{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:09:21Z","timestamp":1777676961654,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2010,2,16]],"date-time":"2010-02-16T00:00:00Z","timestamp":1266278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:p>The Internet is a popular way for people to meet casual sex partners. However, online outreach remains largely unexplored to promote voluntary counseling and testing for HIV. The Student Health Action Coalition\u2019s HIV testing program (SHAC-HIV) targets high-risk clients through tailored Internet outreach via chat rooms, social networking sites, and online forums. The SHAC-HIV model also demonstrates that nontraditional testing sites can provide low-cost, client-centered, high-quality services to support increased demand for HIV-testing services. Within the clinic, SHAC-HIV\u2019s testing model includes four major components: (a) reliance on a team of well-trained health sciences student volunteers; (b) rapid oral-fluid HIV tests; (c) universal, consent-based testing with client-centered health education and counseling; and (d) coordinated referrals for follow-up testing, treatment, and care. This approach reaches high-risk clients as well as undiagnosed infections. In 2007, there were nine confirmed positive results out of 389 tests, yielding a 2.3% positivity rate. This positivity percentage is higher than any other nontraditional testing site in North Carolina. This article describes the SHAC-HIV outreach and vo-luntary counseling and testing program with the aim of encouraging adoption of the model by other nontraditional testing sites.<\/jats:p>","DOI":"10.1177\/1524839909349178","type":"journal-article","created":{"date-parts":[[2010,2,16]],"date-time":"2010-02-16T23:39:50Z","timestamp":1266363590000},"page":"522-528","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Reaching and Retaining High-Risk HIV\/AIDS Clients Through the Internet"],"prefix":"10.1177","volume":"12","author":[{"given":"Caryl","family":"Feldacker","sequence":"first","affiliation":[{"name":"Student Health Action Coalition (SHAC) HIV services, and Department of Health Behavior and Health Education at the University of North Carolina at Chapel Hill Gillings School of Global Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Torrone","sequence":"additional","affiliation":[{"name":"Department of Epidemiology at the University of North Carolina at Chapel Hill Gillings School of Global Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Triplette","sequence":"additional","affiliation":[{"name":"SHACHIV services, and University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin C.","family":"Smith","sequence":"additional","affiliation":[{"name":"Project STYLE (Strength Through Youth Livin\u2019 Empowered), and Department of Health Behavior and Health Education at the University of North Carolina at Chapel Hill Gillings School of Global Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter A.","family":"Leone","sequence":"additional","affiliation":[{"name":"North Carolina HIV\/STD Prevention and Control Branch, University of North Carolina at Chapel Hill School of Medicine, and Epidemiology, University of North Carolina at Chapel Hill Gillings School of Global Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,2,16]]},"reference":[{"key":"bibr1-1524839909349178","volume-title":"Self-efficacy: The exercise of control","author":"Bandura A.","year":"1997"},{"key":"bibr2-1524839909349178","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp068153"},{"key":"bibr3-1524839909349178","doi-asserted-by":"publisher","DOI":"10.1023\/A:1014739203657"},{"key":"bibr4-1524839909349178","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9224-9"},{"key":"bibr5-1524839909349178","doi-asserted-by":"publisher","DOI":"10.1080\/09540120412331292453"},{"key":"bibr6-1524839909349178","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyl057"},{"issue":"14","key":"bibr7-1524839909349178","first-page":"1","volume":"55","author":"Branson B.","year":"2006","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"bibr8-1524839909349178","first-page":"1233","volume":"56","author":"Centers for Disease Control and Prevention","year":"2007","journal-title":"Morbidity and Mortality Weekly"},{"key":"bibr9-1524839909349178","unstructured":"Centers for Disease Control and Prevention. 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