Thrun Mark, Cook Paul F, Bradley-Springer Lucy A, Gardner Lytt, Marks Gary, Wright Julie, Wilson Tracey E, Quinlivan E Byrd, O'Daniels Christine, Raffanti Stephen, Thompson Melanie, Golin Carol
Denver Public Health, University of Colorado, 80204, USA.
AIDS Educ Prev. 2009 Feb;21(1):55-66. doi: 10.1521/aeap.2009.21.1.55.
The Centers for Disease Control and Prevention have recommended that HIV care clinics incorporate prevention into clinical practice. This report summarizes HIV care providers' attitudes and counseling practices before and after they received training to deliver a counseling intervention to patients. Providers at seven HIV clinics received training in delivering a counseling intervention (Positive STEPs) to their patients and completed baseline and follow-up questionnaires to measure changes in prevention parameters. A cohort of patients at each clinic was independently surveyed about counseling experiences. Compared with the pretraining period, providers' self-ratings collected after they initiated the intervention showed significant (p < .05) positive changes in attitudes, comfort, self-efficacy, and frequency of delivering prevention counseling. Patients reported an increase in prevention counseling received from providers after training. The findings indicate that the training and delivery of the Positive STEPs intervention was associated with positive changes in providers' attitudes and HIV prevention counseling to patients.
美国疾病控制与预防中心建议，艾滋病护理诊所应将预防措施纳入临床实践。本报告总结了艾滋病护理提供者在接受培训以向患者提供咨询干预前后的态度和咨询实践。七家艾滋病诊所的提供者接受了向患者提供咨询干预（积极步骤）的培训，并完成了基线和随访问卷，以测量预防参数的变化。每家诊所的一组患者独立接受了关于咨询经历的调查。与培训前相比，提供者在开始干预后收集的自我评分显示，在态度、舒适度、自我效能感以及提供预防咨询的频率方面有显著（p < 0.05）的积极变化。患者报告称，培训后从提供者那里获得的预防咨询有所增加。研究结果表明，积极步骤干预的培训和实施与提供者态度的积极变化以及对患者的艾滋病预防咨询有关。
