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Randomized Controlled Trial
. 2010 Jun;14(3):483-92.
doi: 10.1007/s10461-010-9679-y.

Interventions delivered in clinical settings are effective in reducing risk of HIV transmission among people living with HIV: results from the Health Resources and Services Administration (HRSA)'s Special Projects of National Significance initiative

Janet J Myers  1 , Starley B Shade, Carol Dawson Rose, Kimberly Koester, Andre Maiorana, Faye E Malitz, Jennifer Bie, Mi-Suk Kang-Dufour, Stephen F Morin
Affiliations
Randomized Controlled Trial

Interventions delivered in clinical settings are effective in reducing risk of HIV transmission among people living with HIV: results from the Health Resources and Services Administration (HRSA)'s Special Projects of National Significance initiative

Janet J Myers et al. AIDS Behav. 2010 Jun.

Abstract

To support expanded prevention services for people living with HIV, the US Health Resources and Services Administration (HRSA) sponsored a 5-year initiative to test whether interventions delivered in clinical settings were effective in reducing HIV transmission risk among HIV-infected patients. Across 13 demonstration sites, patients were randomized to one of four conditions. All interventions were associated with reduced unprotected vaginal and/or anal intercourse with persons of HIV-uninfected or unknown status among the 3,556 participating patients. Compared to the standard of care, patients assigned to receive interventions from medical care providers reported a significant decrease in risk after 12 months of participation. Patients receiving prevention services from health educators, social workers or paraprofessional HIV-infected peers reported significant reduction in risk at 6 months, but not at 12 months. While clinics have a choice of effective models for implementing prevention programs for their HIV-infected patients, medical provider-delivered methods are comparatively robust.

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Figures

Fig. 1
Fig. 1
Transmission Risk Behavior across 3 time points for Medical Care Provider-delivered, Prevention specialist-delivered, Multi-Provider Intervention and Standard of Care Groups
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