Article

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.

Download full-text

Full-text

Available from: Carol Dawson Rose
  • Source
    • "Corvallis, OR). A collaborative team of researchers analyzed the data using thematic analysis (Braun & Clarke, 2006) and followed a well-defined, transparent protocol to sift and sort the data (Koester et al., 2007). Transcripts were coded using open coding and discussed during team meetings devoted to data analysis (Charmaz, 2006). "
    Dataset: Machtinger

    Full-text · Dataset · Sep 2015
  • Source
    • "Corvallis, OR). A collaborative team of researchers analyzed the data using thematic analysis (Braun & Clarke, 2006) and followed a well-defined, transparent protocol to sift and sort the data (Koester et al., 2007). Transcripts were coded using open coding and discussed during team meetings devoted to data analysis (Charmaz, 2006). "
    Dataset: Machtinger

    Full-text · Dataset · Sep 2015
  • Source
    • "Specific demonstration studies on the implementation of prevention interventions for HIVinfected individuals within clinic settings suggests that peer-led interventions and prevention case management (PCM) models may be effective strategies in reducing high-risk behaviors (Koester et al., 2007; O'Cleirigh et al., 2008). Secondary prevention programs targeting HIV-infected individuals have resulted in significant changes in risky sexual and injection drug use behaviors (Kalichman et al., 2001; Margolin et al., 2003; Rotheram-Borus et al., 2001). "
    [Show abstract] [Hide abstract]
    ABSTRACT: There is growing interest in integrating HIV prevention counseling for HIV-infected gay and bisexual men into HIV primary care. HIV-infected peers and professionally trained prevention case managers (PCMs) have been used to provide prevention counseling services. The current qualitative study seeks to examine participant perceptions of the acceptability of HIV-infected peer counselors and of trained prevention case managers from the perspective of 41 HIV-infected gay and bisexual men. Semi-structured interviews were conducted with HIV-infected men who were currently receiving primary HIV health care. Positive peer counselor themes included shared experiences and para-professional. Positive themes specific to the PCM relationships included were provision of resources and professional skills and knowledge. Common themes identified across both peer and PCM counselor relationships were creating a comfortable environment, non-judgmental stance, and rapport building/communication skills. Recommendations for HIV secondary prevention interventions are presented.
    Full-text · Article · Jul 2010 · Journal of Gay & Lesbian Social Services
Show more