Bruce Schackman, PhD
Weill Cornell Medical College - Department of Public Health
Division of Health Policy
This ancillary study is related to CTN-0032, "HIV Rapid Testing and Counseling in Drug Abuse Treatment Programs in the U.S."
Specific aims of this study (which will be done in collaboration with and support from NIDA Division of Epidemiology, Statistics, and Prevention Research) are: (1) collect data on the costs of the three HIV testing strategies evaluated in the trial, including counselor time, test costs, administration and overhead costs, and counselor training costs. (2) conduct an assessment of the cost-effectiveness of on-site HIV testing in drug abuse treatment settings (with and without counseling) versus referral for off-site testing using the CEPAC model. The analysis will consider a hypothetical cohort of drug abuse treatment clients, and will evaluate the sensitivity of cost-effectiveness results to plausible ranges of data inputs derived from the CTN 0032 site selection, screening, and baseline interviews, and from the literature and expert opinion. Model input data will include history of prior testing, acceptance of HIV testing, receipt of test results, HIV prevalence and incidence, linkage to HIV care among those testing positive, rate of false negative test results, and costs of testing.