HIV care providers' implementation of routine alcohol reduction support for their patients.
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 = 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.
Strauss
Shiela M
SM
Muriel and Virginia Pless Center for Nursing Research, NYU College of Nursing, 246 Greene Street, 616E, New York, New York 10003, USA. ss4313@nyu.edu
Tiburcio
Nelson J
NJ
Munoz-Plaza
Corrine
C
Gwadz
Marya
M
Lunievicz
Joseph
J
Osborne
Andrew
A
Padilla
Diana
D
McCarty-Arias
Mary
M
Norman
Robert
R
D000428:Alcohol Drinking; D001521:Behavior Therapy / Q000379:methods; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000517:prevention & control* / Q000628:therapy / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education / Q000523:psychology; D006801:Humans; D008297:Male; D009519:New York City; D017063:Outcome Assessment, Health Care; D010044:Outpatient Clinics, Hospital; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires