Clinician-initiated HIV risk reduction intervention for HIV-positive persons - Formative research, acceptability, and fidelity of the options project
Clinician-initiated HIV risk reduction intervention for HIV-positive persons - Formative research, acceptability, and fidelity of the options project
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DOI：
10.1097/01.qai.0000140605.51640.5c
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发表时间：
2004-10-01
影响因子：
3.6
通讯作者：
Friedland, GA
中科院分区：
文献类型：
--
作者：
Fisher, JD;Cornman, DH;Friedland, GA
目的：研究临床护理中HIV阳性患者的HIV危险行为水平和动态，设计一种针对HIV阳性患者的临床医生启动的HIV预防干预措施，并评估干预措施对临床医生和患者的可接受性以及临床医生实施干预的忠诚度。方法：研究1（启发式研究）涉及HIV阳性患者和HIV护理临床医生的焦点小组，以了解HIV阳性患者中HIV风险行为的动态以及如何将HIV预防纳入常规临床护理。研究2（可接受性和干预保真度）涉及的1455个医疗访问的实验性干预患者（N = 231）的临床医生发起的艾滋病预防intervention.Results的可接受性和保真度的评价：启发研究与患者和临床医生确定关键的艾滋病预防信息，动机，和行为技能缺陷的艾滋病病毒阳性患者以及危险的性行为。这些研究结果被整合到一个以理论为基础的艾滋病预防干预临床医生，临床医生和患者可以接受，临床医生能够实施足够的fidelity.Conclusion：临床医生治疗艾滋病病毒阳性患者的艾滋病预防干预措施可以而且应该被整合到常规的临床护理。
Objective: To conduct research on levels and dynamics of HIV risk behavior among HIV-positive patients in clinical care, use this research to design a clinician-initiated HIV prevention intervention for HIV-positive patients, and evaluate the acceptability of the intervention to clinicians and patients and the fidelity with which it can be delivered by clinicians.Methods: Study 1 (elicitation research) involved focus groups with HIV-positive patients and HIV care clinicians to understand the dynamics of HIV risk behavior among HIV-positive patients and how to integrate HIV prevention into routine clinical care. Study 2 (acceptability and intervention fidelity) involved the evaluation of 1455 medical visits by experimental intervention patients (N = 231) for acceptability and fidelity of the clinician-initiated HIV prevention intervention.Results: Elicitation research with patients and clinicians identified critical HIV prevention information, motivation, and behavioral skills deficits in HIV-positive patients as well as risky sexual behavior. These findings were integrated into a theory-based HIV prevention intervention initiated by clinicians that proved acceptable to clinicians and patients and that clinicians were able to implement with adequate fidelity.Conclusion: HIV prevention interventions by clinicians treating HIV-positive patients can and should be integrated into routine clinical care.