To date, HIV prevention has largely focused on persons who are not infected with HIV, to help them avoid becoming infected. In order to further reduce HIV transmission, an increased emphasis must be placed on preventing transmission by HIV-infected persons. Research shows that persons living with HIV often adopt healthy behaviors after their initial diagnosis. However, many revert back to risky behaviors after a period of time, putting their health and the health of others at risk.
Ongoing, brief prevention counseling is a cost-effective measure that can be incorporated into routine care for individuals living with HIV. Prevention IS Care therefore includes tools for medical care providers to use on a daily basis with those patients who are living with HIV. Informational posters and patient education brochures develop patients' knowledge about HIV, facilitate open dialogue and information exchange, and strengthen patients' ability to make healthy choices. And continuing education opportunities are included for medical care providers to update and add depth to their knowledge and skills.
This podcast provides an overview of the Prevention IS Care campaign, which provides HIV prevention tools for medical care providers to use on a daily basis with patients who are living with HIV. Created: 3/26/2009 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). Date Released: 3/26/2009.
Download this podcast, locate accessible versions, and subscribe to podcast series.
This Web site provides access to downloadable campaign materials as well as relevant HIV/AIDS articles and MMWRs, media coverage, testimonial videos, and links to other resources. In addition, through this Web site, providers can learn about workshops and other opportunities to obtain continuing education credits.
Materials may also be ordered through http://wwwn.cdc.gov/pubs/pic.aspx free.
Highlights from the MMWR: Incorporating HIV Prevention into the Medical Care of Persons Living with HIV:
- Despite major advances in treatment, an estimated 40,000 new cases of HIV infection occur each year in the United States*.
- Interviews with people living with HIV in a variety of settings indicate that more than 70% are sexually active after receiving their diagnosis—and many have not notified their partner of their HIV status.
- STDs have been increasing in men and women with HIV who are receiving outpatient care, indicating ongoing risky behavior and opportunities for HIV transmission.
- Until recently, HIV prevention in this country has largely focused on preventing infection in those who do not have the virus. Since infection rates have remained steady for the past decade, the focus is shifting to prevention of transmission by those living with HIV.
Whenever a patient with HIV visits, health care providers have the opportunity to:
- Screen for transmission behaviors. Reverting to risky sexual behavior might be as important in HIV transmission as failure to adopt safer practices after diagnosis.
- Identify and treat STDs. STDs have a synergistic effect on HIV infectivity and susceptibility, and their presence indicates risky behavior.
- Communicate prevention messages. Patients with HIV can benefit from brief messages on the need for safer sexual behaviors to protect themselves and their partners.
- Discuss sexual and drug-use behavior. Patients need accurate information on factors that increase the risk of HIV transmission and promote effective prevention strategies.
- Reinforce changes to safer behavior. Brief prevention messages can positively reinforce patient actions to reduce transmission risk.
- Refer to specialized services. Direct patients needing additional behavior interventions to social services (i.e., mental health services, substance abuse care, etc.), which are available from the CDC National Prevention Information Network (NPIN)
or 1-800-458-5231.
- Facilitate partner notification, counseling, and testing. Health care providers can help prevent patients' sexual or needle-sharing partners from becoming infected with HIV and from infecting others with HIV.
Who is the audience for Prevention IS Care?
Primary audiences include:
- infectious disease specialists,
- primary care providers who treat people with HIV,
- nurse practitioners and nurses treating people with HIV,
- community health centers and public health clinics treating people with HIV,
- medical students, and
- people living with HIV/AIDS.
What products or resources are available through the Prevention IS Care campaign?
Materials such as posters, charts, and screening tools are offered to health care providers to help them incorporate prevention into their routine care of persons living with HIV.
For those living with HIV, materials are also available that describe steps they can take to stay healthy and protect the health of others.
This Web site provides access to downloadable campaign materials as well as relevant HIV/AIDS articles and MMWRs, media coverage, testimonial videos, and links to other resources. In addition, through this Web site, providers can learn about workshops and other opportunities to obtain continuing education credits.
Materials may also be ordered through here
Is the campaign affiliated only with the CDC?
No. In order to expand the reach of this campaign, partnerships have been developed with key health and HIV/AIDS organizations such as the HIV Medicine Association, and the American Academy of HIV Medicine.
The campaign content is based on the CDC Morbidity and Mortality Weekly Report (MMWR) “Incorporating HIV prevention into the Medical Care of Persons Living with HIV", which is the consensus recommendation by the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America, and is the foundation for the evidence-based materials developed in the campaign.
