#aware.hiv Europe study: protocol for a stepped-wedge cluster randomised trial of a multimodal hospital-based implementation strategy targeting HIV indicator-condition-guided testing in European hospitals.
BMJ OpenOct 6, 2026 (epub)
Clinical ResearchInfectious Diseases
Klaske J Vliegenthart-Jongbloed, Oana Mihaela Inescu, Filip Fijołek et al.
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In 30 seconds
The #aware.hiv Europe study is a stepped-wedge cluster randomised trial conducted in 30 hospitals across ten European countries, aiming to improve HIV testing rates among patients with HIV indicator conditions. The study implements a multimodal strategy involving local HIV teams and peer audits. The primary outcome is the change in HIV testing rates in this population.
Key findings
- The primary outcome measures the change in HIV testing rates among patients with confirmed HIV indicator conditions.
- Secondary outcomes include HIV case detection and variations in testing practices.
- The intervention includes targeted education and stigma reduction activities.
Why it matters
Late diagnosis of HIV remains a significant issue in Europe, and improving testing rates through hospital-based strategies could lead to earlier identification and treatment of HIV, ultimately enhancing patient outcomes and public health.