TY - JOUR
T1 - Barriers and Facilitators in Implementing " Prevention for Positives" Alcohol-Reduction Support
T2 - The Perspectives of Directors and Providers in Hospital-Based HIV Care Centers
AU - Strauss, Shiela M.
AU - Munoz-Plaza, Corrine E.
AU - Tiburcio, Nelson J.
AU - Gwadz, Marya
N1 - Funding Information:
The authors gratefully acknowledge funding for the study from the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (Grant R21 AA016743 ). We also thank Joseph Lunievicz, who conducted the provider trainings at the Designated AIDS Centers, Deborah Dewey for her assistance in encouraging the Centers’ participation, and the medical directors, HIV care providers, and administrative staff at the participating Designated AIDS Centers for their time and support.
PY - 2012/1
Y1 - 2012/1
N2 - HIV-infected patients have considerable need for alcohol reduction support, and HIV care providers are strategically placed to implement a " prevention for positives" alcohol-reduction approach through alcohol screening and brief interventions (SBIs). To facilitate this approach, we provided alcohol SBI education and training to HIV care providers in four hospital-based, New York City HIV Care Centers in 2007. Interviews with the medical directors and 14 of the HIV care providers who attended the training identified barriers to implementing alcohol SBIs. These included limited time for alcohol screening, patients' incomplete disclosure of alcohol use, providers' perceptions that alcohol use is not a major problem for their patients, and provider specialization that assigns patients with problematic alcohol use to specifically designated providers. Identified facilitators for alcohol SBI implementation included adequate time to conduct the SBI; availability of information, tools, and key points to emphasize with HIV-infected patients; and use of a brief alcohol screening tool.
AB - HIV-infected patients have considerable need for alcohol reduction support, and HIV care providers are strategically placed to implement a " prevention for positives" alcohol-reduction approach through alcohol screening and brief interventions (SBIs). To facilitate this approach, we provided alcohol SBI education and training to HIV care providers in four hospital-based, New York City HIV Care Centers in 2007. Interviews with the medical directors and 14 of the HIV care providers who attended the training identified barriers to implementing alcohol SBIs. These included limited time for alcohol screening, patients' incomplete disclosure of alcohol use, providers' perceptions that alcohol use is not a major problem for their patients, and provider specialization that assigns patients with problematic alcohol use to specifically designated providers. Identified facilitators for alcohol SBI implementation included adequate time to conduct the SBI; availability of information, tools, and key points to emphasize with HIV-infected patients; and use of a brief alcohol screening tool.
KW - Alcohol
KW - Barriers and facilitators
KW - Brief intervention
KW - HIV
KW - Prevention for positives
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U2 - 10.1016/j.jana.2011.03.001
DO - 10.1016/j.jana.2011.03.001
M3 - Article
C2 - 21570321
AN - SCOPUS:84855299975
SN - 1055-3290
VL - 23
SP - 30
EP - 40
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 1
ER -