Clinician-Delivered Intervention During Routine Clinical Care Reduces Unprotected Sexual Behavior Among HIV-Infected Patients
JAIDS Journal of Acquired Immune Deficiency SyndromesPublished 7 December 2005
Jeffrey D. Fisher, William A. Fisher, Deborah H. Cornman, K. Rivet Amico, Angela D. Bryan, Gerald Friedland
Citations219
SJR quartileQ1
SJR score1.04
SNIP0.81
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A clinician-delivered HIV prevention intervention targeting HIV-infected patients resulted in reductions in unprotected sex and should be integrated into routine HIV clinical care.
Abstract
A clinician-delivered HIV prevention intervention targeting HIV-infected patients resulted in reductions in unprotected sex. Interventions of this kind should be integrated into routine HIV clinical care.
Keywords
MedicineHealth Professions
Psychology Press eBooksApplied Multiple Regression/Correlation Analysis for the Behavioral Sciences
20,853 Citations2014Patricia Cohen, Patricia Cohen +2 more
Experimental and quasi-experimental designs for generalized causal inference
13,404 Citations2010William R. Shadish, Thomas D. Cook +1 more
Journal of the American Statistical AssociationGeneralized Linear Models (2nd ed.).
4,940 Citations1993Terry M. Therneau, Peter McCullagh +1 more
A class of statistical models that generalizes classical linear models-extending them to include many other models useful in statistical analysis, of particular interest for statisticians in medicine, biology, agriculture, social science, and engineering.
Psychological BulletinChanging AIDS-risk behavior.
2,305 Citations1992Jeffrey D. Fisher, William A. Fisher
A conceptually based, highly generalizable model for promoting and evaluatingAIDS-risk behavior change in any population of interest is proposed, which holds that AIDS-risk reduction is a function of people's information about AIDS transmission and prevention, their motivation to reduce AIDS risk, and their behavioral skills for performing the specific acts involved in risk reduction.
Psychological BulletinMethodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior.
954 Citations1990Joseph A. Catania, David R. Gibson +2 more
This article reviews and integrates current literature on measurement error and participation bias in sex research, with an emphasis on collecting sexual information in the context of AIDS.
Medical Entomology and ZoologyHealth Behavior Change: A Guide for Practitioners
737 Citations1999Stephen Rollnick, Pip Mason +1 more
This chapter discusses the Tasks, Application, Common Clinical Encounters, Training Health Professionals, Broader Horizons and Foundations: Theory and Practice.
American Journal of EpidemiologyPer-Contact Risk of Human Immunodificiency Virus Tramnsmision between Male Sexual Partners
597 Citations1999E. Vitinghoff, Jacinta Douglas +4 more
As lower-risk practices become more common, they may play a larger role in propagating the epidemic and should also be addressed by interventions targeting high-risk homosexual and bisexual men.
JAMAPublic Health Implications of Antiretroviral Therapy and HIV Drug Resistance
502 Citations1998Mark A. Wainberg
Unless this topic is appropriately addressed, the likelihood is that drug-resistant variants of HIV, if able to successfully replicate, will sustain the epidemic and limit the effectiveness of antiviral therapy.
AIDS prevention and mental healthTheoretical Approaches to Individual-Level Change in HIV Risk Behavior
497 Citations2000Jeffrey D. Fisher, William A. Fisher
Over the course of the human immunodeficiency virus (HIV) epidemic, large numbers of HIV prevention interventions have been implemented in a broad array of settings, but most have focused primarily —and in many cases solely—on providing information about HIV.
American Journal of EpidemiologyRandomized Controlled Trial of Audio Computer-assisted Self-Interviewing: Utility and Acceptability in Longitudinal Studies
445 Citations2000David S. Metzger, Beryl A. Koblin +9 more
It is suggested that ACASI can enhance the quality of behavioral assessment and provide an acceptable method for collecting self-reports of HIV risk behavior in longitudinal studies and clinical trials of prevention interventions.
American Journal of Public HealthThe Serostatus Approach to Fighting the HIV Epidemic: prevention strategies for infected individuals
432 Citations2001Robert S. Janssen, David R. Holtgräve +4 more
In the United States, HIV prevention programs have historically tailored activities for specific groups primarily on the basis of behavioral risk factors and demographic characteristics, but through the Serostatus Approach to Fighting the Epidemic (SAFE), the Centers for Disease Control and Prevention is now expanding prevention programs, especially for individuals with HIV, to reduce the risk of transmission.
