Evidence map›Paper›PMID 31265464›Full record

Trial reportPloS one2019

Outcome of an HIV education program for primary care providers: Screening and late diagnosis rates.

Javier Martínez Sanz, María Jesús Pérez Elías, Alfonso Muriel, Cristina Gómez Ayerbe, María Jesús Vivancos Gallego, Matilde Sánchez Conde, Margarita Herrero Delgado, Pilar Pérez Elías, Lidia Polo Benito, Yolanda de la Fuente Cortés and 6 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Javier Martínez SanzDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.ORCID 0000-0003-2020-3908
María Jesús Pérez ElíasDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.ORCID 0000-0001-5700-5257
Alfonso MurielBiostatistics Unit, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
Cristina Gómez AyerbeDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
María Jesús Vivancos GallegoDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
Matilde Sánchez CondeDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
Margarita Herrero DelgadoCentro de Salud Mar Báltico, Madrid, Spain.
Pilar Pérez ElíasCentro de Salud García Noblejas, Madrid, Spain.
Lidia Polo BenitoHospital General Universitario Gregorio Marañón, Madrid, Spain.
Yolanda de la Fuente CortésCentro de Salud Aquitania, Madrid, Spain.
Rafael BareaCentro de Salud Canal de Panamá, Madrid, Spain.
Ann K SullivanChelsea and Westminster Healthcare NHS Foundation Trust, London, United Kingdom.
Maria Jose Fuster Ruiz de ApodacaSociedad Española Interdisciplinaria del Sida (SEISIDA), Madrid, Spain.
María José GalindoInfectious Diseases Unit, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Santiago MorenoDepartment of Infectious Diseases, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
DRIVE 03, OPTtest WP5 and FOCO Study Groups

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLate HIV diagnosis remains one of the challenges in combating the epidemic. Primary care providers play an important role in screening for HIV infection. Our study aims to evaluate the relationship between knowledge and barriers to HIV testing and screening outcomes. The impact of an education program for primary care providers, towards improving HIV testing and late diagnosis rates, is also assessed.

methodsA self-administered questionnaire that was developed within the framework of the European project OptTEST was used to examine HIV knowledge and barriers to HIV testing scores before and after being involved in an HIV education program. A quasi-experimental design with pre- and post-intervention measures was performed to investigate its impact. We performed multivariable logistic regression analysis to assess the relationship between variables for the HIV testing offer.

resultsA total of 20 primary care centers and 454 primary care staff were included. Baseline OptTEST results showed that more knowledgeable staff offered an HIV test more frequently (OR 1.07; CI 95% 1.01-1.13; p = 0.027) and had lower barrier scores (OR 0.89; CI 95% 0.77-0.95; p = 0.005). Nurses had lower scores in knowledge-related items (OR 0.28; CI 95% 0.17-0.46; p<0.001), but higher scores in barrier-related items than physicians (OR 3.28; CI 95% 2.01-5.46; p<0.001). Specific centers with more knowledgeable staff members had a significant association with a greater level of new HIV diagnosis rates (OR 1.61; CI 95% 1.04-2.49; p = 0.032). After the intervention, we found that 12 out of 14 individual questions showed improved scores. In the 6 months after the training program, we similarly found a higher HIV testing rate (OR 1.19; CI 1.02-1.42; p = 0.036).

conclusionsThis study highlights the association between knowledge and barriers to HIV testing, including HIV testing rates. It shows that it is possible to modify knowledge and reduce perceived barriers through educational programs, subsequently improving HIV screening outcomes.

Indexed as

Education, ContinuingHIV InfectionsMass ScreeningPrimary Health CareAdolescentAdultAgedDelayed DiagnosisFemaleHealth PersonnelHumansMaleMiddle Aged

Identifiers

PMID31265464
PMCPMC6605851

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.