Provider-delivered, Theory-based, Individualized Prevention Interventions for HIV Positive Adults Receiving HIV Comprehensive Care
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
HIV prevention efforts are often difficult to emphasize in settings delivering comprehensive HIV care due to factors such as time constraints and differing priorities about the use of clinical time. To assist clinicians within dedicated HIV clinics to offer prevention strategies, investigators at two universities in the United States (Johns Hopkins University and the University of Alabama at Birmingham) have developed and implemented similar, audio-computerized-assisted, self-interviewing systems that have been programmed to assess individual patient risk factors and identify based on the patient’s self-assessment, the patient’s behavioral stage or, readiness for changing, each identified target behavior. Following the assessment, the systems provide printouts of key elements of this information along with individualized, theory-based intervention strategies to the medical provider. This paper will describe our efforts in developing provider-delivered, individualized, stage-based interventions intended to reduce high-risk behaviors among HIV-infected persons.
- Bandura, A. (1997). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. CrossRef
- Bellis, J. M., Grimley, D. M., & Alexander, L. R. (2002). Feasibility of a tailored Intervention targeting STD-related behaviors. American Journal of Health Behavior, 26, 378–385.
- Campbell, M. K., DeVillis, B. M., Strecher, V.J, Ammerman, A. S., DeVellis, R. J., & Sandler, R. S. (1994). Improving dietary behavior: The effectiveness of tailored messages in primary care. American Journal of Public Health, 84(5), 783–787. CrossRef
- Demers, R. Y., Neale, A. V., Adams, R., Trembath, C., & Herman, S. C. (1990). The impact of physicians’ brief smoking cessation counseling: A MIRNET study. Journal of Family Practice, 31, 625–629.
- Fink, A., Elliott, M. N., TSAI, M., & Beck, J. C. (2005). An evaluation of an intervention to assist primary care physicians in screening and educating older patients who use alcohol. Journal of the American Geriatric Society, 53, 1937–1943. CrossRef
- Goldstein, M. G., Niaura, R., Willey-Lessne, C., DePue, J., Eaton, C., Rakowski, W., & Dube, C. (1997). Physicians counseling smokers. A population-based survey of patients’ perceptions of health care provider-delivered smoking cessation interventions. Archives of Internal Medicine, 157, 1313–1319. CrossRef
- Grimley D. M., Prochaska, J. O., Velicer, W. F., Blais, L. M., & DiClemente, C. C. (1994). The transtheoretical model of change. In T. M. Brinthaupt, & R. P. Lipka (Eds.), Changing the self: Philosophies, techniques, and experiences. (pp. 201–227) Albany, NY: State University of New York Press.
- Johnson, S. S., & Grimley, D. M., & Prochaska, J. O. (1998). Prediction of adherence using the transtheoretical model: Implications for Pharmacy Care Practice. Journal of Social and Administrative Pharmacy 15, 135–148.
- Kamb, M. L., Fishbein, M., Douglas, J. M. Jr., Rhodes, F., Rogers, J., Bolan, G., Zenilman, J., Hoxworth, T., Malotte, C. K., Iatesta, M., Kent, C., Lentz, A., Graziano, S., Byers, R. H., & Peterman, T.A. (1998). Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: A randomized controlled trial. Project RESPECT Study Group. Journal of the American Medical Association, 280, 161–7. CrossRef
- 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. CrossRef
- Locke, S. E., Kowaloff, H. B., Hoff, R. G., Safran, C., Popovsky, M. A., Cotton, D. J., Finkelstein, D. M., Page, P. L., & Slack, W.V. (1992). Computer-based interview for screening blood donors for risk of HIV transmission. Journal of the American Medical Association, 268, 1301–1305. CrossRef
- Marcus, B. H., Goldstein, M. G., Jette, A., Simkin-Silverman, L., Pinto, B. M., Milan, F., Washburn, R., Smith, K., Rakowski, W., & Dube, C.E. (1997). Training physicians to conduct physical activity counseling. Preventive Medicine, 26, 382–288. CrossRef
- McPhee, S. J., Bird, J. A., Fordham, D., Rodnick, J. E., & Osbornm, E.H. (1991). Promoting cancer prevention activities by primary care physicians: Results of a randomized, controlled trial. Journal of the American Medical Association, 226, 538–544. CrossRef
- Mertz, K. J., Finelli, L., Levine, W. C., Mognoni, R. C., Berman, S. M., Fishbein, M., Garnett, G., & St. Louis, M. E. (2000). Gonorrhea in male adolescents and young adults in Newark, New Jersey: implications of risk factors and patient preferences for prevention strategies. Sexually Transmitted Diseases, 27, 201–207. CrossRef
- Morrison-Beedy, D., Carey, M. P., & Lewis, B. P. (2002). Modeling condom-use stage of change in low- income, single, urban women. Research Nursing Health, 25, 22–34.
- Ockene J. K. (1999). Primary care-based smoking interventions. Nicotine Tobacco Research,1 Suppl 2, S189–S193; discussion S207–S210.
- Park, E. R., Wolfe, T. J., Gokhale, M., Winickoff, J. P., & Rigotti, N. A. (2005). Perceived preparedness to provide preventive counseling: Reports of graduating primary care residents at academic health centers. Journal of Internal Medicine, 20, 386–391.
- Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change in smoking: Toward an integrated model of change. Journal of Consulting and Clinical Psychology, 5, 390–395. CrossRef
- Prochaska, J. O., & DiClemente, C. C. (1984). The transtheoretical approach: Crossing the traditional boundaries of therapy. Dow Jones/Irwin, Homewood, IL.
- Prochaska, J. O., Diclemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychology, 47, 1102–1114. CrossRef
- Prochaska, J. O., Velicer, W. F., DiClemente, C. C., & Fava, J. (1988). Measuring the processes of change: Applications to the cessation of smoking. Journal of Consulting and Clinical Psychology, 56, 520–528. CrossRef
- 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. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13, 39–46. CrossRef
- Turner C. F., Ku, L., Rogers, S. M., Lindberg, L. D., Pleck, J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873. CrossRef
- US Department of Health and Human Services Public Health Service. (1994, May). HIV counseling, testing, referral standards, guidelines. CDC, Division of HIV/AIDS Prevention, Atlanta.
- Velicer, W. F., DiClemente, C. C., Prochaska, J. O., & Brandenburg, N. (1985). A decisional balance measure for predicting smoking cessation. Journal Personality and Social Psychology, 48, 1279–1289. CrossRef
- Velicer, W. F., Prochaska, J. O., Bellis, J. M., DiClemente, C. C., Rossi, J. S., & Steiger, J. H. (1993). An expert system intervention for smoking cessation. Addictive Behaviors, 18, 269–290. CrossRef
- Wright, D. L., Acquilino, W. S., & Supple, A. J. (1998). A comparison of computer- assisted and paper- and-pencil self-administered questionnaire in a survey on smoking, alcohol, and drug. Public Opinion Quarterly, 62, 331–353. CrossRef
- Provider-delivered, Theory-based, Individualized Prevention Interventions for HIV Positive Adults Receiving HIV Comprehensive Care
AIDS and Behavior
Volume 11, Issue 1 Supplement, pp 39-47
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Computerized interventions
- Provider-delivered interventions
- HIV primary care
- Industry Sectors
- Author Affiliations
- 1. Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, RPHB 227, 1530 3rd Ave. South, Birmingham, AL, USA
- 2. Division of Infectious Diseases, Department of Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
- 3. Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
- 4. Birmingham Veterans Administration Medical Center, Birmingham, AL, USA
- 5. Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, School of Medicine, Baltimore, MD, USA