Appendix C-1

• I learned how to develop activities specifically for the clients I am targeting. I learned how to make programming more accessible and enjoyable for my clients. It taught me what kinds of things to think about when talking to different populations. 1
• The role-playing improved care because it makes it realistic to put myself on the receiving end of the HIV. Thinking about that is a part of dealing with clients. The trainer gave us an example of how I could tangibly describe the window period of HIV by physically drawing it. I use that a lot with clients. 6
• From the trainer’s feedback, I wrote notes to volunteers to be aware. Say if someone is depressed, or there is a medicine change, for instance, I tell them that it takes a while to take effect. Information like that about residents is passed on to volunteers. 14
• It made me more equipped to communicate with youth in terms of professionalism. 25
• Friends ask me questions about it. If someone were to ask about protease inhibitors, I can now show them the handouts, especially about the window period - around six months. I tell them about too. 58
• It educated me more so I can then transfer the information I learned to staff so they can be more accountable, helpful and less ignorant about HIV/AIDS in general. 72
• I came back from the training and gave a brief summary of the theoretical ways of providing care to the rest of the health education team. There was no effect of the provision of care, except that care is more informed. 103
• In providing training to my team or staff, the training gave a broader base to draw from. When people have been in this field for so long, they get "hard" and unsympathetic, and it is difficult to get them sympathetic. They hold trainings for those people who have been in it very long. I want them to realize that there are changing things coming about, and the training gave me the tools to do that. 105
• In terms of pre- and post-test counseling, it taught me to be nonjudgmental and enabled me to use language clients use to explain things and to educate them. 147
• I understand more about the pharmacology aspects. I was able to pass that on and make others understand, for instance about the benefits of protease inhibitors. 157
• We have an indirect involvement with the project. The training was the first time we met them. From time to time we use their brochures to show clients their services. 236
• I've become a "rebel for a cause." In this area, I've gone up against the Mayor and Congress regarding what needs to be done to help women with HIV/AIDS. I helped change policies regarding this area. Medicaid reform to better benefit women with HIV/AIDS. 238
• I have more support groups and techniques to handle violence and to teach clients the tools for handling victimization. 244
• First of all, I found a place where people can meet new people, especially African Americans and Anglo-Saxons. Secondly, I have some other resources that I didn't know of, which I take that to the community and so they can benefit from it. 250
• I don't have an extensive involvement with women with HIV. However, for our agency, it was an extension of an invitation to participate in our events and an offer for continued involvement in what the project does. The project demonstrated that with our funding, we'll be able to pull this type of event together in the future. 251

• Since the training, I do HIV testing once a week. The training affected the way I give results and counseling – I am more confident and prepared. I know what I am doing better now and can concentrate more on the client than what I am doing. 2
• It improved my confidence in giving results, giving information, telling clients where they can go, and telling them there is hope. 85
• It reinforced my existing knowledge. It gave me more confidence in my own skills and with my consultations with the nursing staff. 111
• I am more comfortable discussing the topic. When speaking of substance abuse, alcohol, and drugs, the conversation goes right into HIV and AIDS. I liked the role-playing. They never discussed that before. They were very lax in that department. 119
• Before I was scared to treat patients with HIV/AIDS, but because of the training I am no longer afraid and I am more comfortable dealing with HIV-positive patients. 150
• For the counseling part, I am able to use current information that I received such as statistics. This has made me more confident during counseling sessions. 159
• It made me more comfortable with talking about testing and with bringing the topic up first with youth. 170
• It's easy for me to talk to a HIV-positive patient. I am just feeling relaxed and not being so afraid. I treat anybody. 192
• It improved it because I got more comfortable. The more knowledge you have, the more you can inform the patients. 197
• Hopefully, it has made more women aware of their roles and responsibilities and what their rights are. The providers did not attend the training. Hopefully women were empowered to work more closely with their caregivers. 234
• It has made me more sensitive and patient and it has really made me ask questions. 235

• During the rounds, I talk to nurses, pharmacists, and so on. All the people there have a different job and so I get different perspectives about what's going on with the residents. The rounds have lead to better insight about how care is provided. 4
