HIV Testing in Community Health Center Dental Clinics
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Rapid HIV testing, Referral for HIV testing.
- Who it may be relevant to
- Registry conditions: HIV. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This is a cluster randomized trial among dental clinics (n=4) to evaluate whether rapid HIV testing (RHT) during dental visits improves HIV testing rates compared to referral for laboratory HIV testing. Clinics will be randomized to either RHT or referral for HIV testing for a nine-month period - HIV testing will be offered to n\~6700 patients by \~ 15 dental providers (dentists and dental hygienists). Outcomes will be assessed using electronic health record reports (EHR), which will include the completion rates of HIV testing among dental patients (84 days after dental visit) and the frequency at which dental providers offer HIV testing (Upon completion of the 9-month testing period). The objectives of this study are to: * Compare the effectiveness of on-site rapid HIV testing versus referral to a CHC lab in increasing HIV test completion within 84 days of a dental clinic visit, using EHR data. * Assess the sustainability of the HIV testing protocol by evaluating changes in dental clinic HIV testing rates over time.
Interventions
- Other Rapid HIV testing
At the designated sites for RHT, providers will offer RHT to patients as part of their dental routine care. - Other Referral for HIV testing
At the designated sites for HIV testing referral, providers will offer an HIV test referral to the affiliated CHC laboratory to patients as part of their dental routine care.
Primary outcome measures
- HIV Test Completed [Time frame: 84 days]
- Sustainability [Time frame: 9 months]
Eligibility criteria
Inclusion criteria
Community health center:
- Must be located in Suffolk County in Massachusetts.
- Must provide dental care services.
- Must possess the infrastructure necessary for laboratory-based HIV testing and counseling or have an affiliation with a laboratory that provides these service.
Provider:
- Dental care provider working at a participating community health center during the study period.
Patient:
- Be 18 years of age or older.
- Receive dental care at a participating community health center during the study period.
Exclusion criteria
Patient:
- Self-report to be HIV positive at the time of the RHT/ referral.
- Had an HIV test within 12 months (self-report or documented in EHR).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 4 centers
- South End Community Health Center — Boston
- Uphams Corner Health Center — Boston
- East Boston Neighborhood Health — Boston
- Geiger Gibson Community Health Center — Dorchester
Identifiers
NCT: NCT07089849 · H-43301 · 5UH3DE031249-04