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Adapting an effective primary care provider STD/HIV prevention training programme

D L Rabin1

  • 1Georgetown University School of Medicine, Washington, DC 20007, USA. RABIND@GUNET.GEORGETOWN.EDU

AIDS Care
|June 17, 1998
PubMed
Summary
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Primary care providers can improve patient sexual health by conducting effective risk assessments and counseling. A training program using simulated patients significantly enhanced these practices, promoting safer sex and reducing STD/HIV transmission risks.

Area of Science:

  • Public Health
  • Medical Education
  • Behavioral Science

Background:

  • Sexually transmitted HIV remains a significant public health concern in the USA.
  • Patient behavior change is key to preventing sexual transmission of HIV and other STDs.
  • Primary care physicians infrequently provide adequate sexual risk assessment and reduction counseling.

Purpose of the Study:

  • To develop and evaluate a program to improve primary care physicians' sexual risk assessment and reduction counseling practices.
  • To adapt the program for wider dissemination, reduced cost, and increased availability.
  • To develop a Train-the-Trainer program for broader implementation.

Main Methods:

  • A training program utilizing Simulated Patient Instructors (SPIs) and mailed educational materials was developed.

Related Experiment Videos

  • Program effectiveness was evaluated through self-report and observation by Simulated Patient Evaluators (SPEs).
  • Adaptations focused on improving content, reducing costs, and enhancing accessibility, followed by trainee evaluations and Train-the-Trainer development.

    • Main Results:

    • The initial program demonstrated improved sexual risk assessment and reduction practices among physicians.
    • The adapted program's content and training methods were highly rated by diverse trainees.
    • A Train-the-Trainer program and manual were developed for wider dissemination.

    Conclusions:

    • Training programs using simulated patients can effectively improve healthcare providers' sexual risk counseling.
    • Program adaptations have made it more cost-effective, accessible, and well-received.
    • Wider implementation of such training is crucial for achieving national STD/HIV prevention goals.