• I had a patient who was HIV-positive and had a low white blood cell count and needed to have several teeth extracted. I decided that it would be better for him to have the procedure done in an environment where he could have multiple extractions and could be monitored at the same time. Without the training, I might have gone and tried to do the procedure myself. 5
• The care provider team is asking for medical evaluations more often. 7
• We are in the process of implementing a task force. All facilities are compliant with the prenatal screening of HIV. 9
• The training made me more sensitive and able to fine-tune appropriate care. 10
• Only in that we would identify what the problems are and how to modify the care plan. 11
• I provide more sensitive care and can deal with the mental health issues that come up with the client. In terms of volunteers: Individuals with mental health issues. They can understand the underlying causative factors. Knowledge is power. Helps with day-to-day work. 13
• There was a suggestion in a care conference (that is what they call rounds with the trainer) that she wanted to do a psychiatric evaluation on a resident. He reacted negatively to that suggestion. It changed my relationship with that resident. I wanted to go back to the resident and talk about his emotional state and to clarify what he was feeling and if the evaluation was appropriate. He questioned if that was right for him in his place in his life right now. He wanted to hear from the resident himself. 15
• I have more tools about how to interact with somebody who may be schizophrenic, for example. 18
• As the HIV client base changes, I think that it has brought more understanding that with each level of complexity, there needs to be a fuller understanding of various options of care. In terms of medical reviews, it helped us look for possible solutions. 20
• I am a little more knowledgeable about HIV testing information and HIV medications, especially if we deal with HIV-positive pregnant women. 21
• If a new medication were started (i.e., for schizophrenia), I would wait for the medication to be approved. I time my interventions differently. 22
• Important in care, I'm being cognizant of appropriate drugs that people need to be on. It seconds what I already have. I need to keep abreast of new things. It makes the trainer more accessible. Interactive learning. You can feel free to contact expert of field. 24
• I think more knowledge leads to treating patients better. I also gained a little bit more confidence. Learned, for example, when I ask sexual history questions I used to bombard them with questions. There were things I wasn't asking. I know now how I should approach high-risk patients and not make them more upset. 32
• I brushed up on my knowledge of HIV. HIV changes every day. Keep abreast of changes. More knowledgeable. More sensitive and of appropriate services especially management of HIV positive pregnant women. In general, you learn more from conferences. 33
• Since focus is on medications my overall picture is better. It made me look at the overall picture when I look at medications especially if medication is inappropriate. And the training taught you to look at the whole picture. Before I just focused on just the chart but the training taught me how to be more patient-focused. 35
• The training improved how I approach youth, use a little bit more confidence ok for older people to approach youth on the turf and respect them. Give them a choice and an alternative. Was encouraged to move towards youth. 36
• I didn't understand the behavior of patients with obsessive/compulsive disorder before the training. I now understand why such patients act in the manner they do (i.e., because of delirium). The training talked about the possibility of this disability in AIDS patients and the signs to look for to detect it. 37
• It helped me to know how to deal with patients (e.g., those taking multiple medications) it helped to determine which medications could be taken out of a patient's regimen in order to add psychological medications. 38
• I am now more mindful of the need for early testing and asking patients about their risky behaviors. I encourage and educate my patients about how to decrease or eliminate risky behaviors and the effect such behavior has on their disease status. 39
• I now encourage friends I know practice risky behavior to go get tested and to cut down on their risky behaviors. 40
• I now do more counseling with patients that think the epidemic doesn't pertain to them. 41
• I now question providers about the medications that may not be working for specific patient symptoms. We have formulated our language here to speak with someone to make behavioral versus biological changes. 42
• Yes, it led to more sensitive services. It reinforced the concept of education to everybody. I tell everyone about the importance of HIV. 45
• In general, it reinforced education in talking about prevention and AIDS education to women. 56
• Now I talk to them about HIV and offer them the option to get tested, especially my younger patients and those practicing risky behaviors. 64