Archives of Sexual BehaviorReliability and Validity of Self-Report Measures of HIV-Related Sexual Behavior: Progress Since 1990 and Recommendations for Research and Practice
396 Citations1998Lance S. Weinhardt, Andrew D. Forsyth +3 more
It is imperative that standardized self-report instruments be developed and used for sexual risk-behavior assessment and specific recommendations for improving sexual behavior assessment are provided.
AIDSTowards an understanding of sexual risk behavior in people living with HIV: a review of social, psychological, and medical findings
368 Citations2002Nicole Crepaz, Guy B. Marks
It is exceedingly important to understand the factors promoting risky sex in this population so that behavioral interventions can be designed optimally for HIV-positive persons, and these interventions may be a highly cost-effective approach to reducing sexual transmission of the disease.
American Journal of Preventive MedicineEffectiveness of an intervention to reduce HIV transmission risks in HIV-positive people1 1The full text of this article is available via AJPM Online at www.elsevier.com/locate/ajpmonline.
330 Citations2001Seth C Kalichman, David Rompa +10 more
This study is among the first to demonstrate successful HIV-transmission risk reduction resulting from a behavioral intervention tailored for HIV-positive men and women.
AIDSAttitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men
304 Citations2002David Ostrow, Kelly Fox +6 more
HepatologySexual activity as a risk factor for hepatitis C
301 Citations2002Norah A. Terrault
Current recommendations about sexual practices are different for persons with chronic HCV infection who are in steady monogamous partnerships versus those with multiple partners or who is in short‐term sexual relationships.
AIDSEffect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients
242 Citations2004Jean L. Richardson, Joel Milam +10 more
Brief provider counseling emphasizing the negative consequences of unsafe sex can reduce HIV transmission behaviors in HIV-positive patients presenting with risky behavioral profiles.
AIDSSexual risk behaviour relates to the virological and immunological improvements during highly active antiretroviral therapy in HIV-1 infection
237 Citations2001Nicole H. T. M. Dukers–Muijrers, Jaap Goudsmit +4 more
JAIDS Journal of Acquired Immune Deficiency SyndromesA Randomized Controlled Trial to Reduce HIV Transmission Risk Behaviors and Sexually Transmitted Diseases Among Women Living With HIV
218 Citations2004Gina M. Wingood, Ralph J. DiClemente +7 more
This is the first trial to demonstrate reductions in risky sexual behavior and incident bacterial STDs and to enhance HIV-preventive psychosocial and structural factors among women living with HIV.
Journal of Consulting and Clinical PsychologyBehavioral research in HIV/AIDS primary and secondary prevention: Recent advances and future directions.
206 Citations2002Jeffrey A. Kelly, Seth C. Kalichman
This article concludes by identifying key emerging issues in HIV behavioral research that will require attention in the years ahead.
AIDSReducing sexual transmission of HIV from those who know they are infected: the need for personal and collective responsibility
196 Citations1999Gary Marks, Scott Burris +1 more
Pediatric PulmonologyModern statistical techniques for the analysis of longitudinal data in biomedical research
190 Citations2000Lloyd J. Edwards
Advances in statistical theory and computer technology over the past two decades have made techniques for the analysis of longitudinal data more readily available for data analysts.
Health PsychologyA randomized clinical trial of a manual-guided risk reduction intervention for HIV-positive injection drug users.
171 Citations2003Arthur Margolin, S. Kelly Avants +3 more
It is suggested that enhancing methadone maintenance with an intervention targeting HIV-seropositive IDUs increases both harm reduction and health promotion behaviors.
AIDSHigh-risk sexual behaviour increases among London gay men between 1998 and 2001: what is the role of HIV optimism?
167 Citations2002Jonathan Elford, Graham Bolding +1 more
It is suggested that HIV optimism is unlikely to explain the recent increase in high-risk sexual behaviour in men in London, as less than a third were optimistic.
Clinical Psychology Science and PracticeHIV transmission risk behaviors of men and women living with HIV-AIDS: Prevalence, predictors, and emerging clinical interventions.
166 Citations2000Seth C. Kalichman
Research on continued risk practices among individuals who know they are HIV infected is reviewed, finding that high-risk behaviors are more likely with another infected person, but alarming rates of risk behaviors are observed with HIV-negative partners and partners of unknown HIV status.
