TY - JOUR
KW - Adult
KW - Aged
KW - Behavior Therapy/methods
KW - Counseling
KW - Diagnosis, Computer-Assisted
KW - Female
KW - HIV Infections/prevention & control/psychology
KW - Humans
KW - Male
KW - Middle Aged
KW - Pilot Projects
KW - Primary Health Care/methods
KW - Quality of Life/psychology
KW - Questionnaires
KW - Risk Reduction Behavior
KW - Risk-Taking
KW - Sexual Behavior
KW - Sexually Transmitted Diseases/prevention & control/psychology
KW - Student Health Services/organization & administration
KW - United States
AU - M. L. Zuniga
AU - H. Baldwin
AU - D. Uhler
AU - J. Brennan
AU - A. M. Olshefsky
AU - E. Oliver
AU - W. C. Mathews
A1 - 
AB - 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.
BT - AIDS and behavior
C5 - HIT & Telehealth
CP - 5 Suppl
CY - United States
DO - 10.1007/s10461-007-9255-2
IS - 5 Suppl
JF - AIDS and behavior
N2 - 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.
PP - United States
PY - 2007
SN - 1090-7165; 1090-7165
EP - 71
EP - S58+
T1 - Supporting Positive Living and Sexual Health (SPLASH): a clinician and behavioral counselor risk-reduction intervention in a university-based HIV clinic
T2 - AIDS and behavior
TI - Supporting Positive Living and Sexual Health (SPLASH): a clinician and behavioral counselor risk-reduction intervention in a university-based HIV clinic
U1 - HIT & Telehealth
U2 - 17587172
U3 - 10.1007/s10461-007-9255-2
VL - 11
VO - 1090-7165; 1090-7165
Y1 - 2007
ER -