Nollen Christine, Drainoni Mari-Lynn, Sharp Victoria
Center for Comprehensive Care, St. Luke's Roosevelt Hospital Center, 1111 Amsterdam Avenue, Stuyvesant 7, New York, NY 10025, USA.
AIDS Behav. 2007 Sep;11(5 Suppl):S84-94. doi: 10.1007/s10461-007-9254-3. Epub 2007 Jun 19.
This paper presents lessons learned from an intervention designed to provide HIV prevention counseling within a hospital-based, multidisciplinary HIV clinic. The model, Positive Prevention, used Master's-level social workers (MSWs) as intervention specialists to minimize burden on primary care providers and to offer a replicable way to provide prevention in a similar setting. The intervention goal was to reduce risk behaviors through Motivational Interviewing, a patient-centered counseling approach with proven success impacting behavioral change. Implementation experiences offer insight into the challenges of using MSWs as prevention specialists. Particular challenges were related to patient engagement and retention. Experiences early in the implementation process were informative and allowed for adaptations to facilitate a more viable program; however even after executing new strategies, many of the program issues remained. Thus, the Positive Prevention model is not recommended as a best HIV prevention model for replication in similar high-volume, hospital-based, multidisciplinary HIV clinic settings.
本文介绍了在一家医院的多学科艾滋病毒诊所开展的一项旨在提供艾滋病毒预防咨询的干预措施中吸取的经验教训。“积极预防”模式将硕士水平的社会工作者（MSW）作为干预专家，以减轻初级保健提供者的负担，并提供一种在类似环境中进行预防的可复制方法。干预目标是通过动机性访谈减少风险行为，动机性访谈是以患者为中心的咨询方法，已被证明在影响行为改变方面取得成功。实施经验为将MSW用作预防专家的挑战提供了见解。特别的挑战与患者参与度和留存率有关。实施过程早期的经验提供了信息，并允许进行调整以促进更可行的项目；然而，即使实施了新策略，许多项目问题仍然存在。因此，不建议将“积极预防”模式作为在类似的高流量、医院多学科艾滋病毒诊所环境中进行复制的最佳艾滋病毒预防模式。
