There was a marked shift of workload from HCWs to ASWs without any compromise in the quality of counseling.
Adherence counseling tasks can be shifted to lay cadres like ASWs without compromising the quality of counseling.
The majority of cases analyzed in this study involved a clinical geneticist or genetic counselor in the consent process, highlighting the quality of counseling.
Fifth, we were unable to assess the quality of counseling for patients, given that this was not documented in the register.
The exact questions are published [8, Additional File 1]; the one difference is that we omitted the question "Did you and your doctor discuss your weight today?" since we wanted to focus on quality of counseling.
Finally, we measured theory-based patient, visit, and physician factors that we hypothesized would influence motivation, and intention independent of the quality of physician counseling or that might influence perceptions of the quality of counseling.
Prevention efforts should be focused on improving social awareness on HIV/AIDS, on enforcing education strategy to reduce sexual risk and on improving the strength and quality of counseling.
This was evident in other study which found time for counseling to be insufficient [ 24] and the information often not adequate, and the quality of counseling lower for clients from the less-privileged segments of society [ 25].
However, additional efforts are needed to prioritize key messages based on evidence and to assess whether changes in content or duration of training might lead to improvements in knowledge, ultimately translating to better quality of counseling.
Decisional conflict was used as indicator of the quality of counseling and shared decision-making.
The aim of this study is to evaluate a method, "Counseling in Dialogue" (CD), developed to increase the quality of counseling in youth mental health.
