Notice the panel and respondant interest in RAPID tests and Saliva based tests!! Bear in mind that this conference is dated May 97, and so is somewhat dated.
Have fun with the voice presentation by Dr. Branson and the question and answer sessions.
kali.ucsf.edu
September 24, 1997
HIV PREVENTION UPDATE: Key Issues in Counseling and
Testing
Satellite downlink of the May 22, 1997 conference on Key Issues in Counseling and Testing
hosted by the Centers for Disease Control and Prevention's (CDC) National Center for HIV,
STD and TB Prevention, the National Alliance of State and Territorial AIDS Directors
(NASTAD), CDC's Public Health Practice Program Office, and the Public Health Training
Network.
This interactive broadcast presents new information about the
approach and effectiveness of client-centered HIV counseling, and
emerging home and rapid test technologies for HIV testing. The goal
of this program is to provide information and explore programmatic
implications of counseling issues and new testing technologies for
HIV prevention providers and staff at HIV counseling and testing
sites.
Audio from this broadcast requires the Real Audio player.
Visit the Real Audio web site to download the Real Audio
player.
Overview
Welcoming Remarks
Goals and Purpose
Client-Centered Counseling
Project RESPECT
First Question and Answer Session
New Testing Technologies
Applying New Testing Technologies
Final Question and Answer Sessions
Recommended Reading
Links to Related Information
Overview
by Joe Washington, Moderator
Welcoming Remarks
by Helene Gayle, M.D., M.P.H., Dir.
Nat'l Ctr. for HIV, STD, and TB
Prevention, CDC
Goals and Purpose
by Randall S. Pope, BS, Chair NASTAD,
and AIDS Dir., State of Michigan
Client-Centered Counseling
by Richard Wolitski, M.A.
Behavioral Intervention Research Branch, Division of HIV/AIDS
Prevention - CDC
In this broadcast, Mr. Wolitski talks about HIV counseling
and testing, focusing on the roles and stating the importance
of the client-centered approach. HIV counselors dramatize
counseling sessions and comment on the various
counseling scenarios and approaches used in a
client-centered situation.
Project RESPECT
Mary Kamb, M.D., M.P.H. Division of HIV/AIDS
Prevention-CDC
Dr. Kamb describes Project RESPECT, a national study that
evaluated the efficacy of HIV prevention counseling in
changing high risk behaviors and in reducing STDs with
clinic patients at five inner city clinics across the U.S. The
project measured behavioral and biologic outcomes
of STD clinic patients, specifically, condom
use and STD infections. The graphs below
highlight these outcomes. Dr. Kamb is joined by
Project RESPECT's site director from Newark, NJ,
and then answers questions about the project for
listeners.
Proportion Reporting Abstinence or ANY
Condom Use with All Sex Partners
Proportion of
Participants with New
STDs
1
2
3
Question and Answer Session
by CDC Satellite Broadcast Panel
This discussion period answers questions from callers and
persons faxing questions to the panel. Panel participants
answer questions regarding substance abuse, Project
RESPECT program methods and outcomes, client-centered
counseling, and ethical considerations.
New Testing Technologies
by Bernard Branson, M.D. Division of HIV/AIDS
Prevention-CDC
Dr. Branson describes current and potential HIV testing
technology and their strengths, challenges and implications.
He describes how new technologies can expand the options
for people and take advantage of prevention opportunities.
Two broad categories of tests are mentioned:
licensed (including oral fluid collection, home
sample collection systems, and rapid HIV tests),
and those which may be available in the future
(including rapid tests for serum and tests for whole
blood).
Applying New Testing Technologies
by Harry Simpson, Executive Director Community Health
Awareness Group, Detroit, MI
Mr. Randall Pope represents his experience as AIDS
Director for the state of Michigan and joins Mr. Harry
Simpson in describing the shift to client-centered counseling
and oral HIV testing as a successful strategy for reaching
high risk populations in the state of Michigan.
Final Question and Answer Session
by CDC Satellite Broadcast Panel
Questions from callers and persons faxing are again
answered during this discussion period. Panel participants
answer questions about new testing technology, including
home tests and rapid tests, Project RESPECT, and the
effectiveness of client-centered counseling and testing.
