{"id":2127,"date":"2022-07-25T12:38:55","date_gmt":"2022-07-25T03:08:55","guid":{"rendered":"https:\/\/hepatitissa.asn.au\/blog\/?p=2127"},"modified":"2024-06-26T16:49:03","modified_gmt":"2024-06-26T07:19:03","slug":"prompt-study-success","status":"publish","type":"post","link":"https:\/\/hepatitissa.asn.au\/communitynews\/2022\/07\/prompt-study-success\/","title":{"rendered":"PROMPt Study Success"},"content":{"rendered":"\n<p class=\"has-drop-cap\">Suppose for a moment that you are one of thousands of people around the world each year who confront the possibility that they may have contracted the hepatitis C virus. You\u2019re worried, perhaps confused, and have a million other things on your mind. Where do you start?<\/p>\n\n\n\n<p>You\u2019ll need a blood test, so you go to a GP, only to find you need to make another appointment\u2014usually at another location\u2014to have the blood test done. And then, after an agonising wait (an average of a week), you go to another appointment with the GP to find out the result.<\/p>\n\n\n\n<p>If you discover you have hepatitis C antibodies, you\u2019ll need to go through this process again\u2014blood test, then return to the GP for the result\u2014to find out if you have a hepatitis C infection. This is because antibodies tell us if you\u2019ve had the virus in your body, but don\u2019t tell us if you have a current infection.<\/p>\n\n\n\n<p>Although interferon-based treatments have thankfully been displaced by effective, short-term and very tolerable oral therapies, there are still significant obstacles to hepatitis C treatment in Australia. Described above is the process to determine a person\u2019s hepatitis C status under Medicare rules, and it is no wonder that many people don\u2019t make it to the final appointment to find out their diagnosis: life just gets in the way! <\/p>\n\n\n\n<p>If you\u2019re a person who finds blood tests difficult and the thought of needles makes you go dry in the mouth, it\u2019s possible you might not even make it to the first blood test for a very long time if at all.<\/p>\n\n\n\n<p>Imagine if all of these encounters could be compressed into a single appointment: a person could have a test with blood taken from a finger prick rather than a needle, get the result, and be prescribed treatment for hepatitis C all in one visit to their healthcare provider. The PROMPt study aimed to make this a reality in three locations across Adelaide during a 12-month trial period. The launch of the study was covered in our magazine in mid-2021 (see <a href=\"http:\/\/bit.ly\/3xFCEp6\">issue 90<\/a>).<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e526ca5367d&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e526ca5367d\" class=\"wp-block-image aligncenter size-full wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"2048\" height=\"892\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-4-scaled.jpg\" alt=\"PROMPt Pathway\" class=\"wp-image-2130\" srcset=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-4-scaled.jpg 2048w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-4-600x261.jpg 600w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-4-1200x522.jpg 1200w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-4-300x131.jpg 300w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-4-768x334.jpg 768w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-4-1536x669.jpg 1536w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\">PROMPt Pathway<\/figcaption><\/figure>\n\n\n\n<p>PROMPt was run at the Adelaide Remand Centre, at inpatient Alcohol &amp; Other Drug Services, and at a mental health inpatient unit. Participants were offered an HCV diagnostic test using a quick fingerstick antibody (Ab) assay. Participants who tested HCV-Ab-positive were then offered a fingerstick HCV RNA assay run on the GenXpert machine.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"583\" src=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/06\/table-3-tinified.png\" alt=\"\" class=\"wp-image-4499\" srcset=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/06\/table-3-tinified.png 500w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2024\/06\/table-3-tinified-300x350.png 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><figcaption class=\"wp-element-caption\">Acceptability of HCV POC testing as measured via survey N = 1549.<\/figcaption><\/figure>\n\n\n\n<p>Project staff, including peer educators, provided HCV education, pre- and post-test counselling, and linkage to care at the time of diagnosis.<\/p>\n\n\n\n<p>Participants who tested HCV RNA positive underwent post-test counselling, harm reduction education and were linked to treatment. Linkage to care consisted of site staff being notified of the positive HCV RNA results, and participant details being sent to the local viral hepatitis nurse for management and treatment.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e526ca53e50&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e526ca53e50\" class=\"wp-block-image aligncenter wp-lightbox-container\"><a href=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-1.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"920\" height=\"348\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-1.jpg\" alt=\"Comparison of HCV testing rates between previous 12 months of standard of care HCV testing versus 12 months of HCV POC intervention testing\" class=\"wp-image-2128\" srcset=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-1.jpg 920w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-1-600x227.jpg 600w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-1-300x113.jpg 300w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-1-768x291.jpg 768w\" sizes=\"auto, (max-width: 920px) 100vw, 920px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/a><figcaption class=\"wp-element-caption\"><em>Comparison of HCV testing rates between previous 12 months of standard of care <\/em><em>HCV testing versus 12 months of HCV POC intervention testing<\/em><\/figcaption><\/figure>\n\n\n\n<p>The study results demonstrate that it is feasible to provide HCV POC testing in the priority settings of mental health, prisons and AOD services. HCV POC testing increased overall rates of HCV testing as compared to the previous 12 months of standard of care testing.<\/p>\n\n\n\n<p>Combined HCV antibody and RNA testing at the point of care has resulted in a significant testing scale-up at each service. The researchers found high acceptability of POC testing at each service.<\/p>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e526ca54412&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e526ca54412\" class=\"wp-block-image aligncenter wp-lightbox-container\"><a href=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-2.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"911\" height=\"263\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-2.jpg\" alt=\"Acceptability of HCV POC testing as measured via survey N = 1549.\" class=\"wp-image-2132\" srcset=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-2.jpg 911w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-2-600x173.jpg 600w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-2-300x87.jpg 300w, https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-2-768x222.jpg 768w\" sizes=\"auto, (max-width: 911px) 100vw, 911px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Enlarge\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/a><figcaption class=\"wp-element-caption\"><em>Acceptability of HCV POC testing as measured via survey N = 1549.<\/em><\/figcaption><\/figure>\n\n\n\n<p>Working with site staff and local viral hepatitis nurses was extremely effective in facilitating HCV treatment. PROMPt shows that this approach is an excellent way to improve testing rates and ensure people get the treatment and support they need if they are living with hepatitis C.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Suppose for a moment that you are one of thousands of people around the world each year who confront the possibility that they may have contracted the hepatitis C virus. &hellip;<\/p>\n","protected":false},"author":3,"featured_media":2129,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[11],"tags":[32,39,228],"issue":[],"ppma_author":[57],"class_list":["post-2127","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-policies-research","tag-hepatitis-c","tag-treatment","tag-testing"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PROMPt Study Success | HepSA Community News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hepatitissa.asn.au\/communitynews\/2022\/07\/prompt-study-success\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PROMPt Study Success | HepSA Community News\" \/>\n<meta property=\"og:description\" content=\"Suppose for a moment that you are one of thousands of people around the world each year who confront the possibility that they may have contracted the hepatitis C virus. &hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hepatitissa.asn.au\/communitynews\/2022\/07\/prompt-study-success\/\" \/>\n<meta property=\"og:site_name\" content=\"HepSA Community News\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HepatitisSA\" \/>\n<meta property=\"article:published_time\" content=\"2022-07-25T03:08:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-26T07:19:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/hepatitissa.asn.au\/communitynews\/wp-content\/uploads\/2022\/06\/table-5-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2048\" \/>\n\t<meta property=\"og:image:height\" content=\"795\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"James Morrison\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@hep_sa\" \/>\n<meta name=\"twitter:site\" content=\"@hep_sa\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"James Morrison\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. 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