Nurses Decrease Barriers to Health Care by “Hyperlinking” Multiple-Diagnosed Women Living With HIV/AIDS Into Care

Andersen, Marcia; Smereck, Geoffrey A. D.; Hockman, Elaine M.; Ross, D.; Ground, Kyle J.

doi:10.1016/s1055-3290(06)60299-9

Cited by 21 publications

(10 citation statements)

References 9 publications

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“…While other studies have found that ancillary and support services help connect people to care, [19][20][21][28][29][30] when PLWHA were asked directly about services that helped them receive care they also mentioned the role of outreach program staff in improving their knowledge about HIV care and treatment, building skills to incorporate HIV into their daily routine, and providing support networks. These services helped to interrupt the cyclical process of engagement and led to sustained care.…”

Section: Discussionmentioning

confidence: 99%

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

Rajabiun

Mallinson

McCoy

et al. 2007

AIDS Patient Care and STDs

100

108

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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.

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Section: Discussionmentioning

confidence: 99%

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

Rajabiun

Mallinson

McCoy

et al. 2007

AIDS Patient Care and STDs

100

108

View full text Add to dashboard Cite

show abstract

“…Most of these women do not have ready access to automobiles, nor are they financially secure enough to afford taxicabs. Research conducted by WBI supports the fact that transportation is a common barrier to receipt of regular HIV medical care (Andersen, Smereck, Hockman, Ross, & Ground, 1999).…”

mentioning

confidence: 87%

“…Many women were referred to drug treatment or accompanied to mental health appointments as part of this intensive nurse counseling intervention. A direct referral method that included transportation and accompaniment, called hyperlinking, was used in this process (Andersen et al, 1999).…”

Section: Transportation Plus Personalized Nursingmentioning

confidence: 99%

“…The Personalized Nursing LIGHT Model is described in many publications (Andersen & Hockman, 1997;Andersen & Smereck, 1989, 1992; Andersen, Smereck, & Braunstein, 1993;Andersen et al, 1999;Andersen et al, 2005). The LIGHT Model posits that positive changes among hard-toreach populations having histories of nonresponsiveness to more traditional treatment methods may be achieved indirectly through a direct intervention on the perceived well-being of the individual.…”

Section: Transportation Plus Personalized Nursingmentioning

confidence: 99%

See 1 more Smart Citation

Retaining Women in HIV Medical Care

Andersen¹,

Hockman²,

Smereck³

et al. 2007

Journal of the Association of Nurses in AIDS Care

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This study evaluated the effectiveness of an ancillary service assignment protocol to improve women's retention in HIV medical care. HIV-positive women with acknowledged difficulty in keeping regularly scheduled HIV clinic appointments were assigned to an intervention based on presenting characteristics