title: Impact of a computer-assisted, provider-delivered intervention on sexual risk behaviors in HIV-positive men who have sex with men (MSM) in a primary care setting.
abstract: Innovative strategies are needed to assist providers with delivering secondary HIV prevention in the primary care setting. This longitudinal HIV clinic-based study conducted from 2004-2007 in a Birmingham, Alabama HIV primary care clinic tested a computer-assisted, provider-delivered intervention designed to increase condom use with oral, anal and vaginal sex, decrease numbers of sexual partners and increase HIV disclosure among HIV-positive men-who-have-sex-with-men (MSM). Significant declines were found for the number of unprotected insertive anal intercourse acts with HIV+ male partners during the intervention period (p = 0.0003) and with HIV-/UK male partners (p = 0.0007), as well as a 47% reduction in the number of male sexual partners within the preceding 6 months compared with baseline (p = 0.0008). These findings confirm and extend prior reports by demonstrating the effectiveness of computer-assisted, provider-delivered messaging to accomplish risk reduction in patients in the HIV primary care setting.
authors.affiliation: Wake Forest University Health Sciences, Infectious Diseases Section, Winston-Salem, NC 27157, USA. lbachman@wakehealth.edu
authors.forename: Laura H
authors.initials: LH
authors.lastname: Bachmann
authors.forename: Diane M
authors.initials: DM
authors.lastname: Grimley
authors.forename: Hongjiang
authors.initials: H
authors.lastname: Gao
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Aban
authors.forename: Huey
authors.initials: H
authors.lastname: Chen
authors.forename: James L
authors.initials: JL
authors.lastname: Raper
authors.forename: Michael S
authors.initials: MS
authors.lastname: Saag
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
authors.forename: Edward W
authors.initials: EW
authors.lastname: Hook
mesh_terms: D000407:Alabama; D003201:Computers; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D011320:Primary Health Care / Q000458:organization & administration; D011369:Professional-Patient Relations; D012307:Risk Factors; D012309:Risk-Taking; D012650:Self Disclosure; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000517:prevention & control*