Barriers and Facilitators in Implementing " Prevention for Positives" Alcohol-Reduction Support

The Perspectives of Directors and Providers in Hospital-Based HIV Care Centers

Shiela M. Strauss, Corrine E. Munoz-Plaza, Nelson J. Tiburcio, Marya Gwadz

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)30-40
Number of pages11
JournalThe Journal of the Association of Nurses in AIDS Care : JANAC
Volume23
Issue number1
DOIs
StatePublished - Jan 2012

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Alcohols
HIV
Physician Executives
Disclosure
Interviews
Education

Keywords

  • Alcohol
  • Barriers and facilitators
  • Brief intervention
  • HIV
  • Prevention for positives

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Cite this

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abstract = "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.",
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