1
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Assessing attitudes to ED-based HIV testing: Development of a short-structured survey instrument

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Emergency Department (ED)-based HIV counseling and testing (HCT) has had a significant impact on improving rates of HIV diagnosis and linkage to care. Unfortunately, expansion of this strategy to low- and middle-income countries has been limited. Successful implementation of ED-based HCT is dependent on patient and provider acceptance of the intervention, and their attitudes and pre-existing biases towards the disease. This study sought to develop validated survey instruments to assess attitudes towards ED-based HCT.

          Methods

          This cross-sectional study surveyed patients and providers in three EDs in the Eastern Cape province, South Africa. A convenience sample of patients and providers in the ED were surveyed. Exploratory factor analysis was conducted using questions on attitudes to HIV testing to develop validated survey instruments. An ANOVA test assessed variance in attitudes towards HCT based on demographic variables collected.

          Results

          A total of 104 patient and 132 provider surveys were completed. Exploratory factor analysis resulted in a 17- and 7-question attitudes survey for patients and providers, respectively. Overall, 92.3% of patients and 70.7% of providers supported ED-based HCT, however, both groups displayed only mildly positive attitudes. Questions representing ‘confidentiality’ and ‘stigma around HIV testing’ had the least positive influence on patients’ overall attitudes. Questions representing ‘comfort with HIV testing’ had the least positive influence on providers’ overall attitudes.

          Conclusion

          Our study demonstrated ED patients and providers are generally supportive of ED-based HCT. A validated survey instrument was able to provide a standardized approach to identify barriers to HCT implementation in an ED setting, across contexts. For successful implementation, behavioral interventions must focus on strengthening patient beliefs around confidentiality and the consent process, and providers’ comfort levels with providing HIV testing services in the ED.

          Related collections

          Most cited references55

          • Record: found
          • Abstract: not found
          • Article: not found

          The Application of Electronic Computers to Factor Analysis

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            A RATIONALE AND TEST FOR THE NUMBER OF FACTORS IN FACTOR ANALYSIS.

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              The Scree Test For The Number Of Factors

                Bookmark

                Author and article information

                Contributors
                Role: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing
                Role: Writing – original draftRole: Writing – review & editing
                Role: InvestigationRole: Writing – review & editing
                Role: InvestigationRole: Writing – review & editing
                Role: Formal analysisRole: Writing – review & editing
                Role: Writing – review & editing
                Role: Funding acquisitionRole: SupervisionRole: Writing – review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: SupervisionRole: ValidationRole: Writing – original draft
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                27 May 2021
                2021
                : 16
                : 5
                : e0252372
                Affiliations
                [1 ] Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
                [2 ] Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore, MD, United States of America
                [3 ] Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
                [4 ] Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America
                [5 ] Division of Intramural Research, National Institutes of Allergy and Infectious Diseases, NIH, Bethesda, MD, United States of America
                Hofstra University, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0003-4966-5778
                https://orcid.org/0000-0002-5184-2190
                Article
                PONE-D-20-16696
                10.1371/journal.pone.0252372
                8158958
                34043713
                e6b488ca-179d-4db9-bd6b-ce2d5abfd482
                © 2021 Rao et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 2 June 2020
                : 15 May 2021
                Page count
                Figures: 0, Tables: 3, Pages: 14
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/501100001322, South African Medical Research Council;
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/100000060, National Institute of Allergy and Infectious Diseases;
                Award Recipient :
                B.H. received intramural support to carry out this study from the South African Medical Research Council ( https://www.samrc.ac.za/) and in part from the National Institutes of Health, National Institute of Allergy and Infectious Diseases ( https://www.niaid.nih.gov/). Due to the intramural nature of funds, there is no associated grant number. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology and Life Sciences
                Microbiology
                Medical Microbiology
                Microbial Pathogens
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Medicine and Health Sciences
                Pathology and Laboratory Medicine
                Pathogens
                Microbial Pathogens
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Immunodeficiency Viruses
                HIV
                Biology and life sciences
                Organisms
                Viruses
                RNA viruses
                Retroviruses
                Lentivirus
                HIV
                Biology and Life Sciences
                Microbiology
                Medical Microbiology
                Microbial Pathogens
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Medicine and Health Sciences
                Pathology and Laboratory Medicine
                Pathogens
                Microbial Pathogens
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Medicine and Health Sciences
                Diagnostic Medicine
                Virus Testing
                Biology and Life Sciences
                Psychology
                Psychological Attitudes
                Social Sciences
                Psychology
                Psychological Attitudes
                Medicine and Health Sciences
                Critical Care and Emergency Medicine
                Medicine and health sciences
                Medical conditions
                Infectious diseases
                Viral diseases
                HIV infections
                Medicine and health sciences
                Diagnostic medicine
                HIV diagnosis and management
                People and places
                Geographical locations
                Africa
                South Africa
                Research and Analysis Methods
                Mathematical and Statistical Techniques
                Statistical Methods
                Factor Analysis
                Physical Sciences
                Mathematics
                Statistics
                Statistical Methods
                Factor Analysis
                Custom metadata
                There are ethical restrictions that prohibit us from sharing the de-identified data, given that (1) it contains sensitive patient information, (2) there are a limited number of emergency rooms in the study area, and (3) considering other previously published studies by our group and the small sample size, there is concern that the individual facilities and their staff will be easy to identify. Additionally, the human subjects research ethics board (HREC) for Walter Sisulu University has deemed that given the sensitive nature of the data collected, all data sharing requests must be reviewed by a convened HREC board. However, the data will be made available by request, for which we would request all interested individuals to contact Nomzamo Mvandaba ( zmvakes@ 123456gmail.com ) for gaining access to the raw data. She is a Research Program Manager at the Walter Sisulu Research Center, and is our data access coordinator.

                Uncategorized
                Uncategorized

                Comments

                Comment on this article