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

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 increa...

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Published in:	BMC family practice Vol. 20; no. 1; pp. 74 - 10
Main Authors:	Kesten, Joanna M., Davies, Charlotte F., Gompels, Mark, Crofts, Megan, Billing, Annette, May, Margaret T., Horwood, Jeremy
Format:	Journal Article
Language:	English
Published:	London BioMed Central 31.05.2019 BioMed Central Ltd Springer Nature B.V BMC
Subjects:	attitudes behaviors Clinical decision making communication Decision making Diagnosis Education Educational intervention Family Medicine Feasibility studies Female General Practice General practitioners General Practitioners - education Health education HIV HIV infections HIV Infections - diagnosis HIV testing HIV tests Human immunodeficiency virus Humans Infections Intervention Interviews Knowledge Life expectancy Male Medical personnel Medical screening Medical tests Medicine Medicine & Public Health Nurses Patients Pilot Projects Practice Primary care Primary Care Medicine Primary Health Care Qualitative Research Research Article United Kingdom United Kingdom > UK Qualitative research HIV testing Primary care Educational intervention
ISSN:	1471-2296, 1471-2296
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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.
AbstractList	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. Keywords: HIV testing, Primary care, Educational intervention, Qualitative research 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. 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.BACKGROUNDUK 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.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.METHODQualitative 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.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.RESULTSHCPs 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.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.CONCLUSIONSThis 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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.
ArticleNumber	74
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Author	Billing, Annette May, Margaret T. Davies, Charlotte F. Gompels, Mark Crofts, Megan Horwood, Jeremy Kesten, Joanna M.
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Cites_doi	10.1111/j.1468-1293.2011.00943.x 10.1097/QAD.0b013e32801138f7 10.1136/bmj.d6016 10.1136/sextrans-2013-051312 10.1186/s12889-016-3343-z 10.9734/ISRR/2015/18724 10.1097/01.qai.0000286597.57066.2b 10.1191/1478088706qp063oa 10.1097/00006199-196807000-00014 10.1111/j.1468-1293.2010.00857.x 10.1016/j.amjmed.2004.07.055 10.1093/eurpub/ckp231 10.1258/smj.2011.011032 10.1136/bmjqs-2012-001775 10.3399/bjgpopen18X101433 10.3399/bjgp15X686905 10.1371/journal.pone.0013132 10.1111/j.1468-1293.2009.00753.x 10.1056/NEJMsa042088 10.1093/qjmed/hcq236 10.1007/s11606-008-0637-6 10.1016/j.annemergmed.2011.03.031 10.1371/journal.pone.0199891 10.1111/hiv.12472 10.1097/QAD.0b013e3282f1d4b6 10.1186/s12875-018-0880-9 10.1136/sextrans-2012-050655 10.1186/1471-2334-13-473 10.1186/1741-7015-8-63 10.1016/S2352-3018(17)30123-6 10.1186/s12911-016-0320-5 10.1016/j.amjmed.2011.06.034 10.1111/hiv.12099 10.9734/ISRR/2017/36373 10.1016/S2352-3018(15)00059-4 10.1371/journal.pone.0027830