• Before, when we used to ask our cases about medical conditions that may be causing the stressors in the home, I now come right out and ask if they have HIV/AIDS or are experiencing symptoms by doing that. I can better provide the resources the family will need to get HIV-related services and care in order to ultimately reduce the stressors in the family that may be causing the abuse in the home. 66
• I am now more sensitive to what's available. It increased my interest in finding out what's available in my area. 70
• I used to review HIV testing options with patients without putting much emphasis on the test. Now, I encourage patients to get the test, and I tell them about the new law. I explain the implications of the law and the resulting mandatory testing of pregnant. I now encourage patients to get tested and to return for their results/counseling. I now discuss protocol 076 with my pregnant patients. 76
• It highlighted and improved the mandatory steps/stages necessary to ensure that all aspects of patient care are covered in treatment. Now we know what to look for and how to best treat different HIV/AIDS-related issues. 78
• It has given me ideas on some things that we need to change here, but we haven't been able to make the changes. 80
• Not this particular training, but it helped to reinforce what I knew. It adds to the list of sexually transmitted diseases. 84
• We do more testing for HIV now. 81
• I now emphasize more the importance of safer sex practices among my clients. I urge them to discuss safe sex practices with their partners before they engage in sexual activities. 82
• I was aware of the positive impact of early treatment, and I continue to persist with reluctant patients to get them into treatment and other protocols. 83
• The training provided Information and actual experimental training around group process for adolescents. 86
• It improved because now I can give clients more information about HIV/AIDS. 87
• There were a few times when delirium was not the biggest issue about what was going on with some patients, but the information from the trainer gave us barriers about what to do next with the patients. The trainer gave us assessment tools to figure out if it was delirium or if delirium can be ruled out. Delirium is intimidating, but it no longer is for me after talking with the trainer. 88
• The process I went through at the training was helpful regarding pre- and post-test counseling. It taught me how to better support youth about the HIV test, especially the ones who don't want to take one but probably should, and the ones who just tested positive. 89
• I feel that it's always great to be open-minded when dealing with clients. I now work more with the stages of change in terms of counseling. My counseling is more client focused (i.e., on what the client needs). 90
• I was updated on medications and am able to tell patients about the importance of taking medication. 92
• The training was needed for certification to do pre- and post-test counseling. I went to the training for that purpose only and has now started to do pre- and post-test counseling. I wasn't doing counseling before the training. I was only able to make referrals for testing before the training. 99
• Pre-and post-test counseling are better. However, I don’t have many HIV-positive patients. 100
• It made me less apprehensive about asking patients about risk behaviors. I’m more apt to initiating discussion about risk behaviors with my patients now. 101
• I was able to figure out better treatment plans (medications, strategies for conducting what to do for each patient) by discussing the cases with the trainer. 102
• I am now more aware of the high prevalence and the need to screen for risks among all patients. 107
• Now I am more sensitive when I place fosters kids with families with other children and in making sure no problems arise as a result. 108
• In patient interviews, it gave me different techniques on getting information from the patient and I could see from their perspective why they might not want to share their personal information with me. It gave me an outline from which I can determine risk factors and how to ask patients about them in a sensitive manner. The protocols have changed, so the training brought us up to date on the new drugs, treatments, and combination therapies, etc. 109
• It increased awareness among our different staff (doctors, nurses, social workers). Also, it improved our treatment plans. It improved our interdisciplinary coordination of services. 112
• Now we do routine screening. Before the training, we didn't do it on a routine basis. 113
• I’m more educated on signs and symptoms of HIV, especially with skin rashes and lesions. 117
• I am more aggressive about identifying depression on various levels. They are seeking a way to alleviate that through therapeutic and drug intervention. 118
• I am looking at it from a different perspective. Not in terms of clinical or medical but more with the mental and psychological issues versus just behaviors. I learned that patients just don't act a certain way for anything. It may be a mental illness. In some ways there has been change. They make phone calls to providers and tell them that they think something else is going on with the patient. And they give a different point of view and take a different angle. For example, should I put the patient on the medication or take them off another? I find out what the medications may be doing to them, etc. 123
• It just refreshed my knowledge of HIV/AIDS. 127
• It gave me more knowledge of the things I could tell her patients. It is another field where I can get into. I know about education and prevention. I can now take it to women within child-bearing age and urging them to get tested too. 129
• It made me aware of watching viral loads more closely. It made me more aware of what symptoms to look for opportunistic infections. 139
• I became more informed about new medications and lab values, which has allowed for better patient care. However, the emotional aspects of the training cannot be done in a prison. 140
• It provided some clinical direction to treatments for some problems not in the normal provision of care. I carry around the booklet that was given to us in the training as a constant referral source when seeing patients exhibiting AIDS-related mouth problems. 144
• I got more knowledge about provision of care. 146
• Now we are more aware, we push testing more, and have more information available in the office for patients to take with them. 145
• Staff is more informed and knowledgeable about disease, transmission and treatment. 149
• It didn't improve. Most of the information was general, the materials presented. The role-playing, in my clinic, was presented the same way. It taught that me that if I don't have the time to talk about their situation, I may be abrupt in what I say. I learn to listen, and that there is confidentiality. It is a small clinic, and I am aware of the confidentiality. They work with others without AIDS as well. They allow a private place to talk about their illness. 154
• It will help me in my assessment skills. I had one "HIV-er" for months, and he died. It was pretty traumatic. He was from my hometown, he was family. After that, I became no longer fearful of HIV. Working with him is where I really learned about it. 158
• The training helped me be more focused on risk assessment. It helped me get the full picture on what is going on in peoples' lives. 160
• The training affected my ability to speak with them about their lab values and their disease process. 162
• I give them more hope and let them know that HIV is a chronic condition and that they can live a long and healthy life. They should stick to their regimens. I educate them on the different aspects of the disease. 163
• I am better able to explain how medications work. I am able to suggest different regimens to the doctor now that I know more about the medications. 164
• It changed my viewpoint to that there's actually hope. I don't feel corny saying "you can get better." 165
• I have an inmate who's currently on treatment for tuberculosis and is HIV-positive. I was able to assess him and refer him back to the physician for problems that were more HIV-related. 166
• The training provided non-clinical examples of how to work with clients I encounter on the streets to do HIV testing. 168
• Yes, my patient care was affected by the training. I learned a lot about AZT and am now more able to teach and provide better care to patients. 175
• I know more about treatment options. I'm making more HIV testing available, especially in OB situations. I encourage more testing now. 176
• Yes. I've been testing a lot more (i.e., sexually active people). Now, whenever I have a positive STD test, I test for HIV. I'm not as selective before. 178
• The training gave me just a little bit broader knowledge of the effects of the disease: mutation of the virus, different strains, ways to prescribe drugs to lower resistance to drugs. There's an infectious disease man we can consult with. The training refreshed my information about him. Since meeting we've referred 4-5 patients to him and have been well pleased with response. The training outlined how to handle/counsel patients, what the HIV symptoms are, and outlined how to treat patients. 179
• Not so much change in counseling, education, provision of care. We had 2-3 sessions about documentation issues, particularly pre- and post-test counseling. These are issues that have always been problematic at least in some medical areas. Also issues of privacy, release of information to other providers, how much information to give to the patient, the format of the information. I feel more comfortable w/ this information. My goal is to educate patients to lower the chance of vertical transmission. It also helped the members of the provider team to understand what patient really presents them with without compromising confidentiality. 180
• Somewhat. I have a foster parent who plans to adopt a child whose mom was a heavy intravenous drug user. She wants to have the child tested. We have to go through the proper procedures: We must meet proper criteria to have child tested. Training gave me the extra knowledge to deal with this situation. 185
• I haven't been able to use any of the training information. I will be cautious, but not as cautious as before. I am more knowledgeable instead of scared. 189
• I am taking more time to take counseling seriously. We're in a bind right now because we're a busy clinic. HIV counselors insist that we take a more active part in counseling. We have to balance doing patient management and counseling. 190
