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Qualitative evaluation of a pilot educational intervention to increase primary care HIV-testing

Research output: Contribution to journalArticle

Original languageEnglish
Article number74
Number of pages10
JournalBMC Family Practice
Volume20
Issue number1
DOIs
DateAccepted/In press - 15 May 2019
DatePublished (current) - 31 May 2019

Abstract

Background
UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary care HIV testing rates are low. Efforts to increase primary care HIV testing are needed. To examine how an educational intervention to increase HIV testing in general practice was experienced by healthcare professionals (HCPs) and to understand the perceived impacts on HIV testing.

Method
Qualitative interviews with general practitioners (GPs) and nurses 3-months after receiving an educational intervention developed from an adapted version of the Medical Foundation for HIV and Sexual Health (MEDFASH) HIV Testing In Practice (TIPs) online educational tool which included training on HIV associated clinical indicator conditions, why, who, and how to test. The intervention was delivered in 19 high-HIV prevalence general practices in Bristol. 27 semi-structured interviews were conducted across 13 practices with 16 GPs, 10 nurses and the sexual health clinician who delivered the intervention. Transcripts were analysed thematically informed by Normalisation Process Theory.

Results
HCPs welcomed the opportunity to update their HIV knowledge through a tailored, interactive session. Post-training, HCPs reported increased awareness of HIV indicator conditions, confidence to offer HIV tests and consideration of HIV tests. Continued testing barriers include perceived lack of opportunity.

Conclusions
This qualitative study found that HIV education is perceived as valuable in relation to perceived awareness, confidence, and consideration of HIV testing. However, repetition and support from other strategies are needed to encourage HCPs to offer HIV tests. Future interventions should consider using behaviour change theory to develop a complex intervention that addresses not only HCP capability to offer an HIV test, but also issues of opportunity and motivation.

    Research areas

  • Educational intervention, HIV testing, Primary care, Qualitative research

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    Rights statement: This is the final published version of the article (version of record). It first appeared online via BioMed Central at https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-019-0962-3 . Please refer to any applicable terms of use of the publisher.

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    Licence: CC BY

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