Appendix D-2

• No responses given

• No responses given

• No responses given

• The training gave me some ideas about harm reduction and how to approach street youth and inform them about making changes in their lives. 2
• Most of the patients I see are already being monitored by their physicians in the clinic. For most patients, it hasn't been necessary to inform them about heir options for care because their primary care doctors have already done that. 5
• I am more aware that I need to be more aware of what patients tell me about their behaviors and conditions. 41
• We do have a lot of HIV training ongoing, so I didn't really learn much that was new. 47
• Information was more for our own staff's benefit so they can better educate families. 72
• It's rare that I see HIV patients. 115
• Even though you give patients the information, they still deny healthcare and the options for care. 150
• I haven't actually implemented any techniques, so this is just how I feel. 189
• I hear a lot of stories and each time I am more aware that every individual is different. It's just the social worker in me. 235
• I can give them more information on handling violence and victimization. 244
  
  
  

• Knowing your options is better than not. The project let me know that. 6
• I am more able to answer questions about what happens and what to expect. I have more information. 10
• It gave me more confidence in being able to present to patients and families the positive and negative effects of medications, as well as their effectiveness, appropriateness, and side effects. 20
• It confirmed the feelings I already had, that you need to do whatever you can to get into a city area for care. 23
• I am much more attuned to it. It’s always on the top of my mind when I talk to teens. 45
• It gave me a sense of awareness, openness and the need to address this issue head-on. The disease is not something to ignore, shun, or disregard as other diseases in the past have been. 48
• I know more about their care options. 49
• It is now easier to talk to clients about HIV/AIDS, especially when they know I attended a training on HIV/AIDS. 50
• Getting everyone's input at the conference made it easier to educate others. 51
• I can bring up the subject initially as "matter of fact" and tell them that I provide information to all of my patients because of its importance to know for prevention purposes. 53
• It's now easier to deliver information. It also taught me different, more effective ways to inform patients of their care options. 61
• I understand better now why I need to follow-up on medical care. I do this now on a more in-depth basis. 62
• We are aware of the need to involve family more and that it’s important for patients have a contact person here at our agency. We also got current literature from the University library. 65
• There's still a lot I need to know. You can't possibly learn it all in just one training. 66
• We have the information to provide to our clients, which has eliminated the mythical ideas of staff and their fears about HIV/AIDS. We now know the truth, which is what we teach to our clients. 67
• I have more knowledge and background information to fine-tune clients' information related to care options. 71
• I do more pre-test counseling now by using the techniques I learned in the training. 75
• There has been an increase in the number of patients agreeing to get tested. I discuss AZT for pregnant women and its effect on the unborn fetus and the patient's status. 76
• I had prior knowledge of HIV/AIDS, so the training didn't have that large of an impact on how I inform my clients of their care options. 82
• I am much more thorough. 84
• I feel I am more skilled. 85
• The training opened up communication with other agencies, which created new resources for me. I can better educate clients about where to go for services. 90
• I don't have very many patients who are HIV-positive. However, I can educate patients about medications now. 92
• Because of the information I was given, I now know how to share my resources with other people. 97
• I was already aware of a lot of the information presented in the training. The training was my only option to do pre- and post-test counseling for certification. 99
• I now do more counseling. 100
• I'm no longer afraid to discuss risk factors and HIV testing with my patients. 107
• I have a different perspective now of patients and more information to treat them effectively. 109
• It is again an ongoing process. It is helpful more now than before the training. There are many more mental health issues now than when the trainer just began doing her rounds. 118
• It helps to know the pieces of what is going on with the patients. 123
• I knew about it, but the training increased my awareness about it. Nothing new was said. 124
• It affirmed what I already knew. 131
• The way the training portrayed the issue, it not only said how to deal with bad news, but it had a general impact on how to give other kinds of bad news as well (not HIV-related). 132
• I can explain lab values better to the inmates. 139
• I don't know. 151
• The trainer himself was extremely biased and boring and was caught up in his own status. 153
• I already had quite a bit of experience with it. 158
• I understand the process more. Before, I was clueless, except for knowing the basics. 162
• It has a medium positive effect because of the information I got from the course. 163
• I would have liked to see the class expanded. There was too much information for two days. It needed to be longer. 165
• I’m more aware of the services available through the project and other youth organizations in the city. 170
• Just giving people options for treatment and discussing their partner's involvement. 176
• I am much more aware of the side effects and the seriousness of side effects. A provider can give better treatment if he/she is better educated. 178
• I have a better understanding of the places we can refer to. 179
• There is more information available for the patient. A lack of information can compromise a relationship with a patient. 180
• Before I went to the training, I didn't know anything. Afterwards, I knew about services available for HIV patients. 187
• Basically, in terms of the knowledge gained in training itself, I didn't walk out with everything in my head. I did keep the materials and can look back. I can inform the clients more. 193
• I am able to give them more knowledge and sharing the information with them. 197
• The training made it better because of the information the speakers provided. 199
• I gained better insight of the disease itself and greater information on resources available that I can refer my patients to. 203
• It is always positive anyway. I don't think there is a negative effect from going to a training. 209
• I'm just able to provide more information. It instills more confidence in the patients. 212
• I have more information. 220
• The project has given me more information and has helped me locate services for women with HIV/AIDS even outside of the D.C. area. 238
• I now have better communication with my HIV-positive clients. 241
• Now I concentrate on making women aware of the resources available to them. 242
• Now I know about more specific resource services available for women with HIV/AIDS. 245
• I encourage establishing or re-establishing good family relationships so that my clients have additional support systems. 248
• It is not the minimum positive effect, but it not the maximum either. It helped but there is still more to learn. 250
  
