2020
DOI: 10.1590/1516-4446-2019-0737
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Challenges and opportunities in the science of research to practice: lessons learned from a randomized controlled trial of a sexual risk-reduction intervention for psychiatric patients in a public mental health system

Abstract: Objective: Human immunodeficiency virus (HIV) prevention efficacy trials with psychiatric patients have been conducted in research settings in high-resourced countries, establishing short-term efficacy for reducing sexual risk behavior. None has been implemented within systems of care. In the last decade, overcoming this research-to-practice gap has become a focus of implementation science. This paper describes the first and only HIV Prevention intervention trial for psychiatric patients conducted in real-worl… Show more

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Cited by 5 publications
(9 citation statements)
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“…2 Brazil's overall response to the HIV pandemic over the past few decades, focused on prevention and treatment, has been a success story and has paved the way for initiatives targeting mental health needs and preventative strategies in this population. 3 Wainberg et al 4 describe a decade-long initiative in Brazil that aimed to increase information about different behaviors among individuals with HIV, motivate engagement in safer behaviors, and transform knowledge into real-world practice. Their study was based on the accumulated experience of U.S.-based studies on the effective use of the Information-Motivation-Behavioral Skills (IMB) model to address the needs of individuals with severe mental illnesses regarding HIV, e.g., to reduce misinformation about risky sexual behaviors.…”
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confidence: 99%
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“…2 Brazil's overall response to the HIV pandemic over the past few decades, focused on prevention and treatment, has been a success story and has paved the way for initiatives targeting mental health needs and preventative strategies in this population. 3 Wainberg et al 4 describe a decade-long initiative in Brazil that aimed to increase information about different behaviors among individuals with HIV, motivate engagement in safer behaviors, and transform knowledge into real-world practice. Their study was based on the accumulated experience of U.S.-based studies on the effective use of the Information-Motivation-Behavioral Skills (IMB) model to address the needs of individuals with severe mental illnesses regarding HIV, e.g., to reduce misinformation about risky sexual behaviors.…”
mentioning
confidence: 99%
“…For PRISSMA-2, the authors did not limit the recruitment to individuals with severe mental illness, but included individuals with common mental disorders (e.g., depression, anxiety, post-traumatic stress disorder, etc.). 4 Assigning more than 400 participants to either an IMBbased HIV prevention group (n=233) or a health promotion group (n=231), Wainberg et al found that after 12 months both groups reported reductions in high-risk behaviors, i.e., the number of occasions of unprotected vaginal or anal intercourse. The IMB model, however, was more successful in improving knowledge about HIV, increasing motivation for safer sex, and increasing HIV prevention behavioral skills.…”
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confidence: 99%
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