Amsterdam 2015
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| Abstract #2198 - Strengthening HIV service provision | ||||
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Session: 44.3: Strengthening HIV service provision (Parallel) on Thursday @ 16.30-18.00 in C202 Chaired by Simon Gregson, Michael Evangeli Authors: Presenting Author: Dr. Francine Cournos - Mailman School of Public Health, United States |
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| Additional Authors: | ||||
| Aim: Clinical settings working with HIV/AIDS patients require a workforce capable of addressing the complex mental health needs of their patients. We examined effects of HIV mental health training for primary care providers on their clinical practice change intentions considering multiple characteristics of training and providers. | ||||
| Method / Issue: Primary care providers who attended HIV mental health training between 7/1/2011 and 6/30/2013 provided data. We examined practice change intentions following training and indicators of intentions for three types of practice change. Effects of training were investigated via logistic regression models which included training and participant characteristics. | ||||
| Results / Comments: Providers (n=6072) reported intentions to change their clinical practice as a result of training: create/revise protocols/policies (49%) create/revise procedures in practice (53%) change the clinical management of their patients (51%). Providers not planning practice changes (n=4626) indicated that training validated their current practice (90%). Effects of training and provider characteristics on participants’ intentions to change clinical practice showed different patterns for the three types of practice change. Trainings that discussed program changes showed significantly positive effects on intentions to create/revise protocols/policies and procedures in practice settings discussion of clinical guidelines during training and higher training quality also were significantly associated with practice change intentions. | ||||
| Discussion: Training appears to enhance practice change intentions in ways that are specific to the types of changes suggested in training and/or to providers’ perceived needs for changes within their practice settings. Factors moving providers along a continuum of readiness to implement best practices were identified, though additional research is needed. | ||||
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