 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Carol Dawson Rose, PhD, RN1, Grant Colfax, MD2, Kelly Ray Knight, MA3, Paula J Lum, MD MPH4, and Mary Schroeder, MPH1. (1) Center for AIDS Prevention Studies, University of California San Francisco, 74 New Montgomery Street, Suite 600, San Francisco, CA 94105, 4155979338, cdawson@psg.ucsf.edu, (2) AIDS Office, San Francisco Department of Public Health, 25 Van Ness, Suite 710, San Francisco, CA 94102, (3) Center for AIDS Prevention Studies, University of California, San Francisco, 74 New Montgomery, Suite 400, San Francisco, CA 94105, (4) Department of Medicine, Positive Health Program, University of California, San Francisco, UCSF Box 1347, San Francisco, CA 94143-1347
The number of HIV + people in the US continues to increase. While many HIV + people are receiving regular HIV clinical care, clinicians have not adequately addressed the need to integrate prevention measures for these individuals into their ongoing clinical care. This project developed a training intervention for HIV clinicians as a method of integrating HIV prevention into the HIV medical care setting. Data on the prevention needs of HIV+ individuals and key informant interviews with HIV medical providers guided the design of this skills- building training for HIV primary care clinicians. Implications for training content and delivery included: Prevention needs of HIV+ patients; Cultural/Structural issues in providing risk reduction counseling in the clinical setting; Skills building in the delivery of risk reduction counseling for HIV+ individuals; Session delivery and format needs of clinicians; and, Barriers and facilitators of clinician buy-in and participation in this training. A four-hour training for HIV clinicians was developed. The training focuses on clinician skills building to assess both risk context and risk behavior(s) of patients and the importance of integrating the ongoing provision of prevention in the HIV care setting. The prevention needs of HIV+ individuals are significant and often inadequately addressed in the clinical setting. Prioritizing HIV prevention in the HIV clinical setting must include creative ways to problem solve structural barriers to providing prevention, address the pressures of current medical practice, and acknowledge the complexity of prevention for individuals who are HIV+.
Learning Objectives:
Keywords: HIV Interventions, Primary Care
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.