Patient choice in opt-in, active choice, and opt-out HIV screening: randomized clinical trial.

ABSTRACT:

Study question

What is the effect of default test offers--opt-in, opt-out, and active choice--on the likelihood of acceptance of an HIV test among patients receiving care in an emergency department?

Methods

This was a randomized clinical trial conducted in the emergency department of an urban teaching hospital and regional trauma center. Patients aged 13-64 years were randomized to opt-in, opt-out, and active choice HIV test offers. The primary outcome was HIV test acceptance percentage. The Denver Risk Score was used to categorize patients as being at low, intermediate, or high risk of HIV infection.

Study answer and limitations

38.0% (611/1607) of patients in the opt-in testing group accepted an HIV test, compared with 51.3% (815/1628) in the active choice arm (diff

SUBMITTER: Montoy JC 

PROVIDER: S-EPMC4718971 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature