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首页> 外文期刊>BMC Emergency Medicine >Facilitating HIV/AIDS and HIV testing literacy for emergency department patients: a randomized, controlled, trial
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Facilitating HIV/AIDS and HIV testing literacy for emergency department patients: a randomized, controlled, trial

机译：促进急诊科患者的艾滋病毒/艾滋病和艾滋病毒检测知识：一项随机，对照和试验

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Although this has not been fully studied, videos and pictorial brochures might be equivalent methods of delivering HIV/AIDS and HIV testing information to emergency departments (ED) patients. It also is not known how well or for how long such knowledge is retained, if this information should be tailored according to patient health literacy, and if retention of this knowledge impacts future HIV testing behavior. We will conduct a multi-site, randomized, controlled, longitudinal trial among 600 English- and 600 Spanish-speaking 18–64-year-old ED patients to investigate these questions. We will stratify our sample within language (English vs. Spanish) by health literacy level (lower vs. higher) and randomly assign patients to receive HIV/AIDS and HIV testing information by video or pictorial brochure. All patients will be tested for HIV in the ED. At 12-months post-enrollment, we will invite participants to be tested again for HIV. As primary aims, we will compare the efficacy of pictorial brochures and videos in improving short-term (in ED) HIV/AIDS and HIV testing knowledge and retaining this knowledge over 12?months. We will determine if and how short-term improvement and longer-term retention of knowledge interacts with information delivery mode (pictorial brochure or video), patient health literacy level (lower or higher), and language (English or Spanish). As secondary aims, using the Information-Motivation-Behavioral Skills (IMB) model as a heuristic framework, we will measure constructs from the IMB model relevant to our study, and assess their impact on HIV re-testing behavior; we will also examine the moderating influences of information delivery mode, language, and health literacy level. In addition, we will explore simplified screening strategies to identify ED patients with lower health literacy as ways to implement a tailored approach to HIV/AIDS and HIV testing information delivery in EDs. Study findings will guide ED-based delivery of HIV/AIDS and HIV testing information; that is, whether delivery modes (video or pictorial brochure) should be selected for patients by language and/or health literacy level. The results also will inform EDs when, how, and for whom information needs to be provided for those undergoing testing again for HIV within a one-year period. ClinicalTrials.gov Identifier: NCT02284451 . Posted November 6, 2014.
机译：尽管尚未对此进行充分研究，但视频和图片小册子可能是向急诊科（ED）患者提供HIV / AIDS和HIV检测信息的等效方法。还不清楚这种知识的保存时间或长短，是否应根据患者的健康素养来定制这些信息，以及这些知识的保留是否会影响未来的HIV检测行为。我们将对600名英语和600名讲西班牙语的18-64岁ED患者进行多站点，随机，对照，纵向试验，以研究这些问题。我们将根据健康素养水平（较低与较高）在语言（英语对西班牙语）中对样本进行分层，并通过视频或图片手册随机分配患者接受HIV / AIDS和HIV检测信息。所有患者都将在急诊室接受HIV检测。入学后12个月，我们将邀请参与者再次接受HIV检测。作为主要目标，我们将比较图片手册和视频在改善短期（急诊）艾滋病毒/艾滋病和艾滋病毒检测知识并将这些知识保留12个月中的功效。我们将确定短期改进和知识的长期保留是否以及如何与信息传递模式（图片手册或视频），患者健康素养水平（较低或较高）以及语言（英语或西班牙语）相互作用。次要目标是，使用信息动机行为技能（IMB）模型作为启发式框架，我们将测量与研究相关的IMB模型中的结构，并评估其对HIV重新测试行为的影响;我们还将研究信息传递模式，语言和健康素养水平的适度影响。此外，我们将探索简化的筛查策略，以识别健康素养较低的ED患者，作为在ED中实施量身定制的HIV / AIDS和HIV检测信息传递方法的方法。研究结果将指导基于教育署的艾滋病毒/艾滋病和艾滋病毒检测信息的提供;也就是说，应根据语言和/或健康素养水平为患者选择分娩方式（视频或图片手册）。该结果还将告知ED，在一年期间何时，如何以及为谁提供信息，以便他们再次接受HIV检测。 ClinicalTrials.gov标识符：NCT02284451。 2014年11月6日发布。

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