Top

Published in:

01-09-2007 | Original Paper

Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model

Published in: AIDS and Behavior | Special Issue 1/2007

Abstract

This paper presents lessons learned from an intervention designed to provide HIV prevention counseling within a hospital-based, multidisciplinary HIV clinic. The model, Positive Prevention, used Master’s-level social workers (MSWs) as intervention specialists to minimize burden on primary care providers and to offer a replicable way to provide prevention in a similar setting. The intervention goal was to reduce risk behaviors through Motivational Interviewing, a patient-centered counseling approach with proven success impacting behavioral change.

Implementation experiences offer insight into the challenges of using MSWs as prevention specialists. Particular challenges were related to patient engagement and retention. Experiences early in the implementation process were informative and allowed for adaptations to facilitate a more viable program; however even after executing new strategies, many of the program issues remained. Thus, the Positive Prevention model is not recommended as a best HIV prevention model for replication in similar high-volume, hospital-based, multidisciplinary HIV clinic settings.

Bhattacharya, G. (2003). Social-environmental influences on HIV risks: Implications for HIV prevention. Journal of HIV/AIDS and Social Services, 2(3), 11–31.CrossRef

Bing, E. G., Burnam, M. A., Longshore, D., Fleishman, J. A., Sherbourne, C. D., London, A. S., Turner, B. J., Eggan, F., Beckman, R., Vitiello, B., Morton, S. C., Orlando, M. B., Samuel A., Ortiz-Barron L., & Shapiro, M. (2001). Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Archives of General Psychiatry, 58, 721–728.PubMedCrossRef

Boyle, B., & Goldenberg, D. (2000). Current issues in antiretroviral and psychiatric therapy for HIV-infected patients. The AIDS Reader, 10(9), 508–513.PubMed

Brandt, L. J. (2003). Commentary: On the value of an old dress code in the new millennium. Archives of Internal Medicine 163, 1277–1281.PubMedCrossRef

Britt, E., Hudson, S. M., & Blampied, N. M. (2004). Motivational interviewing in health settings: A review. Patient Education and Counseling, 53, 147–155.PubMedCrossRef

Butler, C. C., Pill, R., & Scott, N. C. H. (1998). Qualitative study of patients’ perceptions of doctors’ advice to quit smoking: Implications for opportunistic health promotion. BMJ, 20; 316(7148), 1878–1881.

Centers for Disease Control and Prevention. (1993). Distribution of STD clinic patients along a stages of behavioral change continuum—Selected sites. Morbidity and Mortality Weekly Report, 42, 880–883.

Centers for Disease Control and Prevention. (2005). HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men-five U.S. Cities, June 2004–April 2005. Morbidity and Mortality Weekly Report, 54, 597–601.

Crepaz, N., & Marks, G. (2002). Towards an understanding of sexual risk behavior in people living with HIV: A review of social, psychological, and medical findings. AIDS, 16, 135–149 [Review].PubMedCrossRef

Dodge, W. T., BlueSpruce, J., Grothaus, L., Rebolledo, V., McAfee, T. A., Carey, J. W., & Thompson, R. S. (2001). Enhancing primary care HIV prevention: A comprehensive clinical intervention. American Journal of Preventive Medicine, 20, 177–183.PubMedCrossRef

Ehrhardt, A., & Exner, T. (2000). Prevention of sexual risk behavior for HIV infection with women. AIDS, 14(Suppl), 53–58.

Eisenberg, E., Craig, A., Gautam, S., Khalil, M., Shaktour, B., Schaffner, W., & Griffin, M. R. (2005). Beyond screening: Identifying new barriers to early onset group B streptococcal disease prevention. The Pediatric Infectious Disease Journal, 24, 520–524.PubMedCrossRef

Fisher, J., Fisher, W., Cornman, D., Amico, R., Bryan, A., & Friedland, G. (2006). Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes, 41(1), 44–52.PubMedCrossRef

Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory. New York: Aldine DeGruyter.

Hankins, C., Alary, M., Parent, R., Blanchette, C., Claessens, C., & SurvUDI Working Group (2002). Continuing HIV transmission among injection drug users in eastern central Canada: The SurvUDI study, 1995 to 2000. Journal of Acquired Immune Deficiency Syndromes, 30, 514–521.PubMed

Kalichman, S. C. (2000). HIV transmission risk behaviors of men and women living with HIV-AIDS: Prevalence, predictors, and emerging clinical interventions. Clinical Psychology: Science and Practice, 7, 32–47.CrossRef

Kalichman, S. C., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., Luke, W., Buckles, J., Kyomugisha, F., Benotsch, J., Pinkerton, S., & Graham, J. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. American Journal of Preventive Medicine, 21, 84–92.PubMedCrossRef

Kottke, T. E., Battista, R. N, DeFriese, G. H, & Brekke, M. L. (1988). Attributes of successful smoking cessation interventions in medical practice: A meta-analysis of 39 controlled trials. Journal of the American Medical Association, 259, 2883–2889.PubMedCrossRef

