Abstract
Effective HIV prevention interventions with HIV-positive persons are paramount to stemming the rate of new infections. This paper describes an HIV-clinic-based demonstration project aimed at decreasing patient HIV-transmission risk behaviors and sexually transmitted infections. Systematic, computer-assisted assessment of patient risk aided primary care providers in delivering prevention messages. Patients at greater risk were referred to an HIV Prevention Specialist for behavioral counseling. Patients completed a computerized behavioral staging assessment to self-identify risk behaviors and readiness to change behaviors and counseling messages were individually tailored based on computer assessment. Challenges to project implementation: primary care provider buy-in, patient privacy concerns during risk assessment, and low participation in behavioral counseling. Forty-six percent of persons completing a risk assessment (2,124) were at risk for HIV transmission. Of 121 patients who scheduled counseling appointments, 42% completed at least one session. Despite challenges, successful implementation of a clinic-based prevention intervention is feasible, particularly with attention to patient and provider concerns.
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This publication is supported by grant number (Grant # 6 H97HA01299-01-02) 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. This work was also supported in part the National Institutes of Mental Health (Grant # 1K01 MH072353) and by the San Diego EXPORT Center, National Center of Minority Health and Health Disparities, National Institutes of Health (Grant Number P60 MD00220). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health.
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Zúñiga, M.L., Baldwin, H., Uhler, D. et al. Supporting Positive Living and Sexual Health (SPLASH): A Clinician and Behavioral Counselor Risk-Reduction Intervention in a University-Based HIV Clinic. AIDS Behav 11 (Suppl 1), 58–71 (2007). https://doi.org/10.1007/s10461-007-9255-2
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DOI: https://doi.org/10.1007/s10461-007-9255-2