204679 Enhancing Comfortable Sex Talk: Training Nurses and other Health Care Providers to Implement the “Sister to Sister HIV Risk Reduction Intervention” in Clinical Settings

Wednesday, November 11, 2009: 11:10 AM

Loretta S. Jemmott, PhD, RN, FAAN , School of Nursing, University of Pennsylvania, Philadelphia, PA
Jillian Lucas Baker, DrPH, EdM , Graduate School of Education, University of Pennsylania, Philadelphia, PA
John B. Jemmott, PhD , Annenberg School of Communication, University of Pennsylvania, Philadelphia, PA
Background: African American women are disproportionately affected by HIV/AIDS. In the absence of an HIV vaccine, behavioral interventions are desperately needed. Nurses in primary care settings can play a key role in delivering evidence-based HIV prevention interventions to African American women. Objective: In this randomized controlled trial, we evaluated the feasibility of implementing “Sister to Sister HIV Risk Reduction Intervention,” a nurse-led, 20-minute one-on-one behavioral intervention among inner-city African American women in 3 primary care settings. Methods: Nurses and other health care providers attended an 8-hour Sister to Sister Training program to learn the intervention, practice implementing it, and receive feedback from the trainer. Training activities consisted of a discussion on sex and sexuality, examining one's own sexual bias, values and beliefs and discomfort in talking about sex and skills in making safe sex fun and pleasurable. Afterwards, the nurses implemented the intervention in their respective clinical settings. Results: The intervention: 1) demonstrated that it is feasible to translate and implement Sister to Sister in women's health clinics, and provided valuable information on the barriers and solutions in delivering the intervention in real world clinical settings; 2) provided insight into the sex education training needs of nurses and other health care providers; 3) highlighted the importance of examining one's own attitudes and values about sex and sexuality; and 4) demonstrated that knowing about sexuality can improve a nurse's ability to deal with his/her client's sexual decision-making.

Learning Objectives:
1. Describe the results of Sister to Sister HIV Risk Reduction Intervention from the original NINR funded study and the CDC funded REP translational feasibility study. 2. Discuss the importance of examining their values and beliefs about sex and sexuality. 3. Describe strategies for examining one’s own values and beliefs about sex, sexuality and working with clients whose values and opinions are similar and different from yourself. 4. Describe the principles and guidelines for teaching sex and HIV prevention

Keywords: Intervention, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I serve as the principal investigator of the "Sister to Sister HIV Risk Reduction Intervention"
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.