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Randomized Controlled Trial
. 2013 Apr;44(4):369-74.
doi: 10.1016/j.jsat.2012.08.219. Epub 2012 Sep 27.

HIV rapid testing in drug treatment: comparison across treatment modalities

Robert P Schwartz  1 , Maxine L Stitzer, Daniel J Feaster, P Todd Korthuis, Anika A H Alvanzo, Theresa M Winhusen, Lillian Donnard, Ned Snead, Lisa R Metsch
Affiliations
Randomized Controlled Trial

HIV rapid testing in drug treatment: comparison across treatment modalities

Robert P Schwartz et al. J Subst Abuse Treat. 2013 Apr.

Abstract

Despite high rates of risky behavior among patients, many drug abuse treatment programs do not provide on-site HIV testing. This secondary analysis examined differences in outcome by program modality from a multi-site trial in which 1281 HIV-negative patients in three methadone programs, seven non-methadone outpatient programs, and three residential programs were randomly assigned to: (1) off-site referral for HIV risk reduction counseling and testing; or on-site rapid testing (2) with or (3) without risk reduction counseling. The parent study using generalized estimating equations with site as a cluster variable found significantly higher rates of HIV testing and feedback of results by 1 month post-enrollment for the combined on-site conditions compared to the offsite condition [RR=4.52, 97.5% CI (3.57, 5.72)]. Utilizing the same statistical approach, we found neither significant treatment modality nor significant treatment modality by testing condition interaction effects either for receipt of HIV test results at 1 month or for sexual or drug use HIV-risk behaviors at 6-month follow-up. On-site HIV testing is effective across treatment modalities for achieving high rates of testing and results feedback. All programs should be encouraged to adopt or expand this service.

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Conflict of interest statement

All authors have seen and approved the manuscript, have contributed significantly to the work, and have no financial conflicts of interest.

Figures

Figure 1
Figure 1
Percentage of Participants Receiving HIV Testing Results Within 1 Month Post-Randomization
See this image and copyright information in PMC

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