Navigation Links
CDC recognizes UCSF's research as critical to HIV prevention
Date:1/29/2009

Two HIV prevention interventions developed by UCSF researchers have been selected as additions to the Centers for Disease Control and Prevention's 2008 Compendium of Evidence-based HIV Prevention Interventions.

The UCSF interventionsPositive Choice: Interactive Video Doctor and the Healthy Living Projectcomprise two of the eight added to the list of 57 rigorously evaluated highly effective HIV prevention programs recommended by the CDC for implementation.

"Both of these interventions meet the CDC's very highest standard and reflect UCSF's leadership in developing efficacious behavioral HIV prevention programs. The release of the CDC's 2008 Compendium is particularly timely as a new administration with a preference for evidence based approaches and a desire to better fund domestic HIV prevention programs takes charge," said Healthy Living senior investigator, Stephen F. Morin, director of UCSF's Center for AIDS Prevention Studies and UCSF professor of medicine.

In addition, these UCSF research programs are among the first interventions to establish a reduction in the risk of transmission acts among people living with HIV, commonly called "prevention with positives." This has emerged as a top priority in CDC prevention planning because the approach can efficiently concentrate resources on reducing the number of new infections by engaging people living with HIV as partners in prevention.

Positive Choice: Interactive Video Doctor uses a video doctor to simulate the ideal doctor-patient risk counseling conversation. Interactive video clips using an actor-portrayed doctor are matched to patients' answers from assessment questions allowing the omission of any non-relevant counseling. The counseling sessions, which last an average of 24 minutes, end with a prompt to patients to discuss the risky behaviors with their healthcare provider during their regular appointment following the video counseling session. The program sharply reduced sexual and drug risk behaviors by the HIV-positive patients and in some cases, eliminated risky behaviors all together.

"Positive Choice does not replace a patient's healthcare provider, but facilitates and supports an important dialogue. Key features of the program are that it was developed so anyone can easily use iteven those with low literacy skillsand it can target multiple risk behaviors. Importantly, the program was evaluated with a diverse group of patients of both genders. In fact, we have already been contacted by providers who want to implement the program," said the program's principal investigator, Barbara Gerbert, PhD, professor in the Division of Behavioral Sciences, Professionalism, and Ethics and director of the Center for Health Improvement and Prevention Studies (CHIPS) at UCSF.

Healthy Living addresses three crucial interrelated aspects of living with HIV: stress and coping, transmission risk behaviors, and adherence to anti-HIV medication regimens. The three aspects are addressed in a series of individually tailored client centered 90 minute counseling sessions. Starting with stress and coping and building on the framework and skills developed in those sessions, counselors then guide their clients through risk reduction sessions that allow clients to identify their own risk behaviors. Clients then identify boundaries for their risk behaviors that they are able to stay within. In one sub-group of men who have sex with men, researchers found that many clients chose to engage in risky sexual behaviors solely with known HIV positive partnersa strategy termed serosorting.

Clients address the third aspect, medication adherence, in sessions that focus on the development of a personal health plan. Using the same client based problem solving approach, counselors help clients identify barriers to taking their pills as directed and assist them in distilling solutions to overcome those barriers.

"Healthy Living was rigorously tested in a diverse group of men and women in cities across the country and was shown to reduce risk behaviors. The program equips clients with skills to self identify and reduce HIV transmission risk behaviors and develop strategies to ensure that they take their vital anti-HIV medications as directed. By reducing risky behavior and lowering levels of virus in the blood through enhanced treatment adherence, the intervention provides two mechanisms for lowering HIV transmission," said program investigator, Mallory O. Johnson, PhD, associate professor of medicine at UCSF's Center for AIDS Prevention Studies (CAPS).


'/>"/>

Contact: Jeff Sheehy
jsheehy@ari.ucsf.edu
415-597-8165
University of California - San Francisco
Source:Eurekalert

Related medicine news :

1. Dow Jones Sustainability Index Again Recognizes Abbott for Continued Leadership in Business, Environmental and Social Performance
2. SAVE Recognizes National Suicide Prevention Week
3. Nations Largest Dialysis Patient Organization Recognizes the Achievements of Patients and Leaders in Kidney Care
4. Angel Flight West Recognizes Colorado Pilots and Supporters at AFW 24th Anniversary Awards
5. Missouri House Recognizes Extraordinary Efforts Supporting National Guard Families
6. Angel Flight West Recognizes Northern California Pilots at AFW 24th Anniversary Awards
7. Angel Flight West Recognizes Southern California Pilots at 24th Anniversary
8. HHS Recognizes Hospitals With Highest Organ Donation Rates
9. National Award Recognizes Delmarva Foundation and CareFirst BlueCross BlueShield Quality Improvement Efforts
10. American Heart Association Award Recognizes Regence as a Start! Fit-Friendly Company
11. Angel Flight West Recognizes New Mexico Pilots and Receives Grant to Improve Access to Health Care
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/30/2016)... , ... April 30, 2016 , ... ... announced RANKED Health , a program to critically evaluate and rank health-focused ... of the program is to provide independent, unbiased and accurate information to help ...
(Date:4/30/2016)... ... 30, 2016 , ... Orlando-based Maximized Living has selected Dr. Nick Wilson of ... Under the care of Maximized Living doctors at the London Olympics in 2012, ... Living is sending the largest contingent of elite chiropractors to Rio to support and ...
(Date:4/29/2016)... ... April 29, 2016 , ... ... the Accreditation Council for Graduate Medical Education (ACGME) that it has received accreditation ... the first accreditation of three residency programs that Memorial is currently pursuing, including ...
(Date:4/29/2016)... ... 29, 2016 , ... Dr. Bernie Siegel, (M.D.) ... MEDICINE and MIRACLES") addresses touchy topics related to Death live on Dr. ... Dr. Bernie Siegel, author of a plethora of essential books-to-read for physicians and ...
(Date:4/29/2016)... , ... April 29, 2016 , ... Spine Team Texas, ... is proud to announce one of their physicians has been invited to be a ... (Texas ACOFP) Family Practice Review conference on April 30, 2016. , Dr. R. ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... 28, 2016  While Abbott,s announced purchase of ... valve repair and stent business, healthcare research firm ... more firmly into patient monitoring.  Kalorama said that ... device areas, with double-digit growth expected the next ... Advanced Remote Patient Monitoring . Abbott Laboratories ...
(Date:4/28/2016)... Calif. , April 28, 2016  Marking ... widely accessible breast and ovarian cancer risk test, ... panel analyzing 30 genes that highly impact the ... women. Available today, the Color Test analyzes hereditary ... prostate, stomach, and uterine cancers. The Color Test ...
(Date:4/28/2016)... , April 28, 2016  The blood testing ... million dollars, according to Kalorama Information and The Freedonia ... immunoassays and nucleic acid testing.  The healthcare research firm ... progress in developing blood collection stations and in improving ... in Kalorama Information,s report, Blood Testing Market ...
Breaking Medicine Technology: