Positive Choice: Prevention for Positive Health

Completed · Not applicable

Conditions studied: HIV Infections, Sexual Risk Behavior, Substance Use Risks

In brief

This is a randomized, controlled trial of Positive Choice, an interactive multimedia computer program, to determine whether it can detect and reduce risky behaviors among HIV-positive adults. The behaviors of interest are: unprotected anal or vaginal intercourse, illicit drug use, risky alcohol drinking, and failure to disclose HIV status to sex partners. The Positive Choice program is integrated into the routine operations of outpatient HIV clinics, where participating patients complete an in-depth risk assessment (computerized health questionnaire) before a regularly scheduled medical appointment. Participants assigned to the intervention arm receive brief, interactive risk-reduction counseling by an actor-portrayed Video Doctor and an educational worksheet. Their health care provider receives as summary cueing sheet, alerting them to the patient's risky behavior and readiness to change. Control participants complete the computerized risk assessment and receive the clinic's usual care. Three months after a baseline visit, intervention and control group patients are invited back to complete an additional risk assessment. The intervention group also receives a "booster" intervention. Six months after baseline, both groups complete a final risk assessment.

Key facts

Study ID

NCT00447707

Run by

National Institute on Drug Abuse (NIDA)

People needed

497

Starts

2003-12-01

Expected to finish

2006-09-01

Last updated by the study team

2017-01-12

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• 18 years or older,
• HIV-positive 3 months or longer,
• English speaking; and
• Receiving medical care at a participating clinic.

You may not qualify if…

• Less than 18 years old,
• HIV-positive less than 3 months,
• Non-English speaking; and
• Not receiving medical care at a participating clinic.

Where it is running

• Adult Immunology Clinic, Highland Hospital — Oakland, California, United States
• AIDS Project East Bay (APEB) — Oakland, California, United States
• East Bay AIDS Center (EBAC), Alta Bates Hospital — Oakland, California, United States
• Kaiser Permanente Medical Center — San Francisco, California, United States
• Adult Immunology Clinic, Fairmont Hospital — San Leandro, California, United States

Full record on ClinicalTrials.gov

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