{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:47:19Z","timestamp":1761709639766,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In countries with concentrated HIV epidemics, optimizing screening to reach individuals with undiagnosed infection is essential. The DICI\u2010VIH study, a cluster\u2010randomized crossover trial conducted in eight French emergency departments (EDs), found that a strategy combining nurse\u2010driven targeted HIV screening with routine diagnostic testing was effective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim was to investigate factors associated with the implementation of HIV screening targeting key populations in EDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A self\u2010administered questionnaire was distributed at registration to patients aged 18\u201364\u00a0years and able to give consent during the DICI\u2010VIH intervention. Based on their responses, those belonging to key populations were offered a rapid test by triage nurses. Two key stages of the process were evaluated: questionnaire distribution by providers and test acceptance by patients. Patient information, daily workload, and ED characteristics were collected. The associations between these variables and (a) the proportion of questionnaires distributed and (b) the proportion of tests accepted were evaluated using multilevel modeling in order to examine differences in screening implementation between EDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Questionnaire distribution proportions varied from 23% to 48% across EDs. They were higher on weekdays than weekends (odds ratio, OR: 3.77; 95% CI: 3.57\u20133.99) and when research staff participated (OR: 1.31; 95% CI: 1.26\u20131.37). They decreased over time (OR: 0.76; 95% CI: 0.71\u20130.82; 4th [Q3] vs. 1st quartile [Q0] of intervention days) and with increased patient flow (OR: 0.61; 95% CI: 0.56\u20130.67; Q3 vs. Q0 of eligible patients). Test acceptance varied from 64% to 77% across EDs, increased with research staff participation (OR 1.20; 95% CI: 1.03\u20131.40), and decreased over time (OR: 0.75; 95% CI: 0.60\u20130.92; Q3 vs. Q0). Patients who accepted were more likely to be younger (OR: 0.76; 95% CI: 0.61\u20130.96; 50\u201364\u2010year\u2010old vs. 30\u201339\u2010year\u2010old patients).<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>Patient flow, intervention duration, weekdays, and research staff participation were important determinants of targeted screening implementation. These findings could help guide future implementation in similar settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12393","type":"journal-article","created":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T06:14:05Z","timestamp":1567491245000},"page":"444-453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Implementation of Nurse\u2010Driven HIV Screening Targeting Key Populations in Emergency Departments: A Multilevel Analysis From the DICI\u2010VIH Trial"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0323-6671","authenticated-orcid":false,"given":"Judith","family":"Leblanc","sequence":"first","affiliation":[{"name":"Research Chair in Innovative Nursing Practices Research Centre of the Centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al Montreal QC Canada"},{"name":"Faculty of Nursing Universit\u00e9 de Montr\u00e9al Montreal QC Canada"},{"name":"Universit\u00e9 Paris Saclay\u2010Universit\u00e9 Versailles St Quentin Montigny\u2010le\u2010Bretonneux France"},{"name":"Infectious Diseases Department, H\u00f4pital Saint Louis Assistance Publique \u2013 H\u00f4pitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"C\u00f4t\u00e9","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Universit\u00e9 de Montr\u00e9al Montreal QC Canada"},{"name":"Research Centre of the Centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al Montreal QC Canada"},{"name":"Research Chair in Innovative Nursing Practices Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Gabrielle","family":"Pag\u00e9","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Research Centre of the Centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al Faculty of Medicine Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Piquet","sequence":"additional","affiliation":[{"name":"Emergency Department, H\u00f4pital St Antoine Assistance Publique \u2013 H\u00f4pitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tabassome","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacology and Clinical Research Platform of East of Paris, Groupe Hospitalier des H\u00f4pitaux Universitaires Est Parisien Assistance Publique \u2013 H\u00f4pitaux de Paris Paris France"},{"name":"Sorbonne Universit\u00e9 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne\u2010Claude","family":"Cr\u00e9mieux","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Saclay\u2010Universit\u00e9 Versailles St Quentin Montigny\u2010le\u2010Bretonneux France"},{"name":"Infectious Diseases Department, H\u00f4pital Saint Louis Assistance Publique \u2013 H\u00f4pitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the DICI\u2010VIH (D\u00e9pistage Infirmier CIbl\u00e9 du VIH) Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,2]]},"reference":[{"unstructured":"Agence