TY - JOUR
T1 - Improving HIV/STD prevention in the care of persons living with HIV through a national training program
AU - Dreisbach, Susan
AU - Burnside, Helen
AU - Hsu, Katherine
AU - Smock, Laura
AU - Coury-Doniger, Patricia
AU - Hall, Christopher
AU - Marrazzo, Jeanne
AU - Nagendra, Gowri
AU - Rietmeijer, Cornelis
AU - Rompalo, Ann
AU - Thrun, Mark
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Persons living with HIV (PLWH) are living longer, remaining sexually active, and may continue risky sexual behaviors. As such, it is crucial for providers to ask all HIV-positive patients about behaviors related to HIV transmission and STD acquisition. The "Ask, Screen, Intervene" (ASI) curriculum was developed to increase provider knowledge, skills, and motivation to incorporate risk assessment and prevention services into the care of PLWH. The ASI curriculum was delivered to 2558 HIV-care providers at 137 sites between September 30, 2007 and December 31, 2010. Immediately post-training, participants self-reported significant gains in perceived confidence to demonstrate ASI knowledge and skills (p<0.001) and 89% agreed they would update practices as a result of the training. Three to six months post-training, 320 participants who served PLWH or supervised HIV-care providers self-reported more frequently performing ASI skills (p<0.001), and 71% self-reported greater perceived confidence than before training to perform those skills (p<0.001). Limitations include self-reported measures and a 30% response rate to the 3-6 month follow-up survey. Our findings suggest that a well-coordinated training program can reach a national audience of HIV-care providers, significantly increase self-reported capacity to incorporate HIV/STD prevention into the care of PLWH, and increase implementation of national recommendations.
AB - Persons living with HIV (PLWH) are living longer, remaining sexually active, and may continue risky sexual behaviors. As such, it is crucial for providers to ask all HIV-positive patients about behaviors related to HIV transmission and STD acquisition. The "Ask, Screen, Intervene" (ASI) curriculum was developed to increase provider knowledge, skills, and motivation to incorporate risk assessment and prevention services into the care of PLWH. The ASI curriculum was delivered to 2558 HIV-care providers at 137 sites between September 30, 2007 and December 31, 2010. Immediately post-training, participants self-reported significant gains in perceived confidence to demonstrate ASI knowledge and skills (p<0.001) and 89% agreed they would update practices as a result of the training. Three to six months post-training, 320 participants who served PLWH or supervised HIV-care providers self-reported more frequently performing ASI skills (p<0.001), and 71% self-reported greater perceived confidence than before training to perform those skills (p<0.001). Limitations include self-reported measures and a 30% response rate to the 3-6 month follow-up survey. Our findings suggest that a well-coordinated training program can reach a national audience of HIV-care providers, significantly increase self-reported capacity to incorporate HIV/STD prevention into the care of PLWH, and increase implementation of national recommendations.
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U2 - 10.1089/apc.2013.0094
DO - 10.1089/apc.2013.0094
M3 - Article
C2 - 24428796
AN - SCOPUS:84892657428
SN - 1087-2914
VL - 28
SP - 15
EP - 21
JO - AIDS patient care and STDs
JF - AIDS patient care and STDs
IS - 1
ER -