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

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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.

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Acknowledgments

This publication is supported by grant number H97HA01297 from the Health Resources and Services Administration (HRSA) Special Projects of National Significance (SPNS) Program. The publication’s contents are solely the responsibility of the authors and do not necessarily represent the official view of HRSA or the SPNS program.

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Authors and Affiliations

  1. Center for Comprehensive Care, St. Luke’s Roosevelt Hospital Center, 1111 Amsterdam Avenue, Stuyvesant 7, New York, NY, 10025, USA

    Christine Nollen & Victoria Sharp

  2. School of Public Health, Boston University, 200 Springs Road (152), Bedford, MA, 01730, USA

    Mari-Lynn Drainoni

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  1. Christine Nollen
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  2. Mari-Lynn Drainoni
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  3. Victoria Sharp
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Correspondence to Christine Nollen.

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Nollen, C., Drainoni, ML. & Sharp, V. Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model. AIDS Behav 11 (Suppl 1), 84–94 (2007). https://doi.org/10.1007/s10461-007-9254-3

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  • DOI: https://doi.org/10.1007/s10461-007-9254-3

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