title: Provider-delivered, theory-based, individualized prevention interventions for HIV positive adults receiving HIV comprehensive care.
abstract: HIV prevention efforts are often difficult to emphasize in settings delivering comprehensive HIV care due to factors such as time constraints and differing priorities about the use of clinical time. To assist clinicians within dedicated HIV clinics to offer prevention strategies, investigators at two universities in the United States (Johns Hopkins University and the University of Alabama at Birmingham) have developed and implemented similar, audio-computerized-assisted, self-interviewing systems that have been programmed to assess individual patient risk factors and identify based on the patient's self-assessment, the patient's behavioral stage or, readiness for changing, each identified target behavior. Following the assessment, the systems provide printouts of key elements of this information along with individualized, theory-based intervention strategies to the medical provider. This paper will describe our efforts in developing provider-delivered, individualized, stage-based interventions intended to reduce high-risk behaviors among HIV-infected persons.
authors.affiliation: Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, RPHB 227, 1530 3rd Ave. South, Birmingham, AL, USA. dgrimley@uab.edu
authors.forename: Diane M
authors.initials: DM
authors.lastname: Grimley
authors.forename: Laura H
authors.initials: LH
authors.lastname: Bachmann
authors.forename: Mollie W
authors.initials: MW
authors.lastname: Jenckes
authors.forename: Emily J
authors.initials: EJ
authors.lastname: Erbelding
mesh_terms: D000328:Adult; D003191:Comprehensive Health Care / Q000458:organization & administration*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D006282:Health Personnel; D006801:Humans; D008297:Male; D011314:Preventive Health Services / Q000458:organization & administration*; D011315:Preventive Medicine / Q000458:organization & administration*; D011582:Psychological Theory; D014481:United States