Deborah Cohan|E. Gómez|Mara Greenberg|Sierra Washington|Edwin D. Charlebois
Patient Perspectives with Abbreviated versus Standard Pre-Test HIV Counseling in the Prenatal Setting: A Randomized-Controlled, Non-Inferiority Trial
University of California, San Francisco|University of California, San Francisco|Stanford University|University of California, San Francisco|University of California, San Francisco
background us unacceptably high percentage pregnant women undergo prenatal hiv testing previous studies found increased uptake prenatal hiv testing abbreviated pretest counseling however little known patient decision making testing satisfaction knowledge setting methodologyfindings randomizedcontrolled noninferiority trial conducted october 2006 february 2008 san francisco general hospital sfgh public teaching hospital city county san francisco total 278 english spanishspeaking pregnant women randomized receive either abbreviated standard nurseperformed hiv test counseling initial prenatal visit patient decision making experience compared abbreviated versus standard hiv counseling strategies among sample lowincome urban ethnically diverse prenatal patients primary outcome decisional conflict score dcs using oconnor lowliteracy scale secondary outcomes included satisfaction test decision basic hiv knowledge hiv testing uptake conducted intentiontotreat analysis 278 women 134 482 abbreviated arm aa 144 518 standard arm sa significant difference proportion women low decisional conflict 716 aa vs 764 sa p 37 observed mean difference groups 388 95 ci 065 841 exceed noninferiority margin hiv testing uptake high 97 8 differ significantly 2 groups 993 aa vs 965 sa p 12 likewise difference satisfaction testing decision 978 aa vs 993 sa p 36 however women aa significantly lower mean hiv knowledge scores 784 compared women sa 837 p001 conclusionssignificance study suggests streamlining pretest counseling process associated slightly lower knowledge compromise patient decision making satisfaction regarding hiv testing trial registration clinicaltrialsgov nct00503308