A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing
Opt-out HIV testing (in which patients are offered HIV testing as a default) is a potentially powerful strategy for increasing the number of people who know their HIV status and thus limiting viral transmission. Like any change in clinical practice, implementation of opt-out HIV testing in a health...
| Main Authors: | , , , |
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| Format: | Journal Article |
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Wiley-Blackwell Publishing
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/48283 |
| _version_ | 1848758066844008448 |
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| author | Leidel, Stacy Leslie, Gavin Boldy, Duncan Girdler, Sonya |
| author_facet | Leidel, Stacy Leslie, Gavin Boldy, Duncan Girdler, Sonya |
| author_sort | Leidel, Stacy |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Opt-out HIV testing (in which patients are offered HIV testing as a default) is a potentially powerful strategy for increasing the number of people who know their HIV status and thus limiting viral transmission. Like any change in clinical practice, implementation of opt-out HIV testing in a health service requires a change management strategy, which should have theoretical support. This paper considers the application of three theories to the implementation and evaluation of an opt-out HIV testing programme: Behavioural Economics, the Health Belief Model and Normalisation Process Theory. An awareness, understanding and integration of these theories may motivate health care providers to order HIV tests that they may not routinely order, influence their beliefs about who should be tested for HIV and inform the operational aspects of opt-out HIV testing. Ongoing process evaluation of opt-out HIV testing programmes (based on these theories) will help to achieve individual health care provider self-efficacy and group collective action, thereby improving testing rates and health outcomes. © 2016 John Wiley & Sons, Ltd. |
| first_indexed | 2025-11-14T09:38:05Z |
| format | Journal Article |
| id | curtin-20.500.11937-48283 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:38:05Z |
| publishDate | 2016 |
| publisher | Wiley-Blackwell Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-482832017-09-13T14:22:14Z A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing Leidel, Stacy Leslie, Gavin Boldy, Duncan Girdler, Sonya Opt-out HIV testing (in which patients are offered HIV testing as a default) is a potentially powerful strategy for increasing the number of people who know their HIV status and thus limiting viral transmission. Like any change in clinical practice, implementation of opt-out HIV testing in a health service requires a change management strategy, which should have theoretical support. This paper considers the application of three theories to the implementation and evaluation of an opt-out HIV testing programme: Behavioural Economics, the Health Belief Model and Normalisation Process Theory. An awareness, understanding and integration of these theories may motivate health care providers to order HIV tests that they may not routinely order, influence their beliefs about who should be tested for HIV and inform the operational aspects of opt-out HIV testing. Ongoing process evaluation of opt-out HIV testing programmes (based on these theories) will help to achieve individual health care provider self-efficacy and group collective action, thereby improving testing rates and health outcomes. © 2016 John Wiley & Sons, Ltd. 2016 Journal Article http://hdl.handle.net/20.500.11937/48283 10.1111/jep.12602 Wiley-Blackwell Publishing restricted |
| spellingShingle | Leidel, Stacy Leslie, Gavin Boldy, Duncan Girdler, Sonya A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing |
| title | A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing |
| title_full | A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing |
| title_fullStr | A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing |
| title_full_unstemmed | A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing |
| title_short | A comprehensive theoretical framework for the implementation and evaluation of opt-out HIV testing |
| title_sort | comprehensive theoretical framework for the implementation and evaluation of opt-out hiv testing |
| url | http://hdl.handle.net/20.500.11937/48283 |