AIDSSexual risk behaviour increases and is associated with HIV optimism among HIV-negative and HIV-positive gay men in Sydney over the 4 year period to February 2000
117 Citations2000Paul Van de Ven, Garrett Prestage +3 more
Evaluation and Program PlanningResponse bias in assessing sexual behaviors relevant to HIV transmission
114 Citations1990Joseph A. Catania, David R. Gibson +3 more
Journal of Substance Abuse TreatmentContinuation of high-risk behavior by HIV-positive drug users
109 Citations2000S. Kelly Avants, Lara A. Warburton +2 more
A disconcertingly high proportion of patients (66%) reported having engaged in HIV-risk behavior since learning their HIV-seropositive status, and level of HIV-related knowledge did not predict high- risk behavior.
The Journal of Experimental EducationThe Effect of Experimental Mortality on the Internal and External Validity of the Randomized Comparative Experiment
107 Citations1971Stephen G. Jurs, Gene V. Glass
JAIDS Journal of Acquired Immune Deficiency SyndromesClinician-Initiated HIV Risk Reduction Intervention for HIV-Positive Persons
104 Citations2004Jeffrey D. Fisher, Deborah H. Cornman +4 more
Elicitation research with patients and clinicians identified critical HIV prevention information, motivation, and behavioral skills deficits in HIV-positive patients as well as risky sexual behavior that were integrated into a theory-based HIV prevention intervention initiated by clinicians.
International Journal of STD & AIDSHIV transmission risk behaviours among HIV-positive persons in serodiscordant relationships
95 Citations2002Seth C. Kalichman, David Rompa +2 more
There was a trend toward greater HIV transmission rates from HIV-positive men to their regular serodiscordant female partners compared to non-regular partners and there was an urgent need for HIV transmission risk reduction interventions for couples in established, regular relationships.
Annals of Behavioral MedicineReducing the sexual risk behaviors of HIV+ individuals: Outcome of a randomized controlled trial
86 Citations2003Thomas L. Patterson, William S. Shaw +1 more
It is suggested that a brief intervention can result in large reductions in HIV transmission risks among HIV+ individuals, but the relative benefit of one intervention approach over another remains unclear.
AIDSIncrease in at-risk sexual behaviour among HIV-1-infected patients followed in the French PRIMO cohort
85 Citations2002Loïc Desquilbet, Christiane Deveau +4 more
Levels of viral load of HIV-1-infected patients reporting sexual behaviour at risk for HIV transmission raise concern about the potential for re-emerging HIV epidemics.
AIDSAre HIV care providers talking with patients about safer sex and disclosure?
84 Citations2002Gary Marks, Jean L. Richardson +9 more
Examination of HIV-positive patients’ reports of whether HIV care providers ever talked with them about practicing safer sex and disclosing seropositive status to sex partners found MSM and whites were less likely to receive prevention messages on these topics.
JAIDS Journal of Acquired Immune Deficiency SyndromesPrevention With HIV-Seropositive Men Who Have Sex With Men
84 Citations2004Richard J. Wolitski, Jeffrey T. Parsons +1 more
Findings from the Seropositive Urban Men’s Study and SUMIT trial describe the interest of HIV-positive MSM in prevention efforts, the design of the SUMIT intervention trial, and implications for future research and programmatic efforts are discussed.
AIDSRisk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men
83 Citations2002Kimberly Page, Caroline H. Shiboski +8 more
The risk of HIV attributable to fellatio is extremely low and the population-attributable risk percentage (PAR%) for HIV associated fellatio among men who have sex with other men (MSM) is 0.31% for three partners.
AIDSAntiretroviral resistance and high-risk transmission behavior among HIV-positive patients in clinical care
82 Citations2004Michael J. Kozal, K. Rivet Amico +6 more
A substantial minority (23%) of patients in clinical care engaged in HIV sexual transmission risk behavior, and this core group accounted for a large number of high-risk HIV transmission events with resistant virus, exposing a substantial number of partners.
Annual Review of Sex ResearchUnderstanding and Promoting Sexual and Reproductive Health Behavior: Theory and Method
80 Citations1998William A. Fisher, Jeffery D. Fisher
A theoretical framework for understanding psychological factors governing sexual and reproductive health behavior and a methodology for creating theoretically based and empirically targeted interventions to promote such behaviors across health behaviors and populations of interest are presented.
