Clinician-initiated HIV risk reduction intervention for HIV-positive persons: Formative Research, Acceptability, and Fidelity of the Options Project.

Fisher JD, Cornman DH, Osborn CY, Amico KR, Fisher WA, Friedland GA
J Acquir Immune Defic Syndr. 2004 37 Suppl 2: S78-87

PMID: 15385903 · DOI:10.1097/01.qai.0000140605.51640.5c

OBJECTIVE - To conduct research on levels and dynamics of HIV risk behavior among HIV-positive patients in clinical care, use this research to design a clinician-initiated HIV prevention intervention for HIV-positive patients, and evaluate the acceptability of the intervention to clinicians and patients and the fidelity with which it can be delivered by clinicians.

METHODS - Study 1 (elicitation research) involved focus groups with HIV-positive patients and HIV care clinicians to understand the dynamics of HIV risk behavior among HIV-positive patients and how to integrate HIV prevention into routine clinical care. Study 2 (acceptability and intervention fidelity) involved the evaluation of 1455 medical visits by experimental intervention patients (N = 231) for acceptability and fidelity of the clinician-initiated HIV prevention intervention.

RESULTS - Elicitation research with patients and clinicians identified critical HIV prevention information, motivation, and behavioral skills deficits in HIV-positive patients as well as risky sexual behavior. These findings were integrated into a theory-based HIV prevention intervention initiated by clinicians that proved acceptable to clinicians and patients and that clinicians were able to implement with adequate fidelity.

CONCLUSION - HIV prevention interventions by clinicians treating HIV-positive patients can and should be integrated into routine clinical care.

MeSH Terms (10)

Connecticut HIV Infections HIV Seropositivity Humans Motivation Patient Compliance Patient Education as Topic Poverty Risk Reduction Behavior Substance-Related Disorders

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