Table I.

Provider Interview-Phase II Participant’s Interview Guide

HIV Testing Guidelines	Are you familiar with CDC’s HIV opt-out testing guidelines? If yes, do you remember what the guidelines say about HIV testing (e.g. who should be tested, how often and why)? How do you think the guidelines apply to you and your clinic? Do you think the guidelines are a good idea? If yes, how do you implement them in your practice? If no, why do you disagree and how would you change them? What barriers do you perceive with regards to implementing universal opt-out HIV testing? How would you address these barriers?
HIV Testing Practices	How much of a concern is HIV for your population? Tell me about HIV testing in your clinic. Who do you test for HIV in your clinic? Why? Can you tell me about your testing practices over the past 10 yrs? Have you made changes? Why or why not? What barriers or difficulties do you have with implementing HIV testing in your clinic? How do you address these barriers?
Referral to Specialty Care	Have you had anyone test HIV-positive in your clinic? If yes, where do you refer patients to HIV specialty care? How was that experience? If no previous encounters with managing positive HIV test results, how would you refer a newly diagnosed patient? Did you experience or do you anticipate experiencing barriers when referring a patient to HIV specialty care? How do you address these barriers?
Patients’ Perception of HIV Testing	What do you think your patients think about HIV testing? Has a patient ever asked you to be tested for HIV? If yes, can you tell us more about this experience? Did you ever have a patient refuse an HIV test offered by your clinic? If yes, tell us more about that experience and why you believe that patient refused to be tested.
Ranking of Barriers	How do you think patients would rank the importance of the following barriers for HIV testing? Rank in order of 1–8 with 1 indicating the most significant barrier.
	Barrier	Ranking
	1) Cost (or lack of re-imbursement by insurance)	________
	2) Not knowing where to receive specialty care for HIV	________
	3) Not feeling at risk for HIV infection	________
	4) Concern that HIV testing will reflect badly on me as a person	________
	5) Concern of being judged by my clinical care provider	________
	6) Afraid of test results	________
	7) Concern that others may find out that I got tested for HIV	________
	8) Afraid of testing procedures	________
Response to Patient Ranking	The way the barriers are listed here is the ranking that patients actually gave them. Does that surprise you at all, the order in which they ranked them compared to how you ranked them?