  
  

• I don't know if it will make it much better. We’re still planning. 9
• It helps me to know what I don't know. I know now that there are other resources. When I am in too deep, there are team members who are more informed of the mental and physical aspects of the disease, not just with AIDS, but with cancer as well. 15
• You can actually speak the truth to patients and families. The education I got made this much better. 16
• Now we have resources and policies. 17
• I feel more confident that I am giving them more accurate information. 21
• It helped me to feel more at ease with younger clients. I felt like I had more permission to be less of a caseworker and more of a helper. 25
• I am better able to inform them. 32
• There is more stress on how to educate about the disease so that they're more compliant. I believe that an improved way and more information improves the way you educate patients so that they're more compliant. 33
• There are new forms. There were no forms like that before. 34
• It taught me how to talk to families to best educate them on dementia and the best ways to deal with the disorder-related behavior of patients. 38
• It made me realize that I need to present all care options to my patients. 39
• I can now better educate youth about what's available to them. 40
• I now have more of a base to describe what's going on with patients. I can now put complicated language regarding health and mental status into terms that clients and their families can understand. 42
• I can bring up the subject initially as "matter of fact" and tell them that I provide information to all of my patients because of its importance to know for prevention purposes. 53
• They gave you resources as to where to send patients. 57
• We didn't have a script before and now we know what to say. 59
• It opened my eyes to a lot of services available to patients such as support groups, mental health services, the expanded referral network, and other resources for people with HIV/AIDS. 70
• I am more knowledgeable and I have more information to share with others, that is clients and providers. 87
• The families are given more hope. 89
• The training opened up communication with other agencies, which created new resources for me. I can better educate clients about where to go for services. 91
• I feel that I’m more in tune and aware, which makes it better for the clients. 91
• The training made me aware of something [informing clients about HIV] that I wasn't dealing with on a routine basis. Now, it's part of my routine. 98
• Before the training I was not comfortable outlying the options for care for HIV-positive youth. 101
• It cleared up my fears. Now I’m more apt to discuss my fears with others who may have the same fears and need to have them cleared up. 108
• It gave me confidence to talk openly to my patients about their status and the resulting care they'll need. 110
• Role-playing was essential and the feedback of the peers participating in the training was great and very useful for understanding situations that staff will encounter in real life circumstances. 112
• Service [HIV counseling and testing] is now available to patients. 113
• We have the ability of linking our medical care to social services so that there are more and better options for our patients in terms of care. 114
• They had nothing before in terms of what to say. From one end of the spectrum to the other, asking about HIV became a part of the admission process. 119
• There are new forms. There were no forms like that before. 122
• It made me much more informed. 126
• During the training, there was a demonstration (role-playing) which I have applied to the way I talk to my patients. The role-playing allowed for self-critiquing. 127
• It gave me another focus. 129
• The more information I have, the more information I can relate to the clients. 136
• I am more knowledgeable about HIV/AIDS. 138
• There are more options and education available. 140
• The way I present myself now is with more factual information. I can show them how behavior change can better their lives. 143
• Staff can talk with patients better now because they are more informed and knowledgeable. 145
• It helped me take a look at how I can present information to clients the way it was done in the training. I have utilized the techniques presented in the training in my own work. 147
• I can see the effect that they wanted. The inmates adhere to their regimens more. The nursing staff gets it across to the patients in a "plainer" way. The more the nursing staff knows, the better they get it across to the patients. 157
• Around anti-retrovirals, it explained how they effect adolescents' lives. It made me more aware and sensitive to providing more accurate information. 160
• I am in the medical field so I have to deal with what I come across. 167
• I know more about AZT. It changed the way I inform patients of their options for treatment. 175
• I was in a better position to educate. I was more knowledgeable. 186
• In this clinic, we have a lot of resource people I can depend on. I can refer patients to someone in our clinic. Before, I didn't use the resources as much. I referred them to the University. Now I just get up and get a physician and tell the patient to talk to them. I am more actively involved. 192
• You’ve just got to kind of empathize with the patients. You need to put yourself in their shoes. 194
• It gave me a lot more knowledge about talking to the patients and being able to give them more resources. 195
• It gave me a deeper understanding of how serious this is. It's the first time our state is #1. This is due to the increased rate of recent HIV infections (new infections). 200
• From the training, I was more aware of the topic and I started reading scripts on HIV/AIDS (used videos, pamphlets with clients) to help families cope with the disease. 202
• I can educate my family and friends on facts, since I know more now and understand it better. 204
• Some of the written resources were very helpful that we didn't have before. 206
• It adds to our comfort level to talk to someone who has a life threatening disease, like about the importance of taking their medication. 208
• I probably became more thorough. I can go through discussions with more input in terms of the information presented. 213
• I received more information. 227
• I have a better perspective about what the needs and issues of women are. 228
• It made me understand the greater needs of the women's community. 230
• It’s just the fact that these women get together. You learn more and become more assertive and confident. 234
• We tell our clients what to do and what not to do in terms of prevention. 236
• We all share information about the disease and the issues we face in our support groups. 237
  
