Implementation of HIV prevention interventions with people living with HIV/AIDS in clinical settings: challenges and lessons learned
Koester, K.A.; Maiorana, A.; Vernon, K.; Myers, J.; Rose, C.Dawson.; Morin, S.
Aids and Behavior 11(5 Suppl): S17-S29
2007
ISSN/ISBN: 1090-7165 PMID: 17436072 DOI: 10.1007/s10461-007-9233-8Document Number: 263529
Integrating HIV prevention into the clinical care of people living with HIV has emerged as a priority in the US As part of a cross-site evaluation this study examined the processes by which 15 clinic-based projects implemented interventions funded under the Health Resources and Services Administration's (HRSA) HIV Prevention with Positives (PwP) in Clinical Settings Initiative. We conducted 61 in-depth interviews with researchers and interventionists across the 15 projects. Intervention implementation was feasible assuming several key components were in place: (1) internal leadership to overcome resistance and foster interest and motivation among clinical providers and staff; (2) adequate attention to creating seamless flow between clinic practice and intervention; and (3) ongoing training that met clinician and staff needs as prevention interventions become a regular part of care. Interventions well matched to the clinical environment and the patient populations were feasible and acceptable to health care providers, prevention interventionists, and clinic staff.
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