HIV Online Provider Education (HOPE): The Internet as a Tool for Training in HIV Medicine

Kiviat, Aurora D; Geary, M.; Sunpath, Henry; Moosa, Mahomed-Yunus S.; Wilson, Douglas; Narasimhan, Padmanesan; Gandhi, Rajesh T.

doi:10.1086/521117

Cited by 26 publications

(25 citation statements)

References 7 publications

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“…12 Several countries have developed consultation systems that allow healthcare providers to ask questions of experienced clinicians via direct phone calls and e-mail communication. [13][14][15] Consultation systems provide a support network that builds the confidence of newly trained providers and practitioners in HIV care. In the United States, for example, the National HIV/AIDS Clinicians' Consultation Center (NCCC) supports clinicians nationwide through a''warm-line.''…”

mentioning

confidence: 99%

Evaluating the Uptake, Acceptability, and Effectiveness of Uliza! Clinicians' HIV Hotline: A Telephone Consultation Service in Kenya

Karari

Tittle

Penner

et al. 2011

Telemedicine and e-Health

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confidence: 99%

Evaluating the Uptake, Acceptability, and Effectiveness of Uliza! Clinicians' HIV Hotline: A Telephone Consultation Service in Kenya

Karari

Tittle

Penner

et al. 2011

Telemedicine and e-Health

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“…Telehealth has most commonly been used for consultations between health care providers for expert consultation and education; 16,17 however, telehealth could also serve as an innovative tool to connect patients and providers. This approach allows for more robust interactions that other technology-delivered interventions (such as text messaging, gaming, and interacting through online social networks) cannot achieve.…”

Section: Discussionmentioning

confidence: 99%

A Pilot Study to Engage and Counsel HIV-Positive African American Youth Via Telehealth Technology

Saberi

Yuan

John

et al. 2013

AIDS Patient Care and STDs

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Antiretroviral nonadherence is a strong determinant of virologic failure and is negatively correlated with survival. HIV-positive African American youth have lower antiretroviral adherence and treatment engagement than other populations. We assessed the feasibility and acceptability of a telehealth (remote videoconferencing) medication counseling intervention as an innovative approach to address these disparities. HIV-positive African American youth (18-29 years old) on antiretrovirals were enrolled in a telehealth medication counseling session, followed by a semi-structured qualitative interview to explore likes/dislikes of the format, modality, and content; potential impact on adherence; privacy issues; and interaction quality. Fourteen participants with a mean age of 24 years, who were 86% male, and had a mean self-reported adherence in the past month of 89%, were interviewed. Participants stated that they liked telehealth, would use it if offered in clinic/research settings, and indicated that their privacy was maintained. Participants described telehealth as convenient and efficient, with positive impact on their knowledge. Telehealth provided a modality to interact with providers that participants described as less intimidating than in-person visits. Telehealth is feasible and acceptable for delivering medication counseling to HIV-positive African American youth when conducted in a controlled clinical setting and may improve quality of patient-provider dialogue. Use of telehealth may lead to more disclosure of treatment difficulties, increased patient comfort, and improved health education.

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“…E-learning can provide a relatively inexpensive and effective way of learning on-site [20]. Training can be provided through distance learning courses, OpenCourseWare, or telemedicine, where consultative advice and training are provided through online conferences with experts around the world, as demonstrated in the HIV online provider education program (HOPE) [21]. Another method is to provide off-site training to selected health workers who are instructed to return and provide on-site training to their peers, as demonstrated in the PALSA-PLUS project in South Africa for primary health care nurses [22].…”

Section: Human Resourcesmentioning

confidence: 99%

Feasibility and Challenges in Providing Antiretroviral Treatment to Children in Sub-Saharan Africa

Dijk¹,

Moss²,

Sutcliffe

2011

CPR

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The scale-up of pediatric antiretroviral therapy (ART) in sub-Saharan Africa over the past decade involved unprecedented political and donor commitment. These pediatric ART programs have demonstrated they can provide ART to human immunodeficiency virus (HIV)-infected children and that these children achieve treatment outcomes comparable to children in high-resource settings. Several obstacles, however, have hindered program implementation and impacted treatment outcomes. Challenges particularly affecting children include shortages of properly trained healthcare providers, lack of laboratory capacity for infant diagnosis and pediatric treatment monitoring, poor adherence, disclosure of HIV infection status and attrition. Innovative solutions to these challenges have been developed and programs are demonstrating they can successfully expand services to increase ART coverage in affected communities. As programs optimize the care and treatment of children, and more efficiently provide HIV services within the health care system, new challenges arise, including integration of child and family health services, use of electronic health records and the potential need for rationing antiretroviral drugs. Further evaluation of innovative solutions to these challenges and barriers to care, as well as continued commitment on the part of governments and donors, will be required if all HIV-infected children are to receive proper care.

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HIV Online Provider Education (HOPE): The Internet as a Tool for Training in HIV Medicine

Cited by 26 publications

References 7 publications

Evaluating the Uptake, Acceptability, and Effectiveness of Uliza! Clinicians' HIV Hotline: A Telephone Consultation Service in Kenya

Evaluating the Uptake, Acceptability, and Effectiveness of Uliza! Clinicians' HIV Hotline: A Telephone Consultation Service in Kenya

A Pilot Study to Engage and Counsel HIV-Positive African American Youth Via Telehealth Technology

Feasibility and Challenges in Providing Antiretroviral Treatment to Children in Sub-Saharan Africa

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