| Strategies to reduce HIV risk behavior in HIV primary care clinics: brief provider messages and specialist intervention. | |
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MedLine Citation:
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PMID: 17205389 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Reducing HIV transmission is a critical goal worldwide, prompting new strategies to slow the spread of the virus. This paper describes the theoretical underpinnings of the Comprehensive Harm Reduction Protocol (CHRP) and the process of its implementation in one large urban HIV clinic and two smaller rural primary care clinics. Patients enrolled in CHRP complete the Risk Diagnostic Questionnaire (RDQ), self-reporting HIV transmission risk behavior at most clinic visits. Clinicians review RDQs to trigger dialogue using motivational interviewing and the stages of health behavior change to reduce high-risk behaviors (drug use, alcohol use, or high-risk sexual behavior). In the ongoing evaluation study, CHRP patients receive two provider-only visits before being randomized to continue with provider brief prevention messages only or to receive additional intensive counseling with a risk-reduction specialist following the provider visit. If outcome data support one or both interventions, CHRP could be a useful model for widespread adoption. Observations from the implementation of this protocol are presented in order to facilitate the adoption of this protocol in interested clinics. Later, results of the evaluation of the implementation of the protocol may have value in developing prevention policy in HIV treatment clinics. |
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Authors:
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Edward J Callahan; Neil M Flynn; Christina A Kuenneth; Sheila R Enders |
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Publication Detail:
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Type: Journal Article; Review Date: 2007-01-05 |
Journal Detail:
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Title: AIDS and behavior Volume: 11 ISSN: 1090-7165 ISO Abbreviation: AIDS Behav Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-08-31 Completed Date: 2007-11-08 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 9712133 Medline TA: AIDS Behav Country: United States |
Other Details:
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Languages: eng Pagination: S48-57 Citation Subset: IM |
Affiliation:
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U.C. Davis AIDS Education and Training Center, University of California, Davis, USA. callahan@ucdavis.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care Facilities* Counseling HIV Infections / prevention & control* Health Personnel* Health Promotion* Humans Medicine* Primary Health Care / organization & administration* Professional-Patient Relations* Questionnaires Risk Reduction Behavior* Specialization* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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