• Yes. Probably. It put it in a more direct practice. I learned how to better deal with people. I am able to provide more sensitive and appropriate services. I am more able to share more recent information about possible treatments. I can stress that there are so many different ways to contract HIV and to prevent it. 191
• The trainer provided insight that we didn't have. It has been quite effective in that way (i.e. with medications to use). 198
• It better educated me. I am more informed. 199
• No, but it's an adjunct. I have a better knowledge base of the proper medications/ therapy. The training gave me much more information to present to the client, but hasn't changed my delivery of services. 200
• I have incorporated HIV/AIDS issues into my home visits and discuss them with my clients. I link clients up to get testing and encourage them to get tested and not be embarrassed about discussing issues of HIV/AIDS. 202
• It made me more keenly aware of what to look for with patients that haven't been diagnosed yet. 203
• I have been making more thorough oral exams and taking more time with patients. 205
• I learned more non-direct care. I just give them the facts now, both sides of the issue and then let them come to their own conclusions. I don’t let them back her into a corner. I just give them the pros and cons. 209
• Through the training, I'm able to provide patients with more information about medications and their side effects, that is what to look for, and I am able to dispel myths about medications. 212
• I don't provide direct care. I do more planning and problem solving. If a client has gone through physical changes, I look at a lot more possible causes. I have a lot more knowledge to pull from in terms of signs and symptoms. 218
• I have a better understanding of their mental illness and how that affects their AIDS. 220
• By directing my sources around women. 228
• It helped my organization to see the greater needs of women in the community. 230
• The training was very helpful in terms of the care I provide, which has improved because I've been more successful in treating clients now that I know about their unique issues. 248

• A certain resident was very compulsive, and at first I thought the resident was just being annoying, but now I know that the behavioral problem is part of the disease process. I see things differently now. The training has made me more cooperative and patient with the residents. 3
• I do it with more feeling. I am more emotionally involved. 16
• It heightened my degree of empathy for the total effect that the disease has on the lives of those affected by it and their families. 48
• It brought down a lot of anxiety related to contacting people with the disease. 50
• I'm not afraid anymore to deal with patients with HIV/AIDS and getting it from casual contact. I help patients understand transmission. 53
• I am more sensitive to patients and concerned about all aspects of their lives such as if they've missed appointments, their nutrition, whether they're taking their medications properly, and so on. 62
• I feel that sometimes we tend to back away if we don't know something. I am more conscience of touching and letting my clients know I’m there. I am more comfortable about HIV and dealing with others with poor hygiene. "It's more important to hug the child than worry about HIV or head lice." 91
• It gave me a better understanding of clinical diagnostics of HIV patients. I can relate to patients better regarding their fears and concerns regarding their HIV status. 110
• It opened my eyes to the need to be more sensitive to the needs and scope of the disease, and of all the different aspects and issues that people with HIV/AIDS face. 115
• On a personal basis, it didn't make a difference. However, what it did convey was to keep an open mind for this and other diseases. It is a widely prevalent problem. I must touch base with patients more than before. 132
• It made me more sensitive. 138
• I am possibly more sensitive. Care is mental health related. If they have HIV-positive patients, it's only about 5 percent. 142
• It gave me a new hope for working with adolescent clients. It re-energized me! 171
• The training made me more sensitive and more aware. I don't turn back on HIV positive clients now. I treat all patients as if they have HIV so there's no difference in how I treat patients or the precautions that I take when treating them. 173
• Yes. I'm more understanding, more compassionate. If they have a question, they know they can come to me. They feel that too, that I can help them, that I don't judge, and that I am not reserved. 187
• I am providing more sensitive services. I put myself kind of where they are with the things that I learned, I am more conscious of it. I always try to make sure that I answer patients' questions to the best of my ability. I want patients to feel comfortable with me so that they will be more open with me. 194
• I think any training affects patient care. I am now a little bit more aware of things like mother to child transmission. I know now that the amount of time that passes between HIV to AIDS to death is more spread out than before because more is known about the disease. 193
• The training made me more knowledgeable and brought me up to date on changes. I've learned a lot about counseling, and I've brought this back into my care for patients. 195
