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West Virginia faces rising rates of HIV, hepatitis, and syphilis, particularly among individuals experiencing homelessness, substance use, and mental health challenges. Traditional blood-draw testing for these infections is often hindered by mistrust, logistical barriers, and delays in results. This study, conducted by the West Virginia University (WVU) Street Medicine program, evaluates a rapid, point-of-care fingerstick test for HIV, Hepatitis C, and syphilis that provides results within 10-20 minutes during mobile clinic visits. Participants may choose rapid testing, traditional blood draw (which also includes Hepatitis B screening), or decline testing. All participants will be invited to complete a brief survey about the experiences with screening methods. The goal is to assess whether rapid testing improves screening uptake, linkage to care, and patient satisfaction, ultimately reducing barriers and disease burden in high-risk populations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants receiving fingerstick test |
|
| |
| Participants receiving blood-draw test | Participants receiving blood-draw test:
|
| |
| Participants who decline screening | Participants who decline screening: • Will be invited to answer survey questions about the feelings and experiences with screening (about 15-30 minutes). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rapid Fingerstick Test | Diagnostic Test | Fingerstick test for HIV, Hepatitis B and C, and Syphilis that gives results within 10-20 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Finger Stick | Percentage of participants that opted to take the rapid finger stick test. | Day 1 |
| Percentage of Blood Draw | Percentage of participants that opted to take the blood draw test. | Day 1 |
| Percentage that decline screening | Percentage of participants that opted to decline screening | Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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Participants will include patients in Berkeley and Jefferson Counties of West Virginia who visit the WVU Medicine Street Medicine Clinic.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Madison Humerick, MD | Contact | 304-535-6343 | humerickm@hsc.wvu.edu |
| Name | Affiliation | Role |
|---|---|---|
| Madison Humerick, MD | West Virginia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| WVU Department of Family Medicine - Eastern Division | Harpers Ferry | West Virginia | 25425 | United States |
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| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D013587 | Syphilis |
| D006509 | Hepatitis B |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Blood Draw for lab test | Diagnostic Test | Blood draw to test for HIV, Hepatitis B & C, and syphilis which can take up to 3 days for results |
|
| D014777 |
| Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D014211 | Treponemal Infections |
| D013145 | Spirochaetales Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D015231 | Sexually Transmitted Diseases, Bacterial |
| D012749 | Sexually Transmitted Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D018347 | Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |