Changing Clinician Practices and Attitudes Regarding the Use of Antiretroviral Therapy for HIV Treatment and Prevention

Results from the HPTN 065 Study

Kate Buchacz, Jennifer Farrior, Geetha Beauchamp, Laura McKinstry, Ann E. Kurth, Barry S. Zingman, Fred M. Gordin, Deborah Donnell, Kenneth H. Mayer, Wafaa M. El-Sadr, Bernard Branson

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

As part of the HPTN 065 study in the Bronx, New York and Washington, the authors, we surveyed clinicians to assess for shifts in their practices and attitudes around HIV treatment and prevention. Antiretroviral therapy (ART)-prescribing clinicians at 39 HIV care sites were offered an anonymous Web-based survey at baseline (2010-2011) and at follow-up (2013). The 165 respondents at baseline and 141 respondents at follow-up had similar characteristics - almost 60% were female, median age was 47 years, two-thirds were physicians, and nearly 80% were HIV specialists. The percentage who reported recommending ART irrespective of CD4 count was higher at follow-up (15% versus 68%), as was the percentage who would initiate ART earlier for patients having unprotected sex with partners of unknown HIV status (64% versus 82%), and for those in HIV-discordant partnerships (75% versus 87%). In line with changing HIV treatment guidelines during 2010 to 2013, clinicians increasingly supported early ART for treatment and prevention.

Original languageEnglish (US)
Pages (from-to)81-90
Number of pages10
JournalJournal of the International Association of Providers of AIDS Care
Volume16
Issue number1
DOIs
StatePublished - 2017

Fingerprint

HIV
Therapeutics
Unsafe Sex
CD4 Lymphocyte Count
Secondary Prevention
Guidelines
Physicians
Surveys and Questionnaires

Keywords

  • ART
  • clinician survey
  • early antiretroviral therapy
  • HIV prevention
  • test and treat

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

Cite this

Changing Clinician Practices and Attitudes Regarding the Use of Antiretroviral Therapy for HIV Treatment and Prevention : Results from the HPTN 065 Study. / Buchacz, Kate; Farrior, Jennifer; Beauchamp, Geetha; McKinstry, Laura; Kurth, Ann E.; Zingman, Barry S.; Gordin, Fred M.; Donnell, Deborah; Mayer, Kenneth H.; El-Sadr, Wafaa M.; Branson, Bernard.

In: Journal of the International Association of Providers of AIDS Care, Vol. 16, No. 1, 2017, p. 81-90.

Research output: Contribution to journalArticle

Buchacz, Kate ; Farrior, Jennifer ; Beauchamp, Geetha ; McKinstry, Laura ; Kurth, Ann E. ; Zingman, Barry S. ; Gordin, Fred M. ; Donnell, Deborah ; Mayer, Kenneth H. ; El-Sadr, Wafaa M. ; Branson, Bernard. / Changing Clinician Practices and Attitudes Regarding the Use of Antiretroviral Therapy for HIV Treatment and Prevention : Results from the HPTN 065 Study. In: Journal of the International Association of Providers of AIDS Care. 2017 ; Vol. 16, No. 1. pp. 81-90.
@article{f96e1cb2008c4f07a78b1b6061d119f3,
title = "Changing Clinician Practices and Attitudes Regarding the Use of Antiretroviral Therapy for HIV Treatment and Prevention: Results from the HPTN 065 Study",
abstract = "As part of the HPTN 065 study in the Bronx, New York and Washington, the authors, we surveyed clinicians to assess for shifts in their practices and attitudes around HIV treatment and prevention. Antiretroviral therapy (ART)-prescribing clinicians at 39 HIV care sites were offered an anonymous Web-based survey at baseline (2010-2011) and at follow-up (2013). The 165 respondents at baseline and 141 respondents at follow-up had similar characteristics - almost 60{\%} were female, median age was 47 years, two-thirds were physicians, and nearly 80{\%} were HIV specialists. The percentage who reported recommending ART irrespective of CD4 count was higher at follow-up (15{\%} versus 68{\%}), as was the percentage who would initiate ART earlier for patients having unprotected sex with partners of unknown HIV status (64{\%} versus 82{\%}), and for those in HIV-discordant partnerships (75{\%} versus 87{\%}). In line with changing HIV treatment guidelines during 2010 to 2013, clinicians increasingly supported early ART for treatment and prevention.",
keywords = "ART, clinician survey, early antiretroviral therapy, HIV prevention, test and treat",
author = "Kate Buchacz and Jennifer Farrior and Geetha Beauchamp and Laura McKinstry and Kurth, {Ann E.} and Zingman, {Barry S.} and Gordin, {Fred M.} and Deborah Donnell and Mayer, {Kenneth H.} and El-Sadr, {Wafaa M.} and Bernard Branson",
year = "2017",
doi = "10.1177/2325957416671410",
language = "English (US)",
volume = "16",
pages = "81--90",
journal = "Journal of the International Association of Providers of AIDS Care",
issn = "2325-9574",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Changing Clinician Practices and Attitudes Regarding the Use of Antiretroviral Therapy for HIV Treatment and Prevention

