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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinic-based intervention reduces unprotected sexual behavior among HIV-infected patients in Kwazulu-Natal, South Africa: Results of a pilot study
Journal of Acquired Immune Deficiency Syndromes, Volume 48, No. 5, Year 2008
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Description
OBJECTIVE:: To evaluate the feasibility, fidelity, and effectiveness of a human immunodeficiency virus (HIV) prevention intervention delivered to HIV-infected patients by counselors during routine clinical care in KwaZulu-Natal, South Africa. METHODS:: A total of 152 HIV-infected patients, aged 18 years and older, receiving clinical care at an urban hospital in South Africa, were randomly assigned to intervention or standard-of-care control counselors. Intervention counselors implemented a brief risk reduction intervention at each clinical encounter to help patients reduce their unprotected sexual behavior. Self-report questionnaires were administered at baseline and 6 months to assess number of unprotected sex events in previous 3 months. RESULTS:: Intervention was delivered in 99% of routine patient visits and included a modal 8 of 8 intervention steps. Although HIV-infected patients in both conditions reported more vaginal and anal sex events at 6-month follow-up than at baseline, patients who received the counselor-delivered intervention reported a significant decrease over time in number of unprotected sexual events. There was a marginally significant increase in these events among patients in the standard-of-care control condition. CONCLUSIONS:: A counselor-delivered HIV prevention intervention targeting HIV-infected patients seems to be feasible to implement with fidelity in the South African clinical care setting and effective at reducing unprotected sexual behavior. © 2008 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Cornman, Deborah H.
United States, Storrs
University of Connecticut
Kiene, Susan M.
United States, Providence
The Warren Alpert Medical School
Christie, Sarah
United States, Storrs
University of Connecticut
Fisher, William Hiam
Canada, London
Western University
Shuper, Paul A.
Canada, Toronto
Centre for Addiction and Mental Health
Canada, Toronto
University of Toronto
Pillay, Sandy
South Africa, Durban
The Nelson R. Mandela Medical School
Friedland, Gerald H.
United States, New Haven
Yale School of Medicine
Thomas, Cyril M.
South Africa, Durban
Mccord Hospital
Lodge, Linda
South Africa, Durban
Mccord Hospital
Fisher, Jeffrey David
United States, Storrs
University of Connecticut
Statistics
Citations: 74
Authors: 10
Affiliations: 8
Identifiers
Doi:
10.1097/QAI.0b013e31817bebd7
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cohort Study
Study Locations
South Africa