Revisions to AETC forms

Detailed Listing of Revisions to AETC Data Collection Forms

Participant Information Form (PIF)

Current Form	Revision	Rationale
Question 3. Primary Profession/Discipline Response Categories
Nurse Practitioner and Other Advanced Practice Nurse	Advanced Practice Nurse	Combines all four types of advanced practice nurse into one response category.
Mental Health Professional	Mental/Behavioral Health Professional	Clarification
Public Health Professional	Other Public Health Professional	Clarification
	Community Health Worker	Added response category to reflect increased training of community health workers
Other	Other non-clinical professional	Clarification
Question 4. Primary Functional Role
	Clinical/Medical Assistant	Added response category
Question 5. Principal Employment Setting
Family Planning	Family Planning Clinic	Clarification
Indian Health Services/Tribal	Indian Health Services/Tribal Clinic	Clarification
Infectious Disease	Infectious Disease Clinic	Clarification
Maternal/Child Health	Maternal/Child Health Clinic	Clarification
Mental Health	Mental/Behavioral Health Clinic	Clarification
Rural Health	Rural Health Clinic	Clarification
Sexually Transmitted Disease	Sexually Transmitted Disease Clinic	Clarification
Substance Abuse Treatment	Substance Abuse Treatment Center	Clarification
	Long-Term Nursing Facility	Added response category
	Community/Retail Pharmacy	Added response category
Question 6a. Primary Employment Setting
Rural; Suburban; and Urban	Rural and Suburban/Urban	Combined Suburban and Urban at request of Data Workgroup; cited respondent difficulty in differentiating between suburban and urban.
Question 8b. Please write the full name of your…
employer	agency	Changed employer to agency at the request of the Data Workgroup; cited respondent difficulty.
Questions 12 b. Please estimate the percentage of your overall client/patient…
	Please estimate the percentage of your overall client/patient population in the past year who were racial/ethnic minorities:	New question added at the request of the Data Workgroup; needed to demonstrate training of clinicians who serve communities of color.
Question 17. Estimate the percent of your HIV-infected clients/patients who were:
	HIV+ who are co-infected with Hepatitis C	New question added at the request of the Data Workgroup; Increased program emphasis on the treatment of persons co-infected with HIV and Hepatitis C

Detailed Listing of Revisions to AETC Data Collection Forms

Event Record (ER)

Current Form	Revision	Rationale
Question 2. Name of Event
	Name of Event	New item added at the request of the Data Workgroup for recordkeeping
Question 3. Training Location Zipcode
	Training Location Zipcode	New item added at the request of the Data Workgroup; to be used for geo mapping training sites vs. participant’s agency sites; to assist program planning
Question 4. Topics
Post-Exposure Prophylaxis (Occupational & Non-Occupational	Pre/Post-Exposure Prophylaxis (Occupational & Non-Occupational	Clarification
	Reproductive Health	New response category added
Resistance	Resistance/Genotype-Phenotype Interpretation	Clarification
Risk Reduction	Risk Reduction/Harm Reduction	Clarification
Question 6. Other Organizations that helped with this event…
	Tribal Health Organizations	New response category added
	Corrections	New response category added
Questions 10. Training modalities/technologies…
	Webcast/Webinar	New response category added

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