Reframing "Prevention with Positives": Incorporating Counseling Techniques That Improve the Health of HIV-Positive Patients

Division of Behavioral Sciences, University of California San Francisco, 94117, USA.
AIDS PATIENT CARE and STDs (Impact Factor: 3.5). 02/2006; 20(1):19-29. DOI: 10.1089/apc.2006.20.19
Source: PubMed


Federal HIV prevention strategy seeks to increase efforts by health care providers to identify and reduce their HIV-positive patients' transmission-related behaviors. Implementation of these recommendations will be hindered if providers perceive these efforts have the potential to harm their relationships with patients. Because transmission-related behaviors (unsafe sex and sharing needles) and the related issues of drug and alcohol use also jeopardize the health of HIV-positive patients, providers can use patient-centered counseling when addressing those behaviors. We suggest efforts to increase provider-delivered transmission-prevention counseling be reframed so that "prevention with positives" includes the goal of protecting HIV-positive patients' health. We review the specific consequences of these risky behaviors on HIV-positive patients' health and review brief counseling strategies appropriate for HIV care providers.

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Available from: Dale Danley
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    • "em HIV, percebe-se uma menor ênfase nos estudos empíricos nas necessidades psicológicas dessa população (Carvalho, Faria, Gonçalves, Moskovics, & Piccinini, 2009; Gerbert et al., 2006). Nesse sentido, pesquisadores (Medley, Garcia- Moreno, McGill, & Maman, 2004) salientam a necessidade de que o aconselhamento no contexto de pré-natal focalize as decisões que as mulheres vivendo com HIV precisam tomar nesse momento. "

    Full-text · Article · Jun 2015
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    • "El propio proceso presenta las razones para el cambio (Miller & Rollnick, 1999). Los proveedores de salud la han encontrado efectiva y práctica en entornos clínicos y en la atención de los pacientes con VIH (Gerbert et al., 2006). De acuerdo con sus iniciadores, Miller y Rollnick (1999), es una forma de ayudar a las personas para que reconozcan y se ocupen de sus problemas potenciales y presentes. "

    Preview · Article · Jul 2014 · Universitas Psychologica
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    • "Psycho-social counselling may be an important component of case management but is also a stand-alone intervention. Gerbert et al. [5] have noted that counselling is one of the most powerful ways to address the psycho-social aspects of HIV, which include managing risky behaviours, coping and social support, depression and treatment adherence [5]. Counselling and case management typically focus on individuals, but health promotion may have a distinctly community focus. "
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    ABSTRACT: Our objective was to identify all existing systematic reviews related to counselling, case management and health promotion for people living with HIV/AIDS. For the reviews identified, we assessed the quality and local applicability to support evidence-informed policy and practice. We searched 12 electronic databases and two reviewers independently assessed the 5,398 references retrieved from our searches and included 18 systematic reviews. Each review was categorized according to the topic(s) addressed, quality appraised and summarized by extracting key messages, the year searches were last completed and the countries in which included studies were conducted. Twelve reviews address topics related to counselling and case management (mean quality score of 6.5/11). Eight reviews (mean quality score of 6/11) address topics related to health promotion (two address both domains). The findings from this overview of systematic reviews provide a useful resource for supporting the development and delivery of evidence-informed support services in community settings. Electronic supplementary material The online version of this article (doi:10.1007/s10461-012-0283-1) contains supplementary material, which is available to authorized users.
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