AIDS and Behavior

, Volume 12, Issue 3, pp 404–411

Translating Concern into Action: HIV Care Providers’ Views on Counseling Patients about HIV Prevention in the Clinical Setting

  • Catherine A. Grodensky
  • Carol E. Golin
  • Maureen S. Boland
  • Shilpa N. Patel
  • E. Byrd Quinlivan
  • Matt Price
Original Paper

DOI: 10.1007/s10461-007-9225-8

Cite this article as:
Grodensky, C.A., Golin, C.E., Boland, M.S. et al. AIDS Behav (2008) 12: 404. doi:10.1007/s10461-007-9225-8

Abstract

Recent Centers for Disease Control (CDC) guidelines recommend that HIV care practitioners provide HIV prevention counseling to patients at routine medical visits. However, research shows that HIV care practitioners provide such counseling infrequently, presenting a challenge for clinics implementing these guidelines. Our qualitative study of 19 HIV care providers at an infectious diseases clinic in the southeastern US explored providers’ beliefs about their patients’ HIV transmission behaviors, expected outcomes of conducting HIV prevention counseling, and perceived barriers and facilitators to counseling. Providers’ concern about HIV transmission among their patients was high but did not “translate into action” in the form of counseling. They anticipated poor outcomes from counseling, including harm to patient–provider relationships, and failure of patients to change their behavior. They also listed barriers and facilitators to counseling, most importantly time, state reporting policies, and conversational triggers. Implications for implementation of CDC guidelines and clinic-based “Prevention with Positives” programs are discussed.

Keywords

HIV preventionProvider counselingSexual behaviorDoctor–patient communicationProvider views

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Catherine A. Grodensky
    • 1
  • Carol E. Golin
    • 1
    • 2
    • 3
    • 4
  • Maureen S. Boland
    • 1
  • Shilpa N. Patel
    • 2
  • E. Byrd Quinlivan
    • 2
    • 4
  • Matt Price
    • 5
  1. 1.Department of Health Behavior and Health Education, School of Public HealthUniversity of North Carolina Chapel HillChapel HillUSA
  2. 2.Department of Medicine, School of MedicineUniversity of North Carolina Chapel HillChapel HillUSA
  3. 3.UNC Cecil G. Sheps Center for Health Services ResearchChapel HillUSA
  4. 4.UNC Center for AIDS ResearchChapel HillUSA
  5. 5.International AIDS Vaccine InitiativeSan MateoUSA