Publications by authors named "Helene Piquet"
Background: Optimizing care continuum entry interventions is key to ending the HIV epidemic. Offering HIV screening to key populations in emergency departments (EDs) is a strategy that has been demonstrated to be effective. Analyzing patient and provider perceptions of such screening can help identify implementation facilitators and barriers.
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- The DICI-VIH study in French emergency departments tested an effective strategy for HIV screening combining nurse-led targeting and routine testing.
- Factors influencing screening implementation included the timing of questionnaire distribution, staff involvement, patient flow, and patient demographics.
- Results showed significant variability in questionnaire distribution and test acceptance rates, with younger patients more likely to accept testing and participation decreasing over time and with increased patient volume.
Study Objective: This study compares the effectiveness and cost-effectiveness of nurse-driven targeted HIV screening alongside physician-directed diagnostic testing (intervention strategy) with diagnostic testing alone (control strategy) in 8 emergency departments.
Methods: In this cluster-randomized, 2-period, crossover trial, 18- to 64-year-old patients presenting for reasons other than potential exposure to HIV were included. The strategy applied first was randomly assigned.