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Lesson 3: How to Offer the Opt-out HIV Test

Opt-out vs. Opt-in Conversations

Here’s an exercise to help you differentiate between the opt-out and opt-in approach to HIV testing. Click each link and listen to a script, then decide which approach is used.

Have you ever been tested for HIV? No. I recommend at least one HIV test on all of my patients.

Have you ever been tested for HIV? No. I recommend at least one HIV test on all of my patients. Let me know if you want to be tested today.

We are doing blood-work as part of your visit today and it will include an HIV test. What questions do you have?

We are doing blood-work as part of your visit today and it will include an HIV test. If it is OK with you, we will perform this test now.

         Example 1

         Example 1

         Example 2

         Example 2

         Example 3

         Example 3

         Example 4

         Example 4

 
 
 
 
 
 
 
 

Example 1

 

 

 

This example uses the opt-out approach.

The patient is not asked if he or she wants to be tested.

Example 2

 

 

 

This example uses the opt-in approach.

The patient is asked if he or she wants to be tested. The patient must opt-in to be tested.

Example 3

 

 

 

This example uses the opt-out approach.

The patient is not asked if he or she wants to be tested. The question is, “What questions do you have?” If there are no objections, consent is inferred.

Example 4

 

 

 

This example uses the opt-in approach.

The patient is asked if it is OK to be tested. The patient must opt-in to be tested.

That's Correct!

That's Incorrect.