Leserman, J., Petitto, J. M., Golden, R. N., Gaynes, B. N., Hongbin, G., Perkins, D. O., Silva, S. G., Folds, J. D., & Evans, D. L. (2000). Impact of stressful life events, depression, social support, coping and cortisol on progression to AIDS. American Journal of Psychiatry, 157, 1221–1228.PubMedCrossRef

Makadon, H. J., & Silin, J. G. (1995). Prevention of HIV infection in primary care: Current practices, future possibilities. Annals of Internal Medicine, 123, 715–719.PubMed

Marks, G., Richardson, J. L., Crepaz, N., Stoyanoff, S., Milam, J., Kemper, C., Larsen, R. A., Bolan, R. D., Weismuller, P. E., Hollander, H. F., & McCutchan, A. G. (2002). Are HIV care providers talking with patients about safer sex and disclosure? A multi-clinic assessment. AIDS, 16, 1953–1957.PubMedCrossRef

Metsch, L., Pereyra, M., Del Rio, C., Gardner, L., Duffus, W., Dickinson, G., Kerndt, P., Anderson-Mahoney, P., Strathdee, S., & Greenberg, A. (2004). Delivery of HIV prevention counseling by physicians at HIV medical care settings in 4 US cities. American Journal of Public Health, 94(7), 1186–1192.PubMed

Miller, W. R., & Rollnick, S. (1991a). Motivational interviewing: Preparing people for change. New York: Guilford Publications, Inc.

Miller, W. R., & Rollnick, S. (1991b). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford Publications, Inc.

Miller, W. R., & Rollnick, S. (2004). http://www.motivationalinterviewing.org retrieved August 31, 2004.

Morin, S., Koester, K., Steward, W., Maiorana, A., McLaughlin, M., Myers, J., McLaughlin, M., Myers, J. J., Vernon, K., & Chesney, M. A. (2004). Missed opportunities: Prevention with HIV-infected patients in clinical care settings. Journal of Acquired Immune Deficiency Syndromes, 36, 960–966.PubMedCrossRef

Prochaska, J., & DiClemente, C. (1984). Transtheoretical approach: Crossing traditional boundaries of therapy. New York: Thomson Brooks/Cole.

Prochaska, J. O., DiClemente, C. C., & Norcross, J. D. (1992). In search of how people change-applications to addictive behaviors. American Psychologist. 47(9), 1102–1114.PubMedCrossRef

Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., Fiore, C., Harlow, L. L., Redding, C. A., Rosenbloom, D., & Rossi, S. R. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13(1), 39–46.PubMedCrossRef

Richardson, J. L., Milam, J., McCutchan, A., Stoyanoff, S., Bolan, R., Weiss, J., Kemper, C., Larsen, R. A., Hollander, H., Weismuller, P., Chou, C., & Marks, G. (2004). Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: A multi-clinic assessment. AIDS, 18, 1179–1186.PubMedCrossRef

Schreibman, T., & Friedland, G. (2003). Human immunodeficiency virus infection prevention: Strategies for clinicians. Clinical Infectious Diseases, 36, 1171–1176.PubMedCrossRef

Shain, R. N., Piper, J. M., Holden, A. E. C., Champion, J. D., Perdue, S. T., Korte, J. E., & Guerra, F. A. (2004). Prevention of gonorrhea and chlamydia through behavioral intervention: Results of a two-year controlled randomized trial in minority women. Sexually Transmitted Diseases, 31(7), 401–408.PubMedCrossRef

Yarnall, K. S., Pollak, K. I., Ostbye, T., Krause, K. M., & Michener, J. L. (2003). Primary care: Is there enough time for prevention? American Journal of Public Health, 93, 635–641.PubMedCrossRef

Wear, D. (1998). On white coats and professional development: The formal and the hidden curricula. Annals of Internal Medicine, 129(9), 734–737.PubMed

Title: Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model
Publication date: 01-09-2007
Published in: AIDS and Behavior / Issue Special Issue 1/2007
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-007-9254-3

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Special Issue 1/2007

Developing an HIV-Prevention Intervention for HIV-Infected Men Who Have Sex with Men in HIV Care: Project Enhance

Strategies to Reduce HIV Risk Behavior in HIV Primary Care Clinics: Brief Provider Messages and Specialist Intervention

Supporting Healthy Alternatives through Patient Education: A Theoretically Driven HIV Prevention Intervention for Persons Living with HIV/AIDS

Predicting HIV Transmission Risk among HIV-Infected Patients Seen in Clinical Settings

Evolution of the Special Projects of National Significance Prevention with HIV-Infected Persons Seen in Primary Care Settings Initiative

Sex, Risk and Responsibility: Provider Attitudes and Beliefs Predict HIV Transmission Risk Prevention Counseling in Clinical Care Settings

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page