Clinician-Delivered Intervention During Routine Clinical Care Reduces Unprotected Sexual Behavior Among HIV-Infected Patients
| Autor: | Angela D. Bryan, Deborah H. Cornman, Rivet K Amico, Gerald Friedland, William A. Fisher, Jeffrey D. Fisher |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Sexual Behavior Psychological intervention HIV Infections Patient Education as Topic Acquired immunodeficiency syndrome (AIDS) Intervention (counseling) Internal medicine medicine Humans Pharmacology (medical) Heterosexuality Prospective cohort study Aged Unsafe Sex business.industry Homosexuality Middle Aged medicine.disease Surgery Clinical trial Sexual intercourse Infectious Diseases Clinical research Female business Developed country |
| Zdroj: | JAIDS Journal of Acquired Immune Deficiency Syndromes. 41:44-52 |
| ISSN: | 1525-4135 |
| Popis: | The objective was to evaluate the effectiveness of a clinician-delivered intervention implemented during routine clinical care in reducing unprotected sexual behavior of HIV-infected patients. Design: A prospective clinical trial comparing the impact of a clinician-delivered intervention arm vs. a standard-of-care control arm on unprotected sexual behavior of HIV-infected patients. Setting: The 2 largest HIV clinics in Connecticut. Participants: A total of 497 HIV-infected patients aged $18 years receiving HIV clinical care. Intervention: HIV clinical care providers conducted brief client-centered interventions at each clinical encounter that were designed to help HIV-infected patients reduce unprotected sexual behavior. Main Outcome Measures: Unprotected insertive and receptive vaginal and anal intercourse and unprotected insertive oral sex; unprotected insertive and receptive vaginal and anal intercourse only. HIV-infected patients who received the clinician-delivered intervention showed significantly reduced unprotected insertive and receptive vaginal and anal intercourse and insertive oral sex over a follow-up interval of 18 months (P < 0.05). These behaviors increased across the study interval for patients in the standard-of-care control arm (P < 0.01). For the measure of unprotected insertive and receptive vaginal and anal sex only there was a trend toward a reduction in unprotected sex among intervention arm participants over time (P < 0.09) and a significant increase in unprotected sex in the standard-of-care control arm (P < 0.01). A clinician-delivered HIV prevention intervention targeting HIV-infected patients resulted in reductions in unprotected sex. Interventions of this kind should be integrated into routine HIV clinical care. (authors) |
| Databáze: | OpenAIRE |
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