TY - JOUR T1 - Universal HIV testing in London tuberculosis clinics: a cluster randomised controlled trial JF - European Respiratory Journal JO - Eur Respir J SP - 627 LP - 634 DO - 10.1183/09031936.00034912 VL - 41 IS - 3 AU - Anjana Roy AU - Sudy Anaraki AU - Pia Hardelid AU - Mike Catchpole AU - Laura C. Rodrigues AU - Marc Lipman AU - Samantha Perkins AU - Anita Roche AU - Helen R. Stagg AU - Jose Figueroa AU - Ibrahim Abubakar Y1 - 2013/03/01 UR - http://erj.ersjournals.com/content/41/3/627.abstract N2 - We assessed whether implementation of a combination of interventions in London tuberculosis clinics raised the levels of HIV test offers, acceptance and coverage. A stepped-wedge cluster randomised controlled trial was conducted across 24 clinics. Interventions were training of clinical staff and provision of tailor-made information resources with or without a change in clinic policy from selective to universal HIV testing. The primary outcome was HIV test acceptance amongst those offered a test, before and after the intervention; the secondary outcome was an offer of HIV testing. Additionally, the number and proportion of HIV tests among all clinic attendees (coverage) was assessed. 1,315 patients were seen in 24 clinics. The offer and coverage of testing rose significantly in clinics without (p = 0.002 and p = 0.004, respectively) and with an existing policy of universal testing (p = 0.02 and p = 0.04, respectively). However, the level of HIV test acceptance did not increase in 18 clinics without routine universal testing (p = 0.76) or the six clinics with existing universal testing (p = 0.40). The intervention significantly increased the number of HIV tests offered and proportion of participants tested, although acceptance did not change significantly. However, the magnitude of increase is modest due to the high baseline coverage. ER -