Implementation of HIV prevention interventions with people living with HIV/AIDS in clinical settings: challenges and lessons learned.

Center for AIDS Prevention Studies, AIDS Policy Research Center, University of California, 50 Beale Street Suite 1300, San Francisco, CA 94105, USA.
AIDS and Behavior (Impact Factor: 3.49). 10/2007; 11(5 Suppl):S17-29. DOI: 10.1007/s10461-007-9233-8
Source: PubMed

ABSTRACT Integrating HIV prevention into the clinical care of people living with HIV has emerged as a priority in the US As part of a cross-site evaluation this study examined the processes by which 15 clinic-based projects implemented interventions funded under the Health Resources and Services Administration's (HRSA) HIV Prevention with Positives (PwP) in Clinical Settings Initiative. We conducted 61 in-depth interviews with researchers and interventionists across the 15 projects. Intervention implementation was feasible assuming several key components were in place: (1) internal leadership to overcome resistance and foster interest and motivation among clinical providers and staff; (2) adequate attention to creating seamless flow between clinic practice and intervention; and (3) ongoing training that met clinician and staff needs as prevention interventions become a regular part of care. Interventions well matched to the clinical environment and the patient populations were feasible and acceptable to health care providers, prevention interventionists, and clinic staff.

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