| Literature DB >> 21803605 |
Ann E Kurth1, Lauren McClelland, George Wanje, Annette E Ghee, Norbert Peshu, Esther Mutunga, Walter Jaoko, Marta Storwick, King K Holmes, Scott McClelland.
Abstract
Ongoing antiretroviral therapy (ART) adherence and secondary HIV transmission-risk reduction (positive prevention) support are needed in resource-limited settings. We evaluated a nurse-delivered counseling intervention in Kenya. We trained 90 nurses on a brief counseling algorithm that comprised ART and sexual-risk assessment, risk-reduction messages, and health-promotion planning. Self-reported measures were assessed before, immediately after, and 2 months post-training. Consistent ART adherence assessment was reported by 29% of nurses at baseline and 66% at 2 months post-training (p < .001). Assessment of patient sexual behaviors was 25% at baseline and 60% at 2 months post-training (p < .001). Nurse practice behaviors recommended in the counseling algorithm improved significantly at 2 months post-training compared with baseline, odds ratios 4.30-10.50. We found that training nurses in clinical counseling for ART adherence and positive prevention is feasible. Future studies should test impact of nurse counseling on patient outcomes in resource-limited settings. Copyright ÂEntities:
Mesh：
Year: 2011 PMID： 21803605 PMCID： PMC4018811 DOI： 10.1016/j.jana.2011.05.001
Source DB: PubMed Journal: J Assoc Nurses AIDS Care ISSN： 1055-3290 Impact factor: 1.354