data (French health coverage) and the country of birth. This alert is only relevant in high-prevalence regions, as is the case in the Ile de France region.

Conditions

HIV Testing

Keywords

medical practices; HIV; Electronic Alert

Outcome Measures

Primary Outcomes (1)

• Evaluation of HIV testing practices : screening proposal rate, patient acceptance rate and serological achievement rate

  Evaluation of the practice of hospital doctors at Foch Hospital following the implementation of "POP-UP" electronic alert to encourage targeted screening for HIV infection according to specific socio-demographic criteria : * Screening proposal rate (= number of proposition compared to number of eligible patients). * Patient acceptance rate (= number of eligible patients acceptances compared to number of screening proposals). * Serological achievement rate (= number of serologies compared to number of eligible patients).

  18 months

Secondary Outcomes (4)

• Study of the obstacles

  18 months

• Prospective data vs retrospective data : number of screening serologies performed

  18 months

• Newly HIV+

  18 months

• Positivity rate

  18 months

Study Arms (1)

period 1

EXPERIMENTAL

Period 1: Retrospective period: Collection of data from the 12 months preceding the start of the research of hospitalized patients: * number of hospitalizations, * number of HIV serologies performed, * number of patients with socio-demographic criteria justifying HIV screening. Start of research: Implementation of the "POP-UP" electronic alert Period 2: Prospective period: 18 months POP-UP opens for patient who meet the eligibility criteria. Six possibility to answer: 1. Patient accept to participate: patient is include and receive HIV serology during their hospitalization. 2. Not time to answer to the alert 3. Patient already has a serology less than 3 months old 4. Patient followed for a known HIV infection. 5. Patient who refused the test 6. Clinical condition of the patient not allowing his no opposition Only choice 1 include patient The response close the electronic alert, but it re-opens when the medical file is re-consulted (2/ and 6/) or new hospitalization.

Other: "POP-UP" electronic alert; Diagnostic Test: Serology HIV

Interventions

"POP-UP" electronic alert OTHER

Implementation of the "POP-UP" electronic alert for all patients with eligibility criteria

period 1

Serology HIV DIAGNOSTIC_TEST

Realization of HIV serology for included patients.

period 1

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient hospitalized at Foch Hospital over 18 years of age.
• Patient with AME or CMU and/or CMUc, or patient born in one of the following countries/regions: Sub-Saharan Africa, Haiti, South America, Asia, Eastern Europe, Guadeloupe, Martinique and Guyana

You may not qualify if:

• Patient whose vital prognosis at the time of admission does not allow him/her to indicate his/her non-opposition to an HIV test.
• Patient being followed for a known HIV infection.

Sponsors & Collaborators

• Hopital Foch: lead

Study Sites (1)

Hopital Foch

Suresnes, 92150, France

Location

MeSH Terms

Interventions

AIDS Serodiagnosis

Intervention Hierarchy (Ancestors)

Serologic Tests; Immunologic Tests; Clinical Laboratory Techniques; Diagnostic Techniques and Procedures; Diagnosis; HIV Testing; Microbiological Techniques; Investigative Techniques; Immunologic Techniques

Study Officials

• David Zucman, MD

  FOCH Hospital

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 11, 2019
• First Posted: June 19, 2019
• Study Start: April 4, 2018
• Primary Completion: October 4, 2019
• Study Completion: October 4, 2019
• Last Updated: January 2, 2020

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)