Can health care providers really make a difference in changing patient behavior?
Yes. Research has shown that health care providers do influence their patients’ behaviors. Open communication during office visits between providers and those living with HIV can make a difference in the adoption of HIV prevention behaviors.
Program Description
The Prevention IS Care CE Workshop, “Incorporating HIV Prevention into the Medical Care of Persons Living with HIV,” was originally hosted at the 2007 Infectious Diseases Society of America (IDSA) Annual Meeting. This session was recorded in its entirety and is being made available online to allow healthcare professionals who did not attend the IDSA symposium session, the opportunity to learn more about Prevention IS Care and earn continuing education credits.
Purpose
The Prevention IS Care CE Workshop, “Incorporating HIV Prevention into the Medical Care of Persons Living with HIV” was designed to translate scientific evidence into practical tools for providers to use with HIV-infected patients with the hopes of influencing the adoption of a new “standard” for routine care, helping physicians better work with patients in reducing risky transmission behaviors.
Goal
This continuing education program outlines strategies providers can use to initiate open conversations with their HIV-infected patients and screen for potential risk behaviors. Although there is no specific formula on how to integrate these principles, suggested tools, structural interventions and aids will be demonstrated during the Prevention IS Care workshop.
Objectives
After participating in this online course, you will be able to:
- Describe rationale for implementing Prevention in Care recommendations
- Identify the principles to engage patients in prevention discussions
- List elements of effective screening for behavioral risk factors
- Identify at least one technique they could begin using immediately to incorporate prevention discussions into their practice
Time Required
The running time of this program is 1.5 hours.
Audience
Health care providers who treat persons living with HIV/AIDS.
Disclosures
CDC, our planners, and our presenters wish to disclose that they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters.
Presentations do not include any discussion of the unlabeled use of a product or a product under investigational use.
Content Experts and Presenters
John T. Brooks, M.D.
Leader, Clinical Epidemiology Team
Division of HIV/AIDS Prevention, NCHSTP, CDC
Affiliation: Atlanta VA Medical Center
Alwyn T. Cohall, M.D.
Associate Professor of Clinical Public Health and Clinical Pediatrics
Mailman School of Public Health of Columbia University
Affiliation: New York Presbyterian Hospital
Keith D. Rhoades, M.A.
Mental Health Specialist
Diagnosed with HIV in 2003
For Participants:
Equipment Needed
The program can be viewed using Windows Media Player. Your browser must be Internet Explorer 5.0 (or later), or Netscape 4.7 (or later), and you must have a Windows Media Player installed on your computer or network. Click here to download Windows Media Player
The program is available in closed-captioned format. To turn on Closed Captions in Media Player, click "Play" on the top menu bar, pull down to "Captions and Subtitles" then select "On if Available."
Additional Materials
Prevention IS Care campaign materials and the provider resource kit are referenced during the program. To download these materials or to order a free provider resource kit, click here. Then, return to this page to begin the program. You may also order these free materials after the program.
Learner Participation
Learners can provide feedback and ask questions about this program’s content through e-mail inquiries sent to nandi.thorn@porternovelli.com
Acknowledgment
This program was funded and produced by the Centers for Disease Control and Prevention in Atlanta, Georgia, USA. There are no commercial supporters.
Continuing Education
Continuing education credit will be offered from April 15, 2009 through April 15, 2012.
How to Register
To receive continuing education credit you must first view the entire course (see link below). Then go to CDC’s online system to register for this specific course and to submit the program evaluation.
- Go to the Training and Continuing Education Online
- Login as a participant (note: the first time you use the online system you will need to login as a new participant and create a participant profile.)
- Find the course by searching the catalog using the course number. The course number for this session is WD1382.
- Select the type of credit you wish to receive (CME, CNE, CEU)
- Complete the course evaluation
- Print your continuing education certificate.
For assistance with the online system, call (800) 41-TRAIN or (404) 639-1292 Monday through Friday, 8:00 AM to 4:30 PM Eastern Standard Time or send an e-mail to ce@cdc.gov.
Accreditation Statements
Continuing Medical Education
The Centers for Disease Control and Prevention (CDC) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CDC designates this educational activity for a maximum of 1.5AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
CDC is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity provides 1.5 contact hours.
Continuing Education Units (CEU)
The CDC has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA 22102. The CDC is authorized by IACET to offer 0.15 IACET CEU's for this program.
