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APHA Scientific Session and Event Listing

Laura H. Bachmann, MD, MPH, Department of Medicine, University of Alabama at Birmingham, 242 ZRB, 703 19th Street S, Birmingham, AL 35294, 205-975-5500, gret@uab.edu and Diane M. Grimley, PhD, Department of Health Behavior, UAB School of Public Health, RPHB 227, 1530 3rd Ave. South, Birmingham, AL 35294-0022.

Background: Implementation of HIV prevention interventions in the primary care setting may be hindered by time constraints and competing priorities. Audio-computerized-assisted, self-interviewing (ACASI) systems can reduce provider burden. A theory-based, tailored ACASI assessment and intervention system will be described and preliminary results from implementation discussed. Methods: This Transtheoretical Model-based ACASI system targets men-who-have-sex-with-men (MSM), staging participants for their readiness to reduce sexual partner number, use condoms for all types of sexual activity and disclose their HIV+ status. A theory-based provider advice sheet and a 3-point behavioral prescription are printed for provider use. Messages are tailored to partner gender, type, and HIV status. Patient exit surveys and provider assessment of intervention session forms provide intervention fidelity data. Results: 200 men were enrolled (mean age 39.8), 73% were white, 25% black and they had lived with HIV an average of 9.1 years. Forty-nine percent were single, 41% were in a domestic partnership/committed relationship. The majority of men (87.5%) identified as gay and participants reported an average of 3.7 male partners over 6 months. Of 312 intervention sessions, 22% resulted in no staging (no risk behaviors reported) and 78% staged an average of 4 different behaviors (1-17). Both patients and providers rated the intervention sessions favorably, patient reporting an intervention length of 5.89 minutes and providers, 4.22 minutes. Conclusions: This intervention system allows for the systematic collection of comprehensive sexual risk data and consistent, reproducible staging of behaviors while providing individualized, tailored messages for providers to deliver to MSM receiving primary care.

Learning Objectives: At the end of this session the participant will be able to

• Describe the components of a computer assisted provider-delivered HIV prevention intervention
• Appreciate the diversity of sexual behaviors that can be targeted and staged with computer-assisted interventions
• Describe evaluation results from the implementation of this computer-assisted, provider-delivered intervention

Keywords: HIV Risk Behavior, Behavior Modification

Presenting author's disclosure statement:

Not Answered