Journal of Behavioral Health and Psychology. 2015; 4(1):(135-349)


Preventive Care Counseling Practices of HIV Medical Care Providers: Relationships Between Empirically-derived Composite Measures of Performance

Osaro Mgbere, Mamta Singh, Salma Khuwaja, Raouf Arafat, Ekere James Essien, Marcia Wolverton

Abstract

Background: Preventive care services and risk-reduction counseling are routinely offered to HIV patients during their routine clinic visits. However, assessment of clinicians’ performance on these practices has been difficult because of the use of many single indicators. This study attempts to evaluate the relationships between empirically-derived composite measures of preventive care counseling practices by HIV medical care providers (HMCP) in outpatient clinical care settings. Methods: Data used in this study were obtained from the Centers of Disease Control and Prevention Medical Monitoring Project HMCP’ survey conducted in Houston/Harris County, Texas between June and September of 2009. Six domain-specific composite preventive care counseling indices developed were subjected to descriptive and correlation analyses. Results: All preventive care counseling indices developed produced significant (P ≤ 0.05) Cronbach’s alpha coefficients that ranged from 0.64 to 0.91. The overall prevention counseling index was significantly (P < 0.001) correlated with all the domainspecific indices across patient status (r = 0.67-0.89). There were greater correlations between risk-reduction index (RRi) and disease screening index (DSi), mental health, and substance use index (MSi) and social and family support index in established patients (r = 0.55-0.73, P ≤ 0.01) compared to those in newly-diagnosed patients (r = 0.44-0.56, P ≤ 0.05). Although medication and adherence index was significantly associated with RRi (r = 0.50, P < 0.001) and DSi (r = 0.46, P < 0.001) in the sample population, these associations, disappeared (P > 0.05) during by-group analysis based on patient status. Conclusions: Understanding the magnitude, direction, and probability of relationships between the preventive care counseling indices may help with providers’ self-assessment and prioritization of efforts in areas that will produce better health outcomes and prevent transmission of HIV/sexually transmitted diseases.

Most Viewed Article
  • Public Health Policies and Programs for Alzheimer’s and Dementia: A Data-Driven Evaluation of Effectiveness and Areas for Improvement in the United States
    Taiwo Akindahunsi, Samuel Tundealao, Bamidele Oludele Adebayo.
    » Abstract » doi: 10.33425/2832-4579/24073

  • Mindful Space: Mixed Methods Study
    Kathy Sexton-Radek, Dean Jensen, Ella Hardy, Treasure Keys, Annette Kwasniewski, Yahaira Gonzalez, Anna Sendecki, Silvia Barak, Grace Hovorka.
    » Abstract » doi: 10.33425/2832-4579/24072

  • Relationship between Resilience and Perceived Social Support among Male and Female Adolescents
    Shikha Verma
    » Abstract » doi: 10.33425/2832-4579/24071

  • Maternal Object Loss and Feminine Identity: A Single Case Study of a Hysterectomized Nun
    Ndje Ndje Mireille, Dongmo Tetsopguim Chesly Nira, Tsala Tsala Jacques Philippe.
    » Abstract » doi: 10.33425/2832-4579/24070

  • Marital Status, Ethnicity, and Cardiovascular Health: A Systematic Literature Review
    Eric Houston, Omar Gonzalez-Valentino, Gaole Song, Justine LaRue Evans.
    » Abstract » doi: 10.33425/2832-4579/24069

Most Downloaded
  • Public Health Policies and Programs for Alzheimer’s and Dementia: A Data-Driven Evaluation of Effectiveness and Areas for Improvement in the United States
    Taiwo Akindahunsi, Samuel Tundealao, Bamidele Oludele Adebayo.
    » Abstract » doi: 10.33425/2832-4579/24073

  • Mindful Space: Mixed Methods Study
    Kathy Sexton-Radek, Dean Jensen, Ella Hardy, Treasure Keys, Annette Kwasniewski, Yahaira Gonzalez, Anna Sendecki, Silvia Barak, Grace Hovorka.
    » Abstract » doi: 10.33425/2832-4579/24072

  • Relationship between Resilience and Perceived Social Support among Male and Female Adolescents
    Shikha Verma
    » Abstract » doi: 10.33425/2832-4579/24071

  • Maternal Object Loss and Feminine Identity: A Single Case Study of a Hysterectomized Nun
    Ndje Ndje Mireille, Dongmo Tetsopguim Chesly Nira, Tsala Tsala Jacques Philippe.
    » Abstract » doi: 10.33425/2832-4579/24070

  • Marital Status, Ethnicity, and Cardiovascular Health: A Systematic Literature Review
    Eric Houston, Omar Gonzalez-Valentino, Gaole Song, Justine LaRue Evans.
    » Abstract » doi: 10.33425/2832-4579/24069