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11.10.2019 | Original Paper

Impact of Counseling Methods on HIV Retesting Uptake in At-Risk Individuals: A Randomized Controlled Study

AIDS and Behavior
Nicolas Salvadori, Luc Decker, Nicole Ngo-Giang-Huong, Jean-Yves Mary, Sylvie Chevret, Surachet Arunothong, Pierrick Adam, Woottichai Khamduang, Tanawan Samleerat, Prapan Luangsook, Visitsak Suksa-ardphasu, Jullapong Achalapong, Christine Rouzioux, Wasna Sirirungsi, Gonzague Jourdain
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The online version of this article (https://​doi.​org/​10.​1007/​s10461-019-02695-2) contains supplementary material, which is available to authorized users.

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Systematic face-to-face pre-HIV test counseling is costly and may discourage clients to present for regular testing. In a randomized, controlled, non-inferiority trial conducted in four facilities providing free-of-charge anonymous HIV testing in Thailand, participants received either: standard counseling according to national guidelines (reference); computer-assisted counseling: interactive counseling on a tablet computer followed by an invitation to ask questions to the counselor; or on-demand counseling: invitation to ask questions to the counselor. Primary endpoint was a HIV retest within 7 months after enrolment visit. Following the planned interim analysis, on-demand counseling was discontinued for futility. In the final analysis in 1036 HIV-uninfected at-risk participants, computer-assisted counseling was non-inferior to standard counseling and had similar acceptability and improvements in HIV knowledge and sexual risk behaviors; however, it significantly reduced the time spent by counselors on counseling. Implementation of pre-HIV test computer-assisted counseling may ease the burden on staff involved in HIV testing.

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