BRIEF SAFER SEX INTERVENTION FOR HIV OUTPATIENT CLINICS

该研究实现了PA 95-070，NIMH，“短暂干预”的目标 预防艾滋病传播”，通过检测干预措施，减少不安全 艾滋病毒阳性者的性行为和不向伴侣透露。 这种预防方法直接干预新的传染源， 感染和试图接触可能不被感染的性伴侣 可通过其他方式访问。 基于临床的干预，称为 “健康伙伴关系”，强调病人提供者的重要性 以团队方式促进患者的健康和福祉。 它 将预防工作与艾滋病毒的常规临床护理相结合 患者，不需要大量的资源， 可在诊所。 与传统的考后咨询不同， 对患者进行跨时间的干预， 自我保护和伙伴保护的减少风险的动机 行为。 此外，该研究提供了第一个理论测试， 得失框架信息对性行为的影响， 管理公开加州的六家艾滋病诊所将参与其中。两家诊所 实施增益框架信息，强调 从事更安全的性行为;两家诊所实施损失框架信息 强调不进行安全性行为的负面后果; 两个诊所实施注意力控制协议（重点是饮食和 锻炼）。 所有在九个月内到诊所就诊的病人 期间接受干预，通过专业 印刷的小册子，医疗服务提供者在 考试和目标设定者。超过6,500名艾滋病毒抗体阳性者将 接受行为干预。据推测， 这种方法比损失框架方法更有效地促进 减少血清反应阳性者的性风险，每种方法都将 超过了注意力控制组。 预计， 干预效果将在积极的个人中更强 对安全套的态度和高水平的自我效能感， 性行为 该研究采用了一种前后设计，其中一个队列 在每个诊所随机选择的患者（每个诊所n=100）为 在9个月的干预期之前和之后进行评估。 到 断开测量和干预组件，自我报告 措施-是在一般健康调查的幌子下获得的 由外部研究人员进行。

The study fulfills objectives of PA 95-070, NIMH, "Brief Interventions to Prevent The Spread of AIDS", by testing an intervention to reduce unsafe sexual behaviors and nondisclosure to partners in HIV-positive persons. This approach to prevention intervenes directly on sources of new infections and attempts to reach sexual partners who might not be accessible through other means. The clinic-based intervention, called "Partnership For Health", emphasizes the importance of a patient-provider team approach in promoting the patient's health and well-being. It integrates preventive efforts with the routine clinical care of HIV patients and does not require substantial resources beyond those already available at the clinics. Unlike traditional posttest counseling, the intervention is given to patients across time and attempts to instill self-protective as well as partner-protective motivation for reducing risk behaviors. Further, the study provides the first theoretical test of the impact of gain-versus loss-framed messages on sexual behavior and disclosure. Six HIV clinics in California will participate. Two clinics implement gain-framed messages emphasizing the positive consequences of engaging in safer sex; two clinics implement loss-framed messages emphasizing the negative consequences of not engaging in safer sex; and two clinics implement an attention-control protocol (focused on diet and exercise). All patients attending the clinics during a nine-month period receive the interventions, delivered through professionally printed pamphlets, communication from medical providers during examinations, and goal setter. Over 6,500 HIV-positive individuals will receive behavioral intervention. It is hypothesized that the gain-framed approach is more efficacious than the loss-framed approach in promoting sexual risk reduction in seropositive persons, and that each approach will surpass the attention-control group. It is also anticipated that the intervention effects will be stronger among individuals with positive attitudes toward condoms and high levels of self-efficacy to enact safer sexual behaviors. The study employs a pre-post design in which a cohort of patients randomly selected at each clinic (n=100 per clinic) is assessed before and after the nine-month intervention period. To disconnect the measurement and intervention components, self-report measures - are obtained under the guise of a general health survey conducted by external researchers.