17th International AIDS Conference Mexico City, Mexico - August 13 - 18, 2008

PROVIDING PREVENTION FOR HIV-POSITIVE PERSONS DURING CLINICAL CARE VISITS: RESULTS OF THE HIV INTERVENTION FOR PROVIDERS (HIP) STUDY

Int Conf AIDS. 2008 Aug 13-18;17 Abstract No. MOAC0302

C. Dawson Rose ¹, G. Colfax², K. Knight¹, S. Shade¹, C. Gomez¹, P. Lum³, O. Bacon¹, D. Eroglu⁴, C. Courtenay-Quirk^4
1University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco, United States, ²San Francisco Department of Health, San Francisco, United States, ³University of California, San Francisco, HIV/AIDS Division, Department of Medicine, San Francisco, United States, ⁴Center for Disease Control and Prevention, Atlanta, United States

BACKGROUND: Integrating HIV prevention into the standard of care in HIV clinics is a national objective of the CDC’s HIV Prevention Strategic Plan. The HIV Intervention for Providers (HIP) study developed and tested the efficacy of an intervention to train medical providers to deliver individualized risk reduction messages during routine HIV primary care visits.

METHODS: HIV medical providers (N=44) from four clinics in the Northern California Bay Area were randomly assigned to receive a 4-hour training on conducting HIV risk assessments and delivering tailored risk reduction messages (n=22) or no training (n=22). Data were collected from providers’ patients (N386) at baseline and 6-months post-intervention to assess patients’ receipt of risk reduction messages and changes in HIV-related risk behavior. Change in the odds of engaging in sexual transmission risk behavior was assessed using non-linear mixed models that assumed a zero-inflated negative binomial distribution of the data.

RESULTS: Patient retention was 84% (n=324) at follow-up. Patients whose primary care providers were randomized to the intervention arm reported significant declines in the number of HIV-negative or unknown partners they exposed to HIV (OR=0.44; 95% CI=0.21, 0.95) relative to those whose primary care providers were randomized to the comparison arm. We did not observe any significant differences in the odds of other sexual risk behavior among patients whose primary care providers were randomized to the intervention arm compared to those whose primary care providers were randomized to the control arm.

CONCLUSIONS: Results indicate that training HIV medical providers to conduct risk assessments and deliver tailored risk reduction messages can result in HIV-positive patients exposing fewer HIV-uninfected individuals to HIV. The effect of the HIP intervention supports training HIV clinicians to assess risk and deliver prevention messages, which are individually tailored and risk reduction oriented.

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2008-08-13
MOAC0302

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