T2 - Results from the HPTN 065 Study

AU - Buchacz, Kate

AU - Farrior, Jennifer

AU - Beauchamp, Geetha

AU - McKinstry, Laura

AU - Kurth, Ann E.

AU - Zingman, Barry S.

AU - Gordin, Fred M.

AU - Donnell, Deborah

AU - Mayer, Kenneth H.

AU - El-Sadr, Wafaa M.

AU - Branson, Bernard

PY - 2017

Y1 - 2017

N2 - As part of the HPTN 065 study in the Bronx, New York and Washington, the authors, we surveyed clinicians to assess for shifts in their practices and attitudes around HIV treatment and prevention. Antiretroviral therapy (ART)-prescribing clinicians at 39 HIV care sites were offered an anonymous Web-based survey at baseline (2010-2011) and at follow-up (2013). The 165 respondents at baseline and 141 respondents at follow-up had similar characteristics - almost 60% were female, median age was 47 years, two-thirds were physicians, and nearly 80% were HIV specialists. The percentage who reported recommending ART irrespective of CD4 count was higher at follow-up (15% versus 68%), as was the percentage who would initiate ART earlier for patients having unprotected sex with partners of unknown HIV status (64% versus 82%), and for those in HIV-discordant partnerships (75% versus 87%). In line with changing HIV treatment guidelines during 2010 to 2013, clinicians increasingly supported early ART for treatment and prevention.

AB - As part of the HPTN 065 study in the Bronx, New York and Washington, the authors, we surveyed clinicians to assess for shifts in their practices and attitudes around HIV treatment and prevention. Antiretroviral therapy (ART)-prescribing clinicians at 39 HIV care sites were offered an anonymous Web-based survey at baseline (2010-2011) and at follow-up (2013). The 165 respondents at baseline and 141 respondents at follow-up had similar characteristics - almost 60% were female, median age was 47 years, two-thirds were physicians, and nearly 80% were HIV specialists. The percentage who reported recommending ART irrespective of CD4 count was higher at follow-up (15% versus 68%), as was the percentage who would initiate ART earlier for patients having unprotected sex with partners of unknown HIV status (64% versus 82%), and for those in HIV-discordant partnerships (75% versus 87%). In line with changing HIV treatment guidelines during 2010 to 2013, clinicians increasingly supported early ART for treatment and prevention.

KW - ART

KW - clinician survey

KW - early antiretroviral therapy

KW - HIV prevention

KW - test and treat

UR - http://www.scopus.com/inward/record.url?scp=85009799083&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009799083&partnerID=8YFLogxK

U2 - 10.1177/2325957416671410

DO - 10.1177/2325957416671410

M3 - Article

VL - 16

SP - 81

EP - 90

JO - Journal of the International Association of Providers of AIDS Care

JF - Journal of the International Association of Providers of AIDS Care

SN - 2325-9574

IS - 1

ER -