Implementation of HIV prevention interventions with people living with HIV/AIDS in clinical settings: challenges and lessons learned.
Integrating HIV prevention into the clinical care of people living with HIV has emerged as a priority in the US As part of a cross-site evaluation this study examined the processes by which 15 clinic-based projects implemented interventions funded under the Health Resources and Services Administration's (HRSA) HIV Prevention with Positives (PwP) in Clinical Settings Initiative. We conducted 61 in-depth interviews with researchers and interventionists across the 15 projects. Intervention implementation was feasible assuming several key components were in place: (1) internal leadership to overcome resistance and foster interest and motivation among clinical providers and staff; (2) adequate attention to creating seamless flow between clinic practice and intervention; and (3) ongoing training that met clinician and staff needs as prevention interventions become a regular part of care. Interventions well matched to the clinical environment and the patient populations were feasible and acceptable to health care providers, prevention interventionists, and clinic staff.
Koester
Kimberly A
KA
Center for AIDS Prevention Studies, AIDS Policy Research Center, University of California, 50 Beale Street Suite 1300, San Francisco, CA 94105, USA. kimberly.koester@ucsf.edu
Maiorana
Andre
A
Vernon
Karen
K
Myers
Janet
J
Rose
Carol Dawson
CD
Morin
Stephen
S
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control*; D019538:Health Care Surveys; D006295:Health Resources / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D009313:National Health Programs / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D015397:Program Evaluation; D014481:United States