Delivery of HIV Prevention Counseling by Physicians at HIV Medical Care Settings in 4 US Cities

Abstract

Intervention strategies with physicians should be developed to overcome barriers to providing counseling to HIV-positive patients.

Evaluating the Impact of Educational Interventions on Use of Highly Active Antiretroviral Therapy and Adherence Behavior in Indian Human Immunodeficiency Virus Positive Patients: Prospective Randomized Controlled Study

“…These indicate that patient's learned the role of HAART than what they knew at the beginning. These are in agreement with Korb-Savoldelli et al and Metsch et al demonstrating that EI on medication instructions positively modify patient's beliefs which in turn can lead to a change in patient's medication adherence behavior [34,35]. During this study, ICG patients received PIL on antiretroviral drugs.…”

Self-Identification as “Down Low” Among Men Who Have Sex with Men (MSM) from 12 US Cities

“…DL-identified MSM rated the trustworthiness of information from their health care provider higher than information from local AIDS organizations or the CDC. Patients often consider their health care providers to be trusted sources of health information (David and Boldt, 1980), but many providers fail to address HIV risk and its prevention during clinical encounters (Dodge et al, 2001;Gerbert, Maguire, and Coates, 1990;Margolis, Wolitski, Parsons, and Gomez, 2001;Marks et al, 2002;Metsch et al, 2004;Wenrich, Carline, Curtis, Paauw, and Ramsey, 1996). Brief patient-provider interactions are feasible, generally acceptable to patients, and can motivate patients to reduce HIV risk (Dodge et al, 2001;Gerbert et al, 1990;Richardson et al, 2004).…”

“Bundling” HIV prevention: Integrating services to promote synergistic gain

“…This provides an opportunity to target secondary prevention with advantages of repeated contacts over time, establishment of trusted relationships, and using health care providers as expert sources of health information. In a study of physician-delivered HIV prevention for positives in 4 US cities, 14% counseled established patients and 60% counseled newly diagnosed HIV patients (Metsch et al, 2004). Counseling was more likely if providers reported that there was sufficient time and had familiarity with treatment guidelines.…”