• It gave me more knowledge as far as analyzing lab work. I learned how to look at opportunistic infections. 196
• I receive several inquiries by women who think they are HIV-positive about services available to them and I am now more sensitive in terms of asking questions about what the woman needs and how she feels about it. 227
• I now have a better understanding and I am more sensitive to women's issues. 241
• I am now more sensitive to the needs, expectations, and vulnerabilities of women with HIV/AIDS. 246

• Now we have a completed protocol for education, training, treatment, and follow-up. 17
• They are really making an effort. A lot of people in training are coordinating better effort in the system. For example, identifying the entire alert system. If they are to have a patient in care with HIV, they need to be prepared. They try to know ahead of time. But walk-ins are another story. 34
• We did not have a formalized integration program. Now we are in the process of putting one together. Private practitioners are now getting together to decide how and when to ask patients and when to get tested confidentially. We are building an entire system. 59
• It showed me the importance of getting other staff (at the lower level) to be more sensitive to people with HIV/AIDS. 65
• Education about HIV/AIDS has improved greatly there is no longer fear/reluctance among staff in knowing how to effectively treat clients without feeling scare or insensitive to their issues. 67
• It improved the care provided–specifically for people with HIV/AIDS. We are more willing to treat/deal with people with HIV/AIDS now. 68
• We are continually refining this process of care provision. We're trying to get more involved in education and the general population. 114
• We are really making an effort. A lot of people in training are coordinating better effort in the system. For example, identifying the entire alert system. If we are to have a patient in care with HIV, we need to be prepared. We try to know ahead of time. But walk-ins are another story. 122
• When I get a patient who is suspected of having HIV, there is more counseling about HIV done during the waiting period, for example. 124
• Where I work there is "sop"-- changes have come from the top. 141
• It gave me more networking opportunities – like the major hospital in this city - education - their types of resources. They are mostly from the major university in this area. Those in my staff especially are not very exposed. They have people my staff can call if they have any questions. 206
• It helped at my facility. In one of the forms, there was a flow-sheet. They didn't have so they copied the back of one. It was an audit sheet. They have four sheets: a database sheet, for their intake (very detailed), a sheet for the antiretroviral medication, a flow sheet, and one for the CD-4 count and the viral load. They had three before. The fourth sheet came along. 208

• We don't have many HIV-positive clients, but we use universal precautions. We are always on our guard because we're not sure if a patient has HIV. 57
• The agency always supplied them with latex gloves, but with so much client contact I don't rely on the latex gloves. I use disinfecting lotions throughout the day to protect myself. Before the training, it didn't even cross my mind that clients may be HIV-positive. I learned how not to overreact when dealing with an HIV-positive person. I can never be too careful, so I am using more universal precautions. My general attitude is to be more cognizant of the dangers of HIV, which allows me to deal with clients better. 98
• I am very cautious. I use my B.S.I. techniques (body sterile techniques including face mask, goggles, gloves, and so on). I work with so many bodily fluids. I now am more personable. I don’t wear my gloves with all patients. 126
• I am more careful now. Before, I wouldn't even consider putting on gloves. Now I am "over-doing" it for myself and for my clients' protection. It is for the best. I use gloves, anti-bacterial hand gel, and am definitely more careful. 128
• I'm much more careful about gloving and handling body fluid contact. I'm more aware that more people have it than I thought. I used to have a stereotypic picture about HIV-positive people. Now I know that it isn't because of a negative thing necessarily that they contracted the disease. Now I know that every patient could be HIV-positive, and I should take better precautions. 181
• Take more universal precautions. 184
• Maybe so. Now I use universal precautions. 186
• We don't have any specific AIDS patients, but it made me realize that I needed to use standard precautions all the time. I can't pick out who has the virus. 219

• No. 23
• No. 30
• No. Was doing most of it already. 47
• It hasn't changed the way I provide care. 61
• It hasn’t changed how care is provided. 69
• It hasn’t changed this. 71
• It hasn't changed this because we don't see patients with HIV/AIDS. 75
• It didn't change. 77
• It didn't change because I don’t have any HIV-positive patients. 93
• I’m not sure because there is a wide interaction between disciplines and services. HIV-positive clients tend to be more at outreach clinics as opposed to the university. 94
• I haven't had any HIV-positive patients. Can't answer this. 95
