Effectiveness of Counseling in the Health Promotion of HIV‐Positive Clients in the Community

Abstract

The purpose of this study was to examine the effects of a nurse's counseling intervention on high-risk sexual behaviors of HIV-positive patients and to explore the relationship of gender, race, age, and education to high-risk sexual behaviors. A convenience sample of 20 adults who were newly diagnosed with HIV and were being treated at an inner-city out-patient clinic was used. Subjects were administered a questionnaire to determine their precounseling AIDS knowledge and precounseling sexual behaviors. A registered nurse then counseled them about safe-sex practices. After 2-3 months the questionnaire was readministered to determine the effects of counseling on AIDS knowledge and high-risk sexual behaviors. Although statistical analysis indicated a significant main effect for change in high-risk sexual behaviors after counseling, there were no significant relationships among change and the individual demographic variables of age, gender, race, and education. Pretest knowledge was not found to influence pretest behavior, nor was posttest knowledge found to affect posttest behavior. Paired t tests indicated a significant change in high-risk sexual behavior scores after counseling but no significant change in knowledge scores.

A Randomized Controlled Trial to Reduce HIV Transmission Risk Behaviors and Sexually Transmitted Diseases Among Women Living With HIV

“…12,13 Aside from these studies, there have been few sexual risk reduction interventions tailored for HIVpositive individuals in the highly active antiretroviral therapy (HAART) era; most samples have been predominantly men who have sex with men (MSM), and none were designed specifically for ethnic minority women. [14][15][16][17] Although these results are encouraging, this small set of studies is limited by the duration of follow-up and the inconsistency of intervention effects. Moreover, caution is warranted in generalizing the intervention effects from these studies to women living with HIV in the United States, particularly when most women living with HIV are black and acquired their infection via heterosexual contact.…”

Behavioral Interventions for HIV-Positive and HCV-Positive Drug users

“…DiScenza et al (1996) examined the efficacy of a knowledgebased, nurse-delivered, counseling intervention on the high-risk sexual practices of HIV-seropositive outpatients. They reported a significant reduction in the number of high-risk behaviors at post-test assessment.…”

Sexual Risk Reduction Among HIV-Positive Drug-Using Men Who Have Sex With Men

“…Our review of the literature identified five published intervention studies that targeted HIV-positive individuals. DiScenza et al 11 examined the efficacy of a knowledgebased nurse-delivered counseling intervention on the high-risk sexual practices of HIV-positive outpatients. They reported a significant reduction in the number of high-risk behaviors at posttest assessment.…”