Evidence map›Paper›PMID 33000035›Full record

ArticleJournal of the American College of Emergency Physicians open2020

Comparison of a video to a pictorial brochure in improving HIV/AIDS and HIV testing knowledge and increasing HIV testing motivation and behavioral skills among adult emergency department patients.

Roland C Merchant, Sarah J Marks, Melissa A Clark, Michael P Carey, Tao Liu

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 36% of its field
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

4 citing papers in PubMed, 12 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Roland C MerchantDepartment of Emergency Medicine Brigham and Women's Hospital Harvard Medical School Boston Massachusetts.ORCID https://orcid.org/0000-0001-7571-1294
Sarah J MarksDepartment of Emergency Medicine Brigham and Women's Hospital Harvard Medical School Boston Massachusetts.
Melissa A ClarkDepartment of Health Services Policy and Practice School of Public Health and Department of Obstetrics and Gynecology Alpert Medical School Brown University Providence Rhode Island.
Michael P CareyCenters for Behavioral and Preventive Medicine The Miriam Hospital Department of Behavioral and Social Sciences School of Public Health and Department of Psychiatry and Human Behavior Alpert Medical School Brown University Providence Rhode Island.
Tao LiuDepartment of Biostatistics Center for Statistical Sciences School of Public Health, Brown University Providence Rhode Island.
Brown University · USBrigham and Women's Hospital · US

Funding

Facilitating HIV/AIDS and HIV Testing Literacy for Emergency Department PatientsR01NR014782 · NINR · RHODE ISLAND HOSPITAL · PI MERCHANT, ROLAND C · 2014 to 2018
$3.5M
NINR NIH HHS R01 NR014782
6 · The paper itself

Abstract

objectivesWe sought to determine if a pictorial brochure improves HIV/AIDS and HIV testing knowledge and increases HIV testing motivation and behavioral skills as well as a video among adult emergency department patients, regardless of language spoken and health literacy level.

methodsED patients were stratified by primary language spoken (English or Spanish) and health literacy level (lower or higher) and randomly assigned to watch the study video or review the content-matched pictorial brochure. HIV/AIDS and HIV testing knowledge, motivation for HIV testing, and behavioral skills for HIV testing were assessed using study instruments before and after watching the video or reviewing the pictorial brochure.

resultsOf the 712 English- and 655 Spanish-speaking ED patients, HIV/AIDS and HIV testing knowledge improved more among participants in the video than the pictorial brochure arm (∆ 0.43; 95% confidence interval [CI]: 0.07, 0.79). This improvement was more pronounced among those with lower (∆ 0.60; 95% CI: 0.06, 1.13) than higher health literacy (∆ 0.27; 95% CI: -0.22, 0.76). HIV testing motivation was high before the intervention and did not increase differentially between arms. Confidence in recognizing when to be tested for HIV was slightly greater in the video than pictorial brochure arm (∆ 0.15; 95% CI: 0.01, 0.28), but did not differ by language spoken or health literacy level.

conclusionsA video improved HIV/AIDS and HIV testing knowledge slightly more than a pictorial brochure. Other considerations (eg, patient volume, staffing, space, and video access) should guide EDs on how best to provide information about HIV testing to ED patients.

Identifiers

PMID33000035
PMCPMC7493585
OpenAlexW3011532366

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.