• My patient care has not changed. 96
• I have no real examples to give. My philosophy of treatment of a patient is really no different because of the training. I don’t see enough HIV-positive individuals to say that I’ve really been impacted. 106
• It was a good review. However, I don’t remember the effect of the training. 116
• I have had no opportunity to utilize it. Again, we have had only one HIV-positive individual in our facility in five years. 120
• It didn't change much; I don’t work with HIV individuals only; in other words, I would not know if someone he came in contact with was HIV-positive or not. I work at the point of entry. It is not the first thing you talk about. They refer people to the medical clinic. When they ran a group within their organization, they talked about more issues. 121
• I don’t have any examples. 130
• It has not changed. Now I have new information. They still follow their own policies that are very appropriate. 131
• No change or improvement. It didn't do much for me. 133
• No effect. 136
• The training focused on educating youth who educate youth. I went and brought the staff - the outreach workers, but is was very basic. 153
• I haven't had any patients. 161
• Nothing really changed. I am a medical assistant because I care for people. I am a Christian, and I care quite a lot for people. The need to help people is a part of me. 167
• Hasn't changed. 169
• No changes. 172
• No. 177
• No. 182
• I have not taken care of anyone who is HIV-positive since the training. 222
• It hasn't affected the way I provide care at all because I was only at the training to give information. 231
• There have been no changes. 240
• It didn’t change. 243
• It didn’t change. 245

• I felt I knew a lot about HIV prior to the training, so the training didn't really affect too much how I inform clients about HIV/AIDS issues. 2
• The training didn't make a difference as to the way I inform patients/clients/family members about HIV/AIDS issues. During the rounds, we didn't talk to the clients or family members about HIV issues. I only talk to the clients on a social level. 3
• During the rounds, it is just the nursing staff, etc., who are present. The client is only informed of HIV issues in care conferences. I don't inform the clients and family members about options for care. Therefore, the training had no effect on the way I inform patients/clients/family members about HIV/AIDS issues. 4
• I can't think of anything. 18
• It has not changed. 22
• My awareness level has always been high. The training really hasn't changed the way I inform patients/family members about HIV/AIDS issues. 24
• Due to confidentiality, I do not disclose information about patients to their families. This is discussed by social workers at my agency. 37
• It changed a little. 47
• I haven't had a case like that yet. But, if they had questions, I would try to answer them. 57
• I don't get the opportunity to inform clients about care. 68
• It hasn't changed how we inform clients. 69
• It hasn't changed the information we give to our clients. 72
• We don't have any HIV/AIDS patients here. 73
• It hasn't changed. 77
• It hasn’t changed. 78
• It hasn't changed how we inform patients. 79
• I am more informed now about the laws, but it hasn't changed what I've done personally. 80
• There has been no change. 86
• It didn't change because I don't have any HIV-positive patients. 93
• I haven't had to do that. 95
• Most of the consultations were around specific care needs. We did not inform patients of any issues. We only discussed strategies for managing difficult patients. 102
• There was no effect. 103
• It hasn't changed. 111
• I don't remember the effect of the training. 116
• I don't deal much with HIV-positive individuals and I only do routine care, that is, vital signs and questionnaires. 117
• I have had no opportunity to utilize it. 120
• I have been informing them the same way before and after the training. 130
• It hasn't changed because we already have very sensitive, appropriate policies that we follow. 131
• I have no examples. 133
• It hasn't changed. 144
• There have been no changes. 149
• There has been no change that I have noticed. 154
• I don’t think there has been a change. 159.
• There has been no change because I do not do the initial explanation of the patients' diagnoses. I haven't had to tell anyone a diagnosis yet and have to explain it to that person. The patients already know their status by the time they see me. 164
• I don't really inform patients and or do counseling. But, if I have to show support to someone, I am capable of it. 167
• The training hasn't affected it that much. 168
• I don't do much informing of patients. 173
• I don't think it changed the way I provide services. It just reinforced what I was already doing. 177
• I don't do a lot of informing. It has not been my role. 181
• No. 182
• No. 184
• We wouldn't be doing any information sharing about HIV status. We're not legally able to do that. 185
• It has not really changed. 190
• It has not really changed. 191
• There has been no effect on that. 198
• There has been no effect. 205
• I had a really good teacher dealing with this population. So I learned more from him. 209
• It hasn't changed because of the training. 224

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