394. Positively Speaking—An Educational Tool for Incorporating Safer Sex Messages into HIV Care
Session: Poster Abstract Session: HIV Prevention: PrEP and other Targeted Approaches
Thursday, October 8, 2015
Room: Poster Hall
Background: The Centers for Disease Control and Prevention in collaboration with HRSA, NIH, and other CDC partner organizations released in December 2014, “Recommendations for HIV Prevention with Adults and Adolescents with HIV in the US,” which recommend that HIV providers routinely integrate brief discussions promoting safer sexual behaviors among their HIV-positive patients to reduce the risk of exposing others to HIV.  Patients living with HIV may not be aware that their behaviors can lead to HIV and STD transmission/acquisition. In addition, some HIV providers are inexperienced or uncomfortable discussing sexuality and/or sexual behaviors with their patients. We have created a novel program specifically addressing such discussions to help HIV providers incorporate these CDC recommendations into routine clinical practice.

Methods: We developed a high-quality video demonstrating a variety of “teachable moments” leading to focused discussions about sexuality and sexual practices. Experienced HIV providers used improvisational role-play to highlight effective approaches to identify and exploit “teachable moments” in three different HIV-positive patient scenarios—a sexually active, young MSM, a female in a serodiscordant, heterosexual relationship, and a newly diagnosed patient reporting difficulties with disclosure. Simulated, real-life patient scenarios are interspersed with HIV expert commentary describing the benefits of and barriers to using brief, candid conversations with patients, not only to protect their own health, but also to reduce HIV and STD transmission risks.

Results: This one-hour, educational program details candid, in-depth provider-patient conversations in three modules: “Teachable Moments,” with a long-term, established patient receiving ART; transmission prevention for serodiscordant couples; and actively interviewing a recently diagnosed patient. The program has been CME/CNE accredited and will be available online in October 2015. 

Conclusion: Putting the new recommendations into action provides a powerful tool for HIV providers to motivate their patients to live longer, healthier lives by avoiding co-infections and STDs and reducing HIV transmission to others.

W. David Hardy, MD, David Geffen School of Medicine, Los Angeles, CA and Kathleen Squires, MD, Medicine, Thomas Jefferson University, Philadelphia, PA

Disclosures:

W. D. Hardy, None

K. Squires, Gilead Sciences: Grant Investigator and Scientific Advisor , Consulting fee and Research grant
Bristol Myers Squibb: Scientific Advisor , Consulting fee
Merck: Scientific Advisor , Consulting fee
Janssen: Scientific Advisor , Consulting fee
ViiV: Scientific Advisor , Consulting fee

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