Background

This collaboration of 4 AETCs and one external training partner aims to familiarize AETC faculty trainers with available materials and provide orientation for the effective use of these training resources.

The training exchange was developed in response to the emerging need for incorporating HIV prevention into the medical care of persons living with HIV. AETC trainers need to be aware of the materials that have already been developed in order to gain a working knowledge of the resources they can adapt for their own training needs.

Objectives

	To share state-of-the-art training materials with experienced AETC faculty trainers
	To discuss the lessons learned from implementation

Presenters will not discuss the actual content of the slides, but will comment on their use as training tools.

The 5 discussion topics that will be presented have been developed by experienced clinical trainers and researchers. These training presentations have been used in numerous centers throughout the country to educate providers about managing risk in HIV-infected patients in order to promote the health of people with HIV and to reduce the risk of transmission to uninfected persons.

Topics covered

	Promoting behavior change: employing motivational interventions
	Encouraging safer sex and disclosure: message-framing, repetition, and reinforcement
	Engaging Patients: using self-study and patient education tools
	Prevention in Primary Care: integrating care and counseling
	Legal ramifications: addressing provider concerns

Format

The five experienced clinical trainers will present their curricula using a single Powerpoint slide presentation, which participants will download in advance. Presenters and participants will simultaneously refer to the slide presentations during the teleconference.

On the teleconference, participants will be asked by the operator to identify themselves by their name, and organizational affiliation. All participant phone lines will be muted until Q & A time. The operator will give instructions for asking questions.

Email a question to Rianna Stefanakis before or during the call to facilitate discussion. We will try to answer questions during the call.

Teleconference Companion Slide Set

The five Powerpoint presentations can be downloaded individually, and have also been compiled into one slide set for your convenience. Training exchange participants will download this companion slide set prior to the teleconference and will refer to it during the presentations.

	Download the entire presentation [3.14MB]
	Or download as individual files below:

Presentations

Chair: Lucy Bradley-Springer, PhD, RN, ACRN
Download Introduction [572K]

Prevention with Positives: Promoting Change While the Clock Ticks

Robert Carroll, PhD (c), RN, ACRN; NW AETC, Washington State LPS, State Coordinator
Download Presentation [145K]

This presentation will describe the theoretical and practical underpinnings of Prevention with Positives programs, provide a brief overview of the motivational interview process for promoting behavioral change and finally, and describe the key elements of a brief motivational intervention. (10 min.)

Partnership for Health: Strategies for Improving Provider-Patient Communication

Jean Richardson, DrPH; Principal Investigator, Partnership for Health (PfH), USC, UCSD, USF, Orange County, LAGLC, Santa Clara Valley MC
Download Presentation [101K]

This presentation will provide a general approach to improving counseling of PLWHA about safer sex and disclosure. Partnership for Health (PfH) is based on a Social Cognitive model of strengthening the patient and provider communication, message framing, repetition and reinforcement to increase the patient's knowledge, skills and motivations to practice safer sex. The presentation includes use of a provider outline that addresses introducing the topic, asking questions, listening and identifying problems, message framing, setting goals and providing referrals. The presentation will describe the use of materials such as brochures, informational flyers and posters in the examination room to facilitate counseling. (15 min.)

PwP and the CDC: Reflections on a Comprehensive Education Process

Lucy Bradley-Springer, PhD, RN, ACRN; MPAETC, Director and Associate Professor of Medicine
Download Presentation [915K]

This presentation will discuss components of the Striving to Engage People (STEPs) Program. STEPs is a multi-faceted program targeted to health care providers that includes self-study, interactive face-to-face classes, patient education tools, and posters. (15 min.)

Secondary Prevention Curriculum: A Proactive Approach to HIV/AIDS Prevention in Primary Care Settings

Linda Frank, PhD, MSN, ACRN; PA/MA AETC, Principal Investigator and Executive Director
Download Presentation [701K]

Developed by the Pennsylvania/MidAtlantic AETC, this curriculum aims to help clinicians and service providers integrate HIV prevention into primary care for patients who are HIV positive, to help clinicians and service providers integrate case finding into the primary care clinical encounter, to assist clinical settings in developing procedures for such integration, and to assist clinics in developing a comprehensive philosophy for prevention in primary care. The curriculum is evolving, and is being updated regularly and posted on the PA/MA AETC website. It is flexible. More specifically, it is aimed at meeting individualized needs of clinicians, agencies and program; developed in a modular format. Interactive pieces include didactic and experiential training approaches. Evaluative process and outcome components are included, as well as other evaluation instruments. Lastly, the curriculum is inclusive; obtaining input from the field via the PA/MA AETC Website (15 min.).

Legal Concerns of Providers Integrating Prevention into their Clinical Practice

Carol Dawson Rose, RN, PhD; PAETC, Nurse Coordinator
Download Presentation [240K]

This presentation will address one of the barriers to integrating HIV prevention into the provider care setting. Legal concerns and implications for patients and providers center on the conflict providers may face when their HIV positive patients disclose behaviors that may be illegal or may put others at risk for HIV infection. Provider concerns include: documentation, legal implications and ethical concerns for the provider and the patients. These issues are confounded with state-by-state law variation in content as well as the way in which laws are interpreted and enforced. State variation in populations at risk of exposure to HIV further complicates the matter. Legal implications for integrating prevention into HIV care are discussed in this presentation. (15 min.)

Related Resources

	Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: a multi-clinic assessment
	Crime and Punishment: Is There A Role For Criminal Law In HIV Prevention Policy?