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APHA Scientific Session and Event Listing

Recorded presentation

Barbara D. Estrada, MS¹, Antonio Estrada, PhD², Stephen Trujillo³, and Ken Burton³. (1) Impact Consultants, Inc., 5632 N. Cherokee Ridge Rd., Tucson, AZ 85750, 520-603-7074, bestrada@dakotacom.net, (2) Mexican American Studies & Research Center, University of Arizona, P.O. Box 210023, Cesar E. Chavez Bldg, #23, Room 208-C, Tucson, AZ 85721-0023, (3) El Rio/Special Immunology Associates, 1701 W. St. Mary's Rd., Suite 160, Tucson, AZ 85745

Issue: HIV positive persons continue to place themselves and others at risk for re-infection and HIV transmission. Interventions are needed that help HIV positive persons reduce the risk for HIV transmission via unprotected anal and vaginal sex. Interventions can be placed in clinical settings to facilitate a holistic approach to prevention. Description: A group level intervention for HIV prevention with positives was implemented and delivered in a primary care setting. The intervention consists of five group level Video Discussion Intervention (VDI) sessions. A variety of barriers to implementing the VDI intervention are discussed. Lessons Learned: Although participants like the group intervention and benefit from attending, there were challenges with recruitment and retention. Barriers include those associated with the research nature of the project and patient perceptions of the project. Research barriers include confidentiality, random assignment, required research assessments, and rigid program design. Patient perceptions included discomfort with the group design and being available for the schedule of groups. Patients left the group for a variety of reasons including work, schedule conflicts, health deterioration, already being at the clinic enough, group assignment, not needing the intervention. Recommendations: Although our patient population remains at risk for HIV transmission, providing a group level intervention within the clinic is difficult. Although some barriers could be alleviated by not having the research component, barriers to intervening with patients remain. A possibly more successful strategy is to offer multiple modalities of HIV prevention with more flexibility in the program design.

Learning Objectives: After the presentation participants will be able to

• Articulate intervention implementation issues in a primary care setting.
• Understand the various work-place issues that enhance and/or impede successful implementation.
• Discuss potential solutions to implementing interventions with positives in a primary care setting.

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation