Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care

Gardner, Lytt I.; Metsch, Lisa R.; Anderson-Mahoney, Pamela; Loughlin, Anita M.; Rı́o, Carlos del; Strathdee, Steffanie; Sansom, Stephanie L.; Siegal, Harvey A.; Greenberg, Alan E.; Holmberg, Scott D.

doi:10.1097/01.aids.0000161772.51900.eb

Cited by 413 publications

(363 citation statements)

References 13 publications

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“…Respondents in our study appear to have had one or fewer encounters with a case manager, which may not be optimal. Previous studies had shown that for newly diagnosed HIV-infected persons, linkage to care activities are more successful when persons have an average of two or more encounters with a case manager (Craw et al, 2008;Gardner et al, 2005). These data support previous findings describing the benefit of ongoing linkage to care activities that may include multiple follow-up encounters to increase the chances of successful linkage to care.…”

Section: Perception Of Follow-up Servicessupporting

confidence: 86%

“…Respondents agreed that passive referrals were of little help and provided minimal, if any, assistance in accessing care. As shown in previous studies, active referrals are more successful for linking newly diagnosed persons to care (Craw et al, 2008, Gardner et al, 2005. The addition of a detailed, standard definition of an active referral in future CTR guidelines may be necessary to support the provision of an optimal level of service when referring to or providing linkage to care services.…”

Section: Perception Of Follow-up Servicesmentioning

confidence: 84%

See 1 more Smart Citation

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

Garland

Valverde²,

Fagan³

et al. 2011

AIDS Education and Prevention

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Section: Perception Of Follow-up Servicessupporting

confidence: 86%

Section: Perception Of Follow-up Servicesmentioning

confidence: 84%

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

Garland

Valverde²,

Fagan³

et al. 2011

AIDS Education and Prevention

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“…Los principales obstáculos para lograr un resultado óptimo del tratamiento en personas con HIV/ sida, son el diagnóstico tardío, la demora en la vinculación a los centros de atención, la deficiente retención de los pacientes en dichos centros, la demora en el inicio del tratamiento antirretroviral y su incumplimiento (descontinuación o intermitencia del tratamiento), así como la ausencia de tratamiento para las enfermedades concomitantes no asociadas al HIV y las necesidades básicas insatisfechas (42)(43)(44).…”

Section: Discussionunclassified

Pérdida de seguimiento y factores asociados en pacientes inscritos en el programa de HIV/sida del Hospital Universitario San Ignacio, Colombia, 2012-2013

Támara

Rodríguez

2016

biomedica

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Introducción. El seguimiento clínico regular a largo plazo, es un componente importante en la atención de los pacientes con HIV. Objetivo. Describir las razones de la pérdida de seguimiento de los pacientes inscritos en el programa de HIV/sida de un hospital universitario. Materiales y métodos. Se hizo un estudio de casos y controles anidado en una cohorte retrospectiva, entre el 1º de enero de 2012 y el 31 de julio de 2013. Resultados. Se seleccionaron 45 pacientes; la tasa de densidad de incidencia de los pacientes que se perdieron en el seguimiento fue de 17,7 por 100 pacientes por año. En el análisis bivariado, el desempleo (p=0,000), el consumo de alcohol (p=0,004), el tiempo de la evolución de la enfermedad en años (p=0,032), el sexo (p=0,027), y la edad promedio de 34 años (p=0,000) fueron estadísticamente significativos en relación con la pérdida de seguimiento. Al hacer el ajuste por regresión logística para la probabilidad de pérdida de seguimiento, se evidenció que las variables de edad promedio de 34 años (p=0,019; IC95% 0,871-0,976), sexo femenino (p=0,017; IC95% 1,903-31,83), consumo de alcohol (p=0,028; IC95% 0,040-0,830) y desempleo (p=0,001; IC95% 4,696-464,692) tuvieron significación estadística. Conclusiones. Es necesario que los programas de HIV/sida establezcan sistemas de seguimiento y rastreo, con el fin de establecer estrategias para mejorar la retención de los pacientes y, por ende, su calidad de vida a largo plazo.

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“…HIV case management is associated with increased utilization of support services and a decrease in unmet needs [22,23]. A brief, focused case management system in U.S. urban centers helped newly diagnosed HIV-positive individuals successfully access HIV care [24]. Among HIVinfected homeless and marginally-housed individuals, case management was associated with improved self-reported antiretroviral adherence and increased CD4 cell count [25].…”

Section: Introductionmentioning

confidence: 99%

The Feasibility of an Intensive Case Management Program for Injection Drug Users on Antiretroviral Therapy in St. Petersburg, Russia

et al. 2014

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Background: The majority of HIV-infected individuals requiring antiretroviral therapy (ART) in Russia are Injection Drug Users (IDU). Substitution therapy used as part of a comprehensive harm reduction program is unavailable in Russia. Past data shows that only 16% of IDU receiving substance abuse treatment completed the course without relapse, and only 40% of IDU on ART remained on treatment at 6 months. Our goal was to determine if it was feasible to improve these historic outcomes by adding intensive case management (ICM) to the substance abuse and ART treatment programs for IDU. Methods: IDU starting ART and able to involve a "supporter" who would assist in their treatment plan were enrolled. ICM included opiate detoxification, bi-monthly contact and counseling with the case, weekly group sessions, monthly contact with the "supporter" and home visits as needed. Full follow-up (FFU) was 8 months. Stata v10 (College Station, TX) was used for all analysis. Descriptive statistics were calculated for all baseline demographic variables, baseline and follow-up CD4 count, and viral load. Median baseline and follow-up CD4 counts and RNA levels were compared using the Kruskal-Wallis test. The proportion of participants with RNA < 1000 copies mL at baseline and follow-up was compared using Fisher's Exact test. McNemar's test for paired proportions was used to compare the change in proportion of participants with RNA < 1000 copies mL from baseline to follow-up.

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Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care

Abstract: A brief intervention by a case manager was associated with a significantly higher rate of successful linkage to HIV care. Brief case management is an affordable and effective resource that can be offered to HIV-infected clients soon after their HIV diagnosis.

Cited by 413 publications

References 13 publications

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

Pérdida de seguimiento y factores asociados en pacientes inscritos en el programa de HIV/sida del Hospital Universitario San Ignacio, Colombia, 2012-2013

The Feasibility of an Intensive Case Management Program for Injection Drug Users on Antiretroviral Therapy in St. Petersburg, Russia

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