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Options/Opciones Project

An Evidence-Based Practice

Description

The goal of the Options/Opciones Project is to reduce or eliminate risky sexual and drug use behaviors among HIV-positive patients. This intervention is delivered to patients by clinicians during routine visits and is repeated at each visit. During a 5-minute to 10-minute patient-centered discussion, clinicians evaluate sexual and drug use behaviors, assess the patient’s readiness to change their risky behaviors, and encourage the patient to come up with ways that he/she can move towards change or maintain certain safer behaviors. The clinician and patient then create an individually tailored behavior change plan of action for the participant to achieve by the next visit.

Goal / Mission

The goal of the Options/Opciones Project is to reduce or eliminate risky sexual and drug use behaviors of HIV-infected patients.

Impact

The Options/Opciones Project shows that a clinician-delivered HIV prevention intervention targeting HIV-infected patients can result in reductions in unprotected sex and that interventions of this kind should be integrated into routine HIV clinical care.

Results / Accomplishments

Across all three post-baseline assessments, intervention participants reported significantly fewer occasions of unprotected anal and vaginal sex with any partner when compared to the control group (p=0.01).

About this Promising Practice

Primary Contact
Deborah H. Cornman
University of Connecticut
Center for Health, Intervention and Prevention (CHIP)
Ryan Refectory, Unit 1248
2006 Hillside Road
Storrs, CT 06269
(860) 486-4645
deborah.cornman@uconn.edu
https://www.cdc.gov/hiv/pdf/research/interventionr...
Topics
Health / Prevention & Safety
Source
U.S. Centers for Disease Control and Prevention
Date of publication
Jan 2006
Date of implementation
Oct 2000
Geographic Type
Urban
Location
New Haven and Hartford, CT
For more details
http://www.ncbi.nlm.nih.gov/pubmed/16340472
Additional Audience
HIV-positive patients

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Related Content for: Options/Opciones Project

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
Michigan Health Improvement Alliance