Test@work: evaluation of workplace HIV testing for construction workers using the RE-AIM framework

Area of Science:

• Public Health
• Occupational Health
• Epidemiology

Background:

• Workplace HIV testing is underutilized but can access high-risk populations.
• The construction sector presents an opportunity for targeted HIV testing initiatives.

Purpose of the Study:

• To evaluate the Test@Work intervention, a workplace HIV testing program for construction workers in the UK.
• Assess the reach, effectiveness, adoption, and maintenance of workplace HIV testing.

Main Methods:

• The RE-AIM framework guided the evaluation of the Test@Work intervention.
• Intervention included an online health toolkit, general health checks, and opt-in HIV consultation/testing.
• Data collected via worker (n=426) and manager (n=15) questionnaires, with qualitative analysis.

Main Results:

• High uptake of HIV testing (82%) among health check participants, with 78% being first-time testers.
• Most workers found workplace HIV testing acceptable and reported positive health behavior intentions.
• Company recruitment was challenging, with a focus on larger organizations.

Conclusions:

• Opt-in HIV testing within general health checks is highly acceptable and effective in the UK construction sector.
• This approach successfully reaches individuals at risk for HIV who might not otherwise seek testing.
• Further research is needed to determine cost-effectiveness.