Partnership for Health

An Evidence-Based Practice

Description

The goal of Partnership for Health is to use regular doctor visits as a forum to reach HIV-positive patients and increase their knowledge, skills, and motivations to practice safer sex. The program accomplishes these goals by using message framing, repetition, and reinforcement.

Partnership for Health is delivered by providers to HIV-positive patients in HIV outpatient clinics. Waiting room posters and brochures are used to reinforce the program's main message of prevention. The actual program is implemented as a 3- to 5- minute conversation between the patient and provider during a routine visit, during which time the provider discusses protection, partner protection, and disclosure of HIV serostatus.

Goal / Mission

The goal of Partnership for Health is to reach HIV positive patients during regular doctor visits and increase their knowledge, skills, and motivations to practice safer sex.

Impact

Brief provider counseling emphasizing the negative consequences of unsafe sex can reduce HIV transmission behaviors in HIV-positive patients presenting with risky behavioral profiles.

Results / Accomplishments

Six HIV clinics in California implemented the intervention. Two clinics used a loss-framed approach (negative consequences of unsafe sex), two used a gain-framed approach (positive consequences of safer sex), and two served as controls. The authors found that patients who had received the loss-framed messages and who had two or more sex partners at baseline were significantly less likely to report having unprotected anal or vaginal intercourse at follow-up (p<0.01) when compared to the other two groups.

About this Promising Practice

Organization(s)
USC Partnership for Health
Primary Contact
Jean Richardson
Department of Preventive Medicine, Keck School of Medicine - USC
1441 Eastlake Ave, MS 9175
Los Angeles, CA 90033
(323) 865-0385
jeanr@usc.edu
Topics
Health / Immunizations & Infectious Diseases
Health / Prevention & Safety
Organization(s)
USC Partnership for Health
Source
CDC Effective Interventions
Date of publication
2004
Date of implementation
1999
Location
California
For more details
http://www.effectiveinterventions.org/en/HighImpac...
http://journals.lww.com/aidsonline/Abstract/2004/0...
Additional Audience
HIV-positive individuals

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Related Content for: Partnership for Health

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.