sant\u00e9 publique Canada. (2014).Virus de l'immunod\u00e9ficience humaine \u2013 Guide pour le d\u00e9pistage et le diagnostic de l'infection par le VIH [Human Immunodeficiency Virus - HIV Screening and Testing Guide]. Retrieved fromhttps:\/\/www.canada.ca\/fr\/sante-publique\/services\/vih-sida\/guide-depistage-diagnostic-infection-vih.html","key":"e_1_2_9_2_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_3_1","DOI":"10.1093\/pan\/mpi014"},{"issue":"14","key":"e_1_2_9_4_1","first-page":"1","article-title":"Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health\u2010care settings","volume":"55","author":"Branson B. M.","year":"2006","journal-title":"MMWR: Recommendations and Reports"},{"unstructured":"British HIV Association. (2008).UK national guidelines for HIV testing 2008. Retrieved fromhttp:\/\/www.bhiva.org\/HIV-testing-guidelines","key":"e_1_2_9_5_1"},{"unstructured":"Brown A. Kirwan P. Chau C. Khawam J. Gill O. &Delpech V.(2017).Towards elimination of HIV transmission AIDS and HIV\u2010related deaths in the UK \u2013 2017 report.Public Health England. Retrieved fromhttps:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/675809\/Towards_elimination_of_HIV_transmission_AIDS_and_HIV_related_deaths_in_the_UK.pdf","key":"e_1_2_9_6_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_7_1","DOI":"10.1371\/journal.pone.0046437"},{"issue":"1","key":"e_1_2_9_8_1","article-title":"Estimated HIV incidence and prevalence in the United States, 2010\u20132015","volume":"23","author":"Centers for Disease Control and Prevention","year":"2018","journal-title":"HIV Surveillance Supplemental Report"},{"doi-asserted-by":"publisher","key":"e_1_2_9_9_1","DOI":"10.1056\/NEJMoa1600693"},{"unstructured":"Commission R\u00e9gionale d\u2019Experts Urgences \u00cele\u2010de\u2010France. (2015).Activit\u00e9 des services d\u2019urgences Ile\u2010de\u2010France [Activities in the emergency departments of the Paris metropolitan area]. Retrieved fromhttps:\/\/www.iledefrance.ars.sante.fr\/sites\/default\/files\/2017-02\/Urgences-CREU-Rapport-IDF-2015.pdf","key":"e_1_2_9_10_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_11_1","DOI":"10.1001\/archinternmed.2011.535"},{"doi-asserted-by":"publisher","key":"e_1_2_9_12_1","DOI":"10.1371\/journal.pone.0062686"},{"doi-asserted-by":"publisher","key":"e_1_2_9_13_1","DOI":"10.1093\/eurpub\/ckp231"},{"volume-title":"Les \u00e9tablissements de sant\u00e9 \u2013 Edition 2017. Panoramas de la DREES Sant\u00e9, Direction de la recherche, des \u00e9tudes, de l'\u00e9valuation et des statistiques [Panoramas of DREES health, direction of research, studies, evaluation and statistics]","year":"2017","author":"DREES","key":"e_1_2_9_14_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_15_1","DOI":"10.1111\/hiv.12568"},{"doi-asserted-by":"publisher","key":"e_1_2_9_16_1","DOI":"10.1136\/sextrans-2013-051312"},{"doi-asserted-by":"publisher","key":"e_1_2_9_17_1","DOI":"10.1136\/bmj.h4596"},{"doi-asserted-by":"publisher","key":"e_1_2_9_18_1","DOI":"10.1371\/journal.pone.0190767"},{"doi-asserted-by":"publisher","key":"e_1_2_9_19_1","DOI":"10.1016\/j.annemergmed.2012.10.031"},{"unstructured":"Haute Autorit\u00e9 de Sant\u00e9. (2017).R\u00e9\u00e9valuation de la strat\u00e9gie de d\u00e9pistage de l'infection \u00e0 VIH en France [Evaluation of the HIV screening strategy in France]. Retrieved fromhttp:\/\/www.has-sante.fr\/portail\/jcms\/c_2024411\/fr\/reevaluation-de-la-strategie-de-depistage-de-l-infection-a-vih-en-france","key":"e_1_2_9_20_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_21_1","DOI":"10.1016\/j.ijnurstu.2015.04.007"},{"key":"e_1_2_9_22_1","article-title":"Targeted HIV screening in eight emergency departments: The DICI-VIH cluster-randomized two-period crossover trial","author":"Leblanc J.","year":"2017","journal-title":"Annals of Emergency Medicine"},{"doi-asserted-by":"publisher","key":"e_1_2_9_23_1","DOI":"10.1186\/s12879-016-1377-6"},{"doi-asserted-by":"publisher","key":"e_1_2_9_24_1","DOI":"10.1056\/NEJMoa1506816"},{"doi-asserted-by":"publisher","key":"e_1_2_9_25_1","DOI":"10.1136\/emermed-2017-207308.1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_26_1","DOI":"10.1097\/QAI.0b013e3182a21611"},{"doi-asserted-by":"publisher","key":"e_1_2_9_27_1","DOI":"10.1002\/jia2.25100"},{"doi-asserted-by":"publisher","key":"e_1_2_9_28_1","DOI":"10.1136\/jech.2004.029454"},{"volume-title":"Plan national de lutte contre le VIH\u2010Sida et les IST 2010\u20132014 [National plan against HIV-AIDS and STI 2010\u20132014]","year":"2010","author":"Minist\u00e8re de la Sant\u00e9 et des Sports","key":"e_1_2_9_29_1"},{"volume-title":"Models for discrete longitudinal data","year":"2006","author":"Molenberghs G.","key":"e_1_2_9_30_1"},{"volume-title":"Summary: Measuring Canada's progress on the 90\u201390\u201090 HIV target","year":"2016","author":"Public Health Agency Canada","key":"e_1_2_9_31_1"},{"volume-title":"R: A language and environment for statistical computing","year":"2017","author":"R Core Team","key":"e_1_2_9_32_1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_33_1","DOI":"10.1371\/journal.pone.0140845"},{"volume-title":"Infection par le VIH et les IST bact\u00e9riennes. 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