Original Paper

AIDS and Behavior

, 13:1068

First online:

Lessons Learned about Behavioral Science and Acute/Early HIV Infection. The NIMH Multisite Acute HIV Infection Study: V

  • Jeffrey A. KellyAffiliated withCenter for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin Email author 
  • , Stephen F. MorinAffiliated withCenter for AIDS Prevention Studies, University of California
  • , Robert H. RemienAffiliated withHIV Center for Behavioral and Clinical Studies, New York State Psychiatric Institute
  • , Wayne T. StewardAffiliated withCenter for AIDS Prevention Studies, University of California
  • , Jenny A. HigginsAffiliated withCenter for Health and Wellbeing, Princeton University
  • , David W. SealAffiliated withCenter for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin
  • , Robert DubrowAffiliated withCenter for Interdisciplinary Research on AIDS, Yale University
  • , J. H. AtkinsonAffiliated withHIV Neurobehavioral Research Center, University of California
  • , Peter R. KerndtAffiliated withCenter for HIV Prevention, Treatment, and Services (CHIPTS), University of California
    • , Steven D. PinkertonAffiliated withCenter for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin
    • , Kenneth MayerAffiliated withBrown University/The Miriam Hospital
    • , Kathleen J. SikkemaAffiliated withDuke University

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Abstract

Acute/early HIV infection is a period of heightened HIV transmission and a window of opportunity for intervention to prevent onward disease transmission. The NIMH Multisite Acute HIV Infection (AHI) Study was an exploratory initiative aimed at determining the feasibility of recruiting persons with AHI into research, assessing their psychosocial and behavioral characteristics, and examining short-term changes in these characteristics. This paper reports on lessons learned in the study, including: (1) the need to establish the cost-effectiveness of AHI testing; (2) challenges to identifying persons with AHI; (3) the need to increase awareness of acute-phase HIV transmission risks; (4) determining the goals of behavioral interventions following AHI diagnosis; and (5) the need for “rapid response” public health systems that can move quickly enough to intervene while persons are still in the AHI stage. There are untapped opportunities for behavioral and medical science collaborations in these areas that could reduce the incidence of HIV infection.

Keywords

Acute HIV infection HIV prevention Public health