Missed Opportunities: Prevention With HIV-Infected Patients in Clinical Care Settings

Morin, Stephen F.; Koester, Kimberly A.; Steward, Wayne T.; Maiorana, André; Mclaughlin, Marisa; Myers, Janet J.; Vernon, Karen; Chesney, Margaret A.

doi:10.1097/00126334-200408010-00010

Cited by 73 publications

(83 citation statements)

References 21 publications

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“…17 Importantly, HIV care providers have great potential to serve as patients' advocates and counselors regarding alcohol reduction, both to prevent the development of serious health consequences, and to limit transmission of the virus to others. 18,19 In fact, some providers view alcohol reduction counseling as consistent with patients' health promotion. 20 However, other providers and their patients have come to expect that the provider will facilitate access to services and respond to the patient's expressed needs, rather than focus on the patient's alcohol use practices.…”

Section: Introductionmentioning

confidence: 99%

HIV Care Providers' Implementation of Routine Alcohol Reduction Support for Their Patients

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Munoz-Plaza

et al. 2009

AIDS Patient Care and STDs

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Screening and brief intervention (SBI) for alcohol reduction is an important health promoting strategy for patients with HIV, and HIV care providers are optimally situated to support their patients' reduction efforts. We report results from analyses that use data collected from providers (n ¼ 115) in 7 hospital-based HIV care centers in the New York City metropolitan area in 2007 concerning their routine use of 11 alcohol SBI components with their patients. Providers routinely implemented 5 or more of these alcohol SBI components if they (1) had a specific caseload (and were therefore responsible for a smaller number of patients), (2) had greater exposure to information about alcohol's effect on HIV, (3) had been in their present positions for at least 1 year, and (4) had greater self efficacy to support patients' alcohol reduction efforts. Findings suggest the importance of educating all HIV care providers about both the negative impact of excessive alcohol use on patients with HIV and the importance and value of alcohol SBIs. Findings also suggest the value of promoting increased self efficacy for at least some providers in implementing alcohol SBI components, especially through targeted alcohol SBI training.

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Section: Introductionmentioning

confidence: 99%

HIV Care Providers' Implementation of Routine Alcohol Reduction Support for Their Patients

Strauß

Tiburcio

Munoz-Plaza

et al. 2009

AIDS Patient Care and STDs

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“…There is an increased likelihood that HIV-positive patients receiving care in clinics with written policies or guidelines related to prevention messages are more likely to receive risk reduction information. 90,91 Related to this need is consideration of mechanisms to increase reimbursements to health care providers for time spent in risk reduction counseling and referral.…”

Section: Improving Skills and Resources For Provision Of Risk Reductimentioning

confidence: 99%

Integrating HIV Prevention Activities into the HIV Medical Care Setting: A Report from the NYC HIV Centers Consortium

et al. 2006

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With the maturing of the HIV epidemic and availability of potent antiretroviral therapies in the US, priorities for HIV prevention have shifted from general population approaches to case finding, treatment, risk reduction and relapse prevention activities among those at greatest risk for acquiring or transmitting HIV infection. The challenges of this approach include ensuring access and adherence to HIV care and treatment and appropriate prevention activities to ensure adequate and sustained sexual and drug use risk reduction across diverse populations. Experience with approaches to address these issues, particularly in the context of primary care, has been limited. An agenda for future research and practice includes continued development and evaluation of interventions that can address this next generation of health care issues.

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“…For a full description of the qualitative methods, please see Morin et al (2004). Briefly, we conducted semistructured interviews with two primary care providers, two support service providers, one clinic administrator, and four patients from each of the 16 clinics (N = 144); recorded observations of clinic waiting rooms for presence or absence of HIV-prevention materials; and collected background information on each clinic, including descriptions of mission statements, structure, and population served.…”

Section: Qualitative Interviewsmentioning

confidence: 99%

Provider Fatalism Reduces the Likelihood of HIV-Prevention Counseling in Primary Care Settings

et al. 2005

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Missed Opportunities: Prevention With HIV-Infected Patients in Clinical Care Settings

Abstract: HIV prevention counseling is not routine in most clinics, and the low frequency of such services represents missed opportunities for HIV prevention.

Cited by 73 publications

References 21 publications

HIV Care Providers' Implementation of Routine Alcohol Reduction Support for Their Patients

HIV Care Providers' Implementation of Routine Alcohol Reduction Support for Their Patients

Integrating HIV Prevention Activities into the HIV Medical Care Setting: A Report from the NYC HIV Centers Consortium

Provider Fatalism Reduces the Likelihood of HIV-Prevention Counseling in Primary Care Settings

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