REDUCTION OF AIDS RISK FACTORS AND CONCERNS

本项目的目的是评估一种干预措施，在该干预措施中， 护理提供者(医生和护士从业者)收到关于 艾滋病相关危险因素、信念、关注和干预意愿 未感染过HIV病毒的患者，在就诊前 参观。干预对可改变的艾滋病危险因素的影响 信仰和关注，以及更普遍的健康结果 (感知的健康状况、健康担忧和心理困扰)，将 在接下来的六个月中定期进行评估。次要目标是 探讨爱滋病危险因素与关注事项之间的关系 这些全球健康结果。 这项研究的结果将使我们更好地理解 初级保健提供者在抗击直接的 以及艾滋病流行的间接影响。如果被证明是有益的， 实验干预也可以作为一个模型，它可能会促进 减少其他类型的患者顾虑和修改 初级保健环境中的其他风险因素。 这项研究将在一个以黑人为主的内城、一般的内部进行 在费城行医。10个医疗保健提供者和600个 患者将参与其中。患者将被纳入这项研究，如果他们 没有感染艾滋病毒；如果他们同意签署一份知情的 同意书；如果1)他们对艾滋病的担忧至少有一个 对他们的身体和情绪健康有轻微的影响，或者2)他们有 可改变的艾滋病风险因素。 医护人员将不会收到关于前200名符合条件的任何反馈 患者进入了这项研究。接下来的400名患者将随机 在就诊前分配给病人。此调查问卷将 评估以下内容：1)艾滋病危险因素，2)患者的信念和 关注艾滋病，3)关注艾滋病对患者健康的影响 现状，以及4)患者渴望对艾滋病放心的干预措施。 在治疗后即刻、1个月和6个月进行问卷调查 访问将用于确定以下依赖项中的更改 变量：艾滋病信念和担忧、艾滋病风险因素、感知健康 状态、健康担忧和心理困扰。

The purpose of this project is to evaluate an intervention in which primary care providers (physicians and nurse practitioners) receive feedback about AIDS-related risk factors, beliefs, concerns and intervention desires of patients who have not been infected by the HIV virus, prior to the medical visit. The impact of the intervention on modifiable AIDS risk factors, beliefs and concerns, as well as more generalized health outcomes (perceived health status, health worry and psychological distress), will be evaluated periodically during the following six months. A secondary goal is to examine the relationship between AIDS risk factors and concerns and these global health outcomes. The results of this study will increase our understanding of the importance and effectiveness of primary care providers in combating both the direct and indirect effects of the AIDS epidemic. If proven beneficial, the experimental intervention can also serve as a model which might facilitate the reduction of other types of patient concerns and the modification of other risk factors in the primary care setting. This study will take place in a largely black, inner-city, general internal medicine practice in Philadelphia. Ten health care providers and 600 patients will participate. Patients will be included in this study if they have not been infected by the HIV virus; if they agree to sign an Informed Consent form; and if 1) their concerns about AIDS are having at least a slight effect on their physical and emotional health, or 2) they have a modifiable AIDS risk factor. Health care workers will not receive any feedback on the first 200 eligible patients entered into the study. The next 400 patients will be randomly assigned to a patients prior to the medical visit. This questionnaire will evaluate the following: 1) AIDS risk factors, 2) patients' beliefs and concerns about AIDS, 3) the impact of AIDS concerns on the patients' health status, and 4) interventions patients desire for reassurance about AIDS. Questionnaire administered immediately, one month and six months after the visit will be used to determine changes in the following dependent variables: AIDS beliefs and concerns, AIDS risk factors, perceived health status, health worry and psychological distress.