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Record identifier : 565837
Personal Name - Primary Intelectual Responsibility : McMonigle, Cherilyn Bingman
Title and statement of responsibility : Effects of a brief safer sex intervention on provider counseling behaviors, attitudes, and the provider-patient relationship [Thesis]
Publication, Distribution,Etc. : University of Southern California, 2003
Language of the Item : eng
Dissertation of thesis details and type of degree : phd
Body granting the degree : , University of Southern California
Summary or Abstract : Primary care providers play a vital role in the delivery of successful prevention interventions for HIV-positive individuals, with the ultimate goal to change patient behavior and health outcomes. However, few studies examine if training for delivery of such prevention counseling actually changes provider counseling behaviors and attitudes. The present study is one of the first to examine provider counseling and attitude changes following communication training and a randomized, brief intervention delivery for HIV+ patients and the extent to which this intervention altered the frequency and amount of counseling the HIV+ patients received. In addition, the effects of provider training on the provider-patient relationship and patient satisfaction with care were also examined. The study was comprised of two longitudinal samples; 559 HIV-positive patients from 6 clinics throughout California and their 78 healthcare providers. The major hypotheses were partially supported. Following the intervention, patients of providers trained in safer sex communication reported significantly higher mean levels of safer sex counseling compared to patients in the adherence group, although data from the provider sample did not show significant differences in overall counseling. However, providers did show significant increases in specific safer sex counseling behaviors. Providers trained in adherence communication reported significant increases in adherence counseling over time and higher mean levels of overall adherence counseling compared both safer sex groups following the intervention. Further analysis of specific adherence counseling behaviors instructed in training (e.g. tailored medication scheduling) showed intervention effects in the provider sample. Interestingly, there were no significant differences in patient report of adherence to medication counseling between the adherence group and safer sex groups. As hypothesized, following the training, providers in the Advantages group were significantly more likely to report an advantage-framed communication style following the intervention. Likewise, the Consequences group was significantly more likely to report a consequence-framed communication style. There were no significant effects of the intervention on patient satisfaction with care; however, patients were highly satisfied with care and their relationship with their providers. The Partnership for Health training program shows modest yet promising results, indicating that provider counseling behaviors may improve with a brief intervention training..
Topical Name Used as Subject : Public health
Information of biblio record : TL
 
 
 
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