AIDS and BehaviorDynamics of Sexual Risk Behavior in HIV-Infected Men Who Have Sex with Men
68 Citations1998Jeffrey D. Fisher, Diane L. Kimble Willcutts +2 more
Assessment of risky behavior among HIV-negative men who have sex with men and among MSM whose HIV antibody status is unknown suggests that risky behavior occurs with some frequency, and that it is occasioned by informational, motivational, and behavioral skills-relevant deficits in the population at focus.
The Journal of Sex ResearchReliability of sexual behavior self‐reports in male couples of discordant HIV status
38 Citations1999Alex Carballo‐Diéguez, Robert H. Remien +2 more
It was established that, for the most part, primary partners confirmed the report of index respondents concerning their sexual behavior with each other.
AIDS and BehaviorHIV-Seropositive Drug Users and Unprotected Sex
33 Citations1998Carol F. Kwiatkowski, Robert E. Booth
Results of a multiple logistic regression revealed that the strongest predictor of unprotected sex was being of an ethnicity other than African-American, and the need for continuing research with this population is discussed.
JAIDS Journal of Acquired Immune Deficiency SyndromesPrevention Interventions With Persons Living With HIV/AIDS
28 Citations2004Christopher M. Gordon, Ron Stall +1 more
The goal was to discuss state-of-the-science behavioral risk reduction with HIV-positive persons and to outline immediate research needs, including findings from completed trials, studies in the field that were nearly complete, and innovative projects just underway.
AIDS and BehaviorHIV Prevention and Attrition: Challenges and Opportunities
25 Citations2002Scott Edward Rutledge, Roger A. Roffman +3 more
An overview of factors associated with attrition from HIV counseling interventions is provided, remedies for practitioners and researchers are offered, and a case analysis of a brief motivational enhancement counseling intervention is provided designed, in part, to avoid some of the traditional reasons individuals do not enroll in or drop out of HIV prevention programs.
Acta Dermato VenereologicaGonorrhoea in Denmark: High Incidence Among HIV-infected Men Who Have Sex with Men
24 Citations2002Jeanne Duus Johansen, Else Smith
The rising trend of incident gonorrhoea in Denmark may indicate a relapse to more unsafe sexual practices, which could lead to the spread of HIV infection, and the higher incidence among HIV-positive MSM compared with other men underlines this concern.
AIDS and BehaviorDynamics of HIV Risk Behavior in HIV-Infected Injection Drug Users
21 Citations1999Jeffrey D. Fisher, Stephen J. Misovich +2 more
Interview data revealed the presence of many perceived barriers to safer injection and sexual behaviors, including withdrawal-related concerns, and concerns about negative social consequences of engaging in safer behaviors.
AIDS CareThe influence of psychosocial difficulties on women's attrition in an HIV/STD prevention program
16 Citations2003Blair Beadnell, Sharon A. Baker +7 more
It is not necessarily enough to ensure cultural relevance and to provide food, childcare, and transportation in interventions for women at HIV/STD risk, and interventionists should consider the use of strategies to support attendance.
HIV Clinical TrialsThree-Year Effectiveness of Highly Active Antiretroviral Treatment in the Luxembourg HIV Cohort
11 Citations2000Jean Servais, Jean-Claude Schmit +10 more
In a community setting, effectiveness of protease inhibitor (PI)-based HAART at 3 years is still achieved for most patients, and NRTI-experienced patients have a good long-term response rate even if it is lower than N RTI-naive patients.
AIDS prevention and mental healthMethodological Issues in HIV Behavioral Interventions
11 Citations2000David G. Ostrow, Seth C. Kalichman
The thrust of this chapter will be to review those issues that are either the most important new HIV prevention research issues or the most limiting in the areas of “ sensitive” behavioral research (i.e., research on sexual, drug use, and other socially “sensitive” behaviors) in general.
The Journal of Sex ResearchDo no harm: On the ethics of testosterone replacement therapy for HIV+ persons
4 Citations1997William A. Fisher
This critique of the practice of testosterone replacement therapy for HIV+ individuals and of Wagner, Rabkin, and Rabkin's (1997) research on this topic focuses on the dubious ethics of stimulating sexual desire and sexual function in persons who carry a fatal, sexually borne pathogen.