Viewers and listeners are encouraged to fax or email
further questions to the panel:
Fax: 1-404-639-9944, Attn.
Satellite Broadcast, or
Email: hivmail@cdc.gov
An upcoming Satellite Broadcast will air on
October 23, 1997 from 1:00-3:30 p.m., E.S.T.,
to address Guidelines for Prevention Case
Management and Partners Notification. For
more information call 1-800-CDC-FAXX, specify
document #130012.
Recommended Reading:
Centers for Disease Control and Prevention. Guidelines for Health Education and Risk Reaction
Activities. April 1995. Also available by Intemet, under "Publications and Resources," at
cdc.gov
Centers for Disease Control and Prevention. "HIV Counseling and Testing ? United States, l993."
MMWR: Morbidity and Mortality Weekly Repor, March IO, 1995, Vol. 44, No. 9, pp. 169?74.
Centers for Disease Control and Prevention. HIV Counseling, Testing, and Referral: Standards and
Guidelines. May 1994 (To Be Revised).
Centers for Disease Control and Prevention. Project RESPECT Intervention Manual, Baltimore,
Denver, Long Beach, Newark, San Francisco. July I993. When you request this item, you
will also receive the counseling protocols and quality assurance guides.
Centers for Disease Control and Prevention. "Technical Guidance on HIV Counseling." MMWR:
Morbidity and Mortality Weekly Report; Recommendations and Reports, January 15, 1993, Vol.
42, No. RR?2, pp. 8?17.
Centers for Disease Control and Prevention. "U.S. Public Health Service Recommendations for
Human Immunodeficiency Virus Counseling and Voluntary Testing for Pregnant Women."
MMWR: Morbidity and Mortality Weekly Report; Recommendations and Reports, July 7, 1995,
Vol 44, No. RR?7, pp. 1?15.
Doll, L. S. and Kennedy, M. B. "HIV Counseling and Testing; What Is It and How Well Does It
Work?" AIDS Testing: A Comprehensive Guild to Technical, Medical, Social, Legal and
Management Issues. Edited by G. Schochetman and J. R. George. Springer-Verlag, New York,
1994, pp. 301?319.
Farnham, P. G. et al. "Counseling and Testing for HlV Prevention: Costs, Effects, and
Cost?Effectiveness of More Rapid Screening Tests, " Public Health Reports, Vol. 111, 1996, pp.
44-53.
Gorsky, R. D. "A Method to Measure the Costs of Counseling for HIV Prevention." Public Health
Reports, Vol. 111, Supplement 1, 1996, pp. 115?122.
Kamb, M. L., Dillon, B. A., Fishbein, M, and Willis, K. L. "Quality Assurance of HIV Prevention
Counseling 1n a Multicenter Randomized Controlled Tnal." Public Health Reports, Vol. 111,
Supplement 1, pp. 99?107.
Kamb, M. L. et. al. "Does Prevention Counseling Work? Preliminary Results from a Multicenter
Randomized Controlled Trial (Project RESPECT)." Abstract from the Fourth Conference on
Retroviruses and Opportunistic Infections, Washington, D.C., January 22-26, l997.
National Alliance of State and Territorial AIDS Directors (NASTAD). Counseling and Testing
Survey. Contact NASTAD at 1?202-434?8090 after June 1, 1997.
Peterman, Thomas A., Wasserheit, Judith N., and Cates, Willard, Jr. "Prevention of the Sexual
Transmission of HIV." AIDS: Etiology, Diagnosis, Treatment, Harm Prevention. Edited by
Vincent T. DeVita, Jr., Samuel Hellman, and Steven A. Rosenberg. Third Editon, JB Lippincott
Co, Philadelphia, PennsyIvania, 1992, pp. 443-451.
Wolitski, R. J., MacGowan, R. J., Higgins, D. L., and Jorgenson, C. M. "The Effects of HIV
CounseIing and Testing on Risk?Related Practices and Help-Seeking Behavior." AIDS Education
and Prevention (To Be Published).
(All documents are available from the CDC National AIDS Clearinghouse- 1-800-458-5231) |
