TITLE

“Getting Me Back on Track”: The Role of Outreach Interventions in Engaging and Retaining People Living with HIV/AIDS in Medical Care

AUTHOR(S)
Rajabiun, Serena; Mallinson, R. Kevin; McCoy, Kate; Coleman, Sharon; Drainoni, Mari-Lynn; Rebholz, Casey; Holbert, Tim
PUB. DATE
June 2007
SOURCE
AIDS Patient Care & STDs;Jun2007 Supplement, Vol. 21, pS-20
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This qualitative study investigated the process of engagement in HIV medical care from the perspective of people living with HIV/AIDS (PLWHA). In-depth interviews were conducted with 76 participants in six cities. All participants were considered underserved because of histories of substance use, mental illness, incarceration, homelessness, or cultural barriers to the traditional health care system. A semistructured interview guide elicited narratives related to health care and the role of program interventions in facilitating access to care. Data analysis revealed that participants cycled in and out of care, a process that was influenced by (1) their level of acceptance of being diagnosed with HIV, (2) their ability to cope with substance use, mental illness, and stigma, (3) their health care provider relationships, (4) the presence of external support systems, and (5) their ability to overcome practical barriers to care. Outreach interventions played a role in connecting participants to care by dispelling myths and improving knowledge about HIV, facilitating access to HIV care and treatment, providing support, and reducing the barriers to care. The findings suggest that outreach programs can interrupt this cyclical process and foster sustained, regular HIV care for underserved PLWHA by conducting client-centered risk assessments to identify and reduce sources of instability and improve the quality of provider relationships; implementing strategies that promote healthy practices; creating a network of support services in the community; and supporting adherence through frequent follow-ups for medication and appointment keeping.
ACCESSION #
25354405

 

Related Articles

  • Program Design and Evaluation Strategies for the Special Projects of National Significance Outreach Initiative. Rajabiun, Serena; Cabral, Howard; Tobias, Carol; Relf, Michael // AIDS Patient Care & STDs;Jun2007 Supplement, Vol. 21, pS-9 

    Through its Targeted HIV Outreach and Intervention Model Development (Outreach Initiative), the Health Resources and Services Administration's Special Projects of National Significance (SPNS) program funded ten demonstration sites to implement and evaluate strategies to engage and retain...

  • As condutas realizadas por profissionais de saúde em relação à busca de parceiros sexuais de pacientes soropositivos para o HIV/aids e seus diagnósticos sorológicos. Luz, Priscilla Mesquita; Miranda, Karla Correa Lima; Teixeira, Juliana Maria Cavalcante // Revista Ciência & Saúde Coletiva;2010, Vol. 15 Issue S1, p1191 

    This article analyzes the performance of the professionals who accompany HIV/aids carrier in the direction to identify which its behavior is face the communication or not of the seropositivity of the patient to its sexual partner in a public service of reference in HIV/aids of the city of...

  • POSITIVE THINKING with Noel Walsh.  // Gay Community News;Jan2008, Issue 217, p32 

    The article focuses on the rights of human immunodeficiency virus (HIV)-positive persons. According to the author, HIV-positive persons should stand up and claim their rights as part of the society. They should be given rights to be fully functioning members of the society. They should also...

  • SCHOOL BRIEFS.  // Hays Free Press (Buda, TX);8/6/2008, Vol. 105 Issue 18, p3B 

    The article offers news briefs related to health services in Texas, which include a three-day clinic sponsored by Hays High School's varsity cheer coach Shelley Plumley, services offered by an Austin non-profit agency, and the funding grant received by the Kyle Elementary Environmental Study Center.

  • Opinion: Inside Commissioning - The latest thinking on redesigning healthcare.  // GP: General Practitioner;10/24/2012, p25 

    The article reports on the latest thinking on redesigning healthcare.

  • COMMUNITY-BASED AIDS SERVICE ORGANIZATIONS: CHALLENGES AND EDUCATIONAL PREPARATION. Alperin, Diane E.; Richie, Nicholas D. // Health & Social Work;Aug1989, Vol. 14 Issue 3, p165 

    Acquired immune deficiency syndrome (AIDS) has been recognized as the health care challenge of the 1980s. Community-based AIDS service organizations have emerged to meet this challenge by providing critical services to people with AIDS at a time when other health and social service systems were...

  • Saving the sick and improving the socio-economic conditions of people living with HIV in Ethiopia through traditional burial groups. Okello, Francis Ogojo; Stuer, Francesca; Kidane, Altaye; Wube, Medhanit // Health Policy & Planning;Aug2013, Vol. 28 Issue 5, p549 

    Poverty and limited availability of health facilities are major barriers to health care in resource-poor countries. For people living with HIV (PLHIV), these factors are compounded by social stigma and decreased mobility, making delivery of public health services a greater challenge. In 2003,...

  • 100% Adherence Study: Educational Workshops vs. Video Sessions to Improve Adherence Among ART-Naïve Patients in Salvador, Brazil. Sampaio-Sa, Marcia; Page-Shafer, Kimberly; Bangsberg, David R.; Evans, Jennifer; Dourado, Maria de Lourdes; Teixeira, Celia; Netto, Eduardo; Brites, Carlos // AIDS & Behavior;Jul2008 Supplement, Vol. 12, p54 

    We conducted a randomized trial to test an intervention aimed at increasing adherence to antiretroviral therapy (ART) among HIV-positive, ART-naïve patients in Salvador, Brazil. Participants ( N = 107) were randomized to either educational workshops based on the...

  • The Brief Disclosure Intervention (BDI): Facilitating African Americans' Disclosure of HIV. Greene, Kathryn; Carpenter, Amanda; Catona, Danielle; Magsamen‐Conrad, Kate // Journal of Communication;Feb2013, Vol. 63 Issue 1, p138 

    HIV+ African Americans face many challenges that may be addressed by increased social support. This manuscript presents the Brief Disclosure Intervention and explores strategies to tailor the intervention to facilitate disclosure, increase social support, and ameliorate health disparities among...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics