What question did this study set out to answer?

To evaluate the implementation of universal, opt-out HIV testing for adolescents in a pediatric hospital medicine setting.

Effect of Opt-Out HIV Testing for Adolescent Patients on a Pediatric Hospital Medicine Service

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To evaluate the implementation of universal, opt-out HIV testing for adolescents in a pediatric hospital medicine setting.
Pre-post intervention study comparing HIV testing rates for adolescents aged 13 and older from February to June 2024 (preimplementation) and July to November 2024 (postimplementation).
Education for clinicians on HIV screening guidelines and incorporation of opt-out language.
Use of HIV navigators to counsel adolescents and enhance screening uptake.
Testing rates increased from 12.4% preimplementation to 17.1% postimplementation (P = .04).
Among 533 eligible adolescents, 91 tests were ordered postimplementation, indicating a 17.1% testing rate.
Testing was significantly higher when adolescents were approached by an HIV navigator (P = .004).

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Pre-post intervention study shows increased HIV testing rates in adolescents, suggesting effective implementation strategies.

Sadler et al. (2026) studied this question.

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