  
  

• I don't discuss options for care with my clients. 1
• I don't talk to the clients about HIV/AIDS issues or options for care. 3
• I talk to the patients to give them a sense of acceptance. I don't inform them of their options for care. 4
• We do a lot of talking. We've very much a patient advocate facility. I already did a lot of talking to patients and families before the training. 11
• No training has been provided. 22
• My awareness level was always high. 24
• I've been doing it from before the training. 30
• I only have one case with HIV so I don't have the role of educating clients. 68
• We don't have any HIV/AIDS patients to educate about available care options. 69
• There is no one to discuss HIV-related options for care given who our patients are. 73
• We are doing the same education as before on options for care because the options available here haven't changed. 77
• I already had enough information to inform patients of the care options. 78
• We don't have any HIV/AIDS patients to discuss care options with. 80
• I have always tried to do it, even before so that the patient understands the counseling and testing. 81
• I haven't had any HIV-positive patients since the training. 93
• It wasn't congruent with the training I took. 94
• During the rounds, only strategies for managing difficult patients were discussed. 102
• The training was a refresher course for me so I didn't learn anything new. As an employee of a general organization that provides all ranges of services to HIV-positive youth, I am up-to-date on everything. 103
• For the reasons I just said. 105
• I already had pre-existing knowledge about HIV/AIDS and associated mental illnesses. 111
• I only do routine medical care, that is vitals and questionnaires. 117
• I have had no opportunity to utilize it. 120
• The pre- and post-test counseling is the same whether the clients are positive or negative. The treatment hasn't changed. 130
• I do work with families, but I didn't learn anything new. 133
• When patients see me they've already been diagnosed and I focus only on their immediate dental problems. 144
• I already knew about care options for those with HIV/AIDS. 146
• We don't work with families because we’re doing prevention with youth. 148
• Because of our administration, we don't go out and just inform clients of their status, as there are too many stages that you must go through before you can inform anyone. 149
• We’ve done the same things. 154
• I have no idea. 159
• I do not do the initial explanation of patients' diagnoses. They already know their status by the time they see me. 164
• I already knew about the HIV risk factors, so I don't do anything differently. 166
• The target population that I work with wasn't addressed in much detail in the training. 168
• I only give information to my female patients on antibiotics and the need to use condoms when they are under such treatment. 173
• I don't see many AIDS patients. 177
• I already had the program in place. 182
• I'm not the primary person who would do the testing. Usually when a person is tested, it's not by me. But, I had one patient tested. 184
• We legally have to refer clients to an HIV counselor for HIV education. 185
• I had some prior knowledge. 190
• I have pretty much been through much training. I hold the same tactics. 191
• I don't really educate patients on medications and other options for care. 196
• There is nothing different that I would've done about HIV issues. 198
• I have no contact with them. 205
• This training was basically suggesting counseling and encouraging testing. When I see patients in my department, they already know they're HIV-positive. I don't really need to do pre- and post-test counseling or suggest testing. 210
• I've had a good number of years of experience doing that. The trainings really didn't pertain to what I do. 218
• Our clinic serves no HIV-positive patients that we know of. We are a small community hospital. If we had an obstetrics patient who had HIV, we might find out after we provided the care. 219.
• I haven't had any positive clients to present options of care to. 224
• I was just there to give out information. I was not there for the activities. 231
• I've only seen one woman and the training was so long ago, so I couldn't remember everything I needed to. 240
• The training wasn't very informative at all. 243

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