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References	R Elmahdi (962_CR6) 2014; 90 A Rogers (962_CR16) 2014; 22 J Deblonde (962_CR24) 2010; 20 C Kober (962_CR50) 2010; 11 R Wellesley (962_CR11) 2015; 65 TR Chadborn (962_CR13) 2006; 20 RP Walensky (962_CR20) 2005; 118 962_CR41 962_CR42 962_CR49 Y Yazdanpanah (962_CR22) 2010; 5 K Pillay (962_CR25) 2018; 13 O Dosekun (962_CR46) 2013; 14 P Read (962_CR3) 2011; 104 V Braun (962_CR32) 2006; 3 RF Baggaley (962_CR40) 2017; 4 FM Burns (962_CR2) 2008; 22 M May (962_CR14) 2011; 343 S Schrantz (962_CR44) 2011; 58 962_CR30 962_CR31 L Goodall (962_CR10) 2011; 56 962_CR38 962_CR18 962_CR19 W Leber (962_CR39) 2015; 2 D Federman (962_CR45) 2012; 125 M Goetz (962_CR43) 2008; 23 962_CR8 962_CR7 AD Paltiel (962_CR21) 2005; 352 962_CR1 962_CR4 JR Marcelin (962_CR36) 2016; 16 A Antinori (962_CR9) 2011; 12 E Murray (962_CR33) 2010; 8 K Town (962_CR34) 2016; 16 R Dhairyawan (962_CR27) 2010; 11 962_CR23 962_CR26 C Davies (962_CR37) 2017; 6 W Majewska (962_CR29) 2012; 13 E Girardi (962_CR12) 2007; 46 Rosalie L Allison (962_CR35) 2018; 2 Eduard J. Beck (962_CR15) 2011; 6 T Hartney (962_CR5) 2014; 15 TD Pillay (962_CR28) 2013; 89 962_CR52 AK Avery (962_CR47) 2014; 23 DR Chadwick (962_CR48) 2017; 18 C Davies (962_CR17) 2015; 3 MRC U (962_CR51) 2008
References_xml	– volume: 13 start-page: 62 year: 2012 ident: 962_CR29 publication-title: HIV medicine. doi: 10.1111/j.1468-1293.2011.00943.x – ident: 962_CR52 – volume: 20 start-page: 2371 issue: 18 year: 2006 ident: 962_CR13 publication-title: Aids. doi: 10.1097/QAD.0b013e32801138f7 – volume: 343 start-page: d6016 year: 2011 ident: 962_CR14 publication-title: Br Med J doi: 10.1136/bmj.d6016 – volume: 90 start-page: 119 issue: 2 year: 2014 ident: 962_CR6 publication-title: Sex Transm Infect doi: 10.1136/sextrans-2013-051312 – volume: 16 start-page: 686 year: 2016 ident: 962_CR34 publication-title: BMC Public Health doi: 10.1186/s12889-016-3343-z – volume: 3 start-page: 991 issue: 3 year: 2015 ident: 962_CR17 publication-title: International STD Research and Reviews doi: 10.9734/ISRR/2015/18724 – volume: 46 start-page: S3 year: 2007 ident: 962_CR12 publication-title: Jaids-Journal of Acquired Immune Deficiency Syndromes doi: 10.1097/01.qai.0000286597.57066.2b – volume: 3 start-page: 77 issue: 2 year: 2006 ident: 962_CR32 publication-title: Qual Res Psychol doi: 10.1191/1478088706qp063oa – ident: 962_CR31 doi: 10.1097/00006199-196807000-00014 – ident: 962_CR18 – ident: 962_CR42 – volume: 12 start-page: 61 issue: 1 year: 2011 ident: 962_CR9 publication-title: HIV medicine. doi: 10.1111/j.1468-1293.2010.00857.x – volume: 118 start-page: 292 issue: 3 year: 2005 ident: 962_CR20 publication-title: Am J Med doi: 10.1016/j.amjmed.2004.07.055 – volume: 20 start-page: 422 issue: 4 year: 2010 ident: 962_CR24 publication-title: Eur J Pub Health doi: 10.1093/eurpub/ckp231 – volume: 22 start-page: 34 issue: e-1 year: 2014 ident: 962_CR16 publication-title: Top Antivir Med – ident: 962_CR23 – ident: 962_CR7 – volume: 56 start-page: 84 issue: 2 year: 2011 ident: 962_CR10 publication-title: Scott Med J doi: 10.1258/smj.2011.011032 – volume: 11 start-page: 1 issue: Suppl.1 year: 2010 ident: 962_CR50 publication-title: HIV medicine. – volume: 23 start-page: 250 issue: 3 year: 2014 ident: 962_CR47 publication-title: Bmj Quality & Safety doi: 10.1136/bmjqs-2012-001775 – volume: 2 start-page: bjgpopen18X1014 issue: 1 year: 2018 ident: 962_CR35 publication-title: BJGP Open doi: 10.3399/bjgpopen18X101433 – ident: 962_CR49 – volume: 65 start-page: e655 issue: 639 year: 2015 ident: 962_CR11 publication-title: the journal of the Royal College of General Practitioners doi: 10.3399/bjgp15X686905 – volume: 5 start-page: e13132 issue: 10 year: 2010 ident: 962_CR22 publication-title: PLoS One doi: 10.1371/journal.pone.0013132 – volume: 11 start-page: 114 year: 2010 ident: 962_CR27 publication-title: HIV medicine. doi: 10.1111/j.1468-1293.2009.00753.x – ident: 962_CR41 – ident: 962_CR38 – volume: 352 start-page: 586 issue: 6 year: 2005 ident: 962_CR21 publication-title: N Engl J Med doi: 10.1056/NEJMsa042088 – volume: 104 start-page: 421 issue: 5 year: 2011 ident: 962_CR3 publication-title: Qjm-an International Journal of Medicine doi: 10.1093/qjmed/hcq236 – volume: 23 start-page: 1200 issue: 8 year: 2008 ident: 962_CR43 publication-title: J Gen Intern Med doi: 10.1007/s11606-008-0637-6 – volume: 58 start-page: S85 issue: 1 Suppl 1 year: 2011 ident: 962_CR44 publication-title: Ann Emerg Med doi: 10.1016/j.annemergmed.2011.03.031 – volume: 13 start-page: e0199891 issue: 8 year: 2018 ident: 962_CR25 publication-title: PLoS One doi: 10.1371/journal.pone.0199891 – volume: 18 start-page: 435 issue: 6 year: 2017 ident: 962_CR48 publication-title: HIV medicine. doi: 10.1111/hiv.12472 – ident: 962_CR1 – volume: 22 start-page: 115 issue: 1 year: 2008 ident: 962_CR2 publication-title: Aids. doi: 10.1097/QAD.0b013e3282f1d4b6 – volume-title: Developing and evaluating complex interventions: new guidance year: 2008 ident: 962_CR51 – ident: 962_CR30 doi: 10.1186/s12875-018-0880-9 – volume: 14 start-page: 45 year: 2013 ident: 962_CR46 publication-title: HIV medicine. – volume: 89 start-page: 191 issue: 3 year: 2013 ident: 962_CR28 publication-title: Sex Transm Infect doi: 10.1136/sextrans-2012-050655 – ident: 962_CR4 doi: 10.1186/1471-2334-13-473 – volume: 8 start-page: 63 year: 2010 ident: 962_CR33 publication-title: BMC Med doi: 10.1186/1741-7015-8-63 – volume: 4 start-page: e465 issue: 10 year: 2017 ident: 962_CR40 publication-title: The lancet HIV doi: 10.1016/S2352-3018(17)30123-6 – volume: 16 start-page: 76 year: 2016 ident: 962_CR36 publication-title: BMC Medical Informatics and Decision Making doi: 10.1186/s12911-016-0320-5 – volume: 125 start-page: 240 issue: 3 year: 2012 ident: 962_CR45 publication-title: Am J Med doi: 10.1016/j.amjmed.2011.06.034 – volume: 15 start-page: 251 issue: 4 year: 2014 ident: 962_CR5 publication-title: HIV medicine doi: 10.1111/hiv.12099 – ident: 962_CR19 – volume: 6 start-page: 1 issue: 2 year: 2017 ident: 962_CR37 publication-title: International STD Research and Reviews. doi: 10.9734/ISRR/2017/36373 – volume: 2 start-page: e229 issue: 6 year: 2015 ident: 962_CR39 publication-title: The lancet HIV. doi: 10.1016/S2352-3018(15)00059-4 – ident: 962_CR8 – ident: 962_CR26 – volume: 6 start-page: e27830 issue: 12 year: 2011 ident: 962_CR15 publication-title: PLoS ONE doi: 10.1371/journal.pone.0027830
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Snippet	Background UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary... 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... Background UK guidelines recommend a 'routine offer of HIV testing' in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary... Background UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current primary... Abstract Background UK guidelines recommend a ‘routine offer of HIV testing’ in primary care where HIV diagnosed prevalence exceeds 2 in 1000. However, current...
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SubjectTerms	attitudes behaviors Clinical decision making communication Decision making Diagnosis Education Educational intervention Family Medicine Feasibility studies Female General Practice General practitioners General Practitioners - education Health education HIV HIV infections HIV Infections - diagnosis HIV testing HIV tests Human immunodeficiency virus Humans Infections Intervention Interviews Knowledge Life expectancy Male Medical personnel Medical screening Medical tests Medicine Medicine & Public Health Nurses Patients Pilot Projects Practice Primary care Primary Care Medicine Primary Health Care Qualitative Research Research Article
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Title	Qualitative evaluation of a pilot educational intervention to increase primary care HIV-testing
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