Community testing for HIV can reach previously untested populations but is rarely offered in workplaces. Targeting the construction sector could reach workers from high risk populations. The RE-AIM framework was used to evaluate Test@Work, a workplace HIV testing intervention for construction workers implemented at 21 events (10 companies) in the UK. Test@Work had three components: 1) an online health toolkit to inform managers about health screening and HIV testing; 2) general health checks; and 3) opt-in HIV consultation and testing. Quantitative data were collected using registration and exit questionnaires with workers (n = 426) and pre/post-event questionnaires with managers (n = 15), with qualitative analysis of free text responses. Reach 426 individuals had health checks. Participants were broadly representative of the UK construction workforce, but with a higher proportion of permanent workers. Most workers reported being in good health but also believed their work had an adverse impact on their health. Effectiveness: 97% of health check participants opted to have a consultation about sexual health (n = 413) and 82% had an HIV test (n = 348), of whom 78% had not previously been tested. All HIV tests were non-reactive. HIV testing at work was considered acceptable by most participants. Participants reported learning new things about their health (74%), said they would make changes as a result (70%) and felt confident of success (median score 8/10). Adoption: Recruitment of companies was challenging and time consuming. Seven of the participating companies were very large, employing over 1000 workers, which is atypical of construction generally. Implementation: All events were completed as planned and were considered successful by all parties. Maintenance: All managers would arrange further events if they were offered them. Six managers incorporated sexual health awareness into their health programmes, but this was not possible for many as health agendas were set centrally by their organisations. Opt-in HIV testing, when embedded within a general health check, has high uptake and acceptability in the UK construction sector, and reaches individuals at risk for HIV who may not otherwise attend for testing. Cost-effectiveness of this approach is yet to be determined. ClinicalTrials.gov Identifier: NCT04292002 .

中文翻译：

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Test@work：使用 RE-AIM 框架评估建筑工人工作场所艾滋病毒检测


艾滋病毒社区检测可以覆盖以前未检测过的人群，但很少在工作场所提供。以建筑行业为目标可以覆盖高危人群的工人。 RE-AIM 框架用于评估 Test@Work，这是一项针对建筑工人的工作场所 HIV 检测干预措施，在英国的 21 项活动（10 家公司）中实施。 Test@Work 包含三个组成部分：1) 一个在线健康工具包，用于向管理人员提供有关健康筛查和艾滋病毒检测的信息； 2）一般健康检查； 3) 选择加入艾滋病毒咨询和检测。通过对工人（n = 426）进行登记和退出调查问卷以及对经理（n = 15）进行活动前/后调查问卷收集定量数据，并对自由文本回复进行定性分析。共有426人接受了健康检查。参与者广泛代表了英国建筑工人，但其中长期工人的比例较高。大多数工人表示健康状况良好，但也认为他们的工作对他们的健康产生了不利影响。有效性：97% 的健康检查参与者选择进行性健康咨询（n = 413），82% 的人进行了 HIV 检测（n = 348），其中 78% 的人之前从未接受过检测。所有艾滋病毒检测均无反应。大多数参与者认为工作中的艾滋病毒检测是可以接受的。参与者表示学习了有关健康的新知识 (74%)，表示他们会因此做出改变 (70%)，并对成功充满信心（中位数 8/10）。采用：公司的招聘具有挑战性且耗时。其中七家参与的公司规模非常大，雇用了超过 1000 名工人，这在建筑业中是不常见的。执行情况：所有活动均按计划完成，各方均认为活动取得了成功。 维护：如果有机会的话，所有经理都会安排进一步的活动。六名管理人员将性健康意识纳入他们的健康计划，但对许多人来说这是不可能的，因为健康议程是由他们的组织集中制定的。当选择加入艾滋病毒检测纳入一般健康检查时，在英国建筑行业具有很高的接受度和接受度，并覆盖了那些可能不会参加检测的艾滋病毒高危人群。这种方法的成本效益尚未确定。 ClinicalTrials.gov 标识符：NCT04292002。