Abstract
Integrating HIV prevention into the clinical care of people living with HIV has emerged as a priority in the US As part of a cross-site evaluation this study examined the processes by which 15 clinic-based projects implemented interventions funded under the Health Resources and Services Administration's (HRSA) HIV Prevention with Positives (PwP) in Clinical Settings Initiative. We conducted 61 in-depth interviews with researchers and interventionists across the 15 projects. Intervention implementation was feasible assuming several key components were in place: (1) internal leadership to overcome resistance and foster interest and motivation among clinical providers and staff; (2) adequate attention to creating seamless flow between clinic practice and intervention; and (3) ongoing training that met clinician and staff needs as prevention interventions become a regular part of care. Interventions well matched to the clinical environment and the patient populations were feasible and acceptable to health care providers, prevention interventionists, and clinic staff.
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Acknowledgments
The authors would like to acknowledge the following people who contributed to this article: The project staff across 15 sites; our HRSA project officer, Faye Malitz; Tim Lane, Mallory Johnson and Emily Arnold for their valuable suggestions for revision.
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Koester, K.A., Maiorana, A., Vernon, K. et al. Implementation of HIV Prevention Interventions with People Living with HIV/AIDS in Clinical Settings: Challenges and Lessons Learned. AIDS Behav 11 (Suppl 1), 17–29 (2007). https://doi.org/10.1007/s10461-007-9233-8
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DOI: https://doi.org/10.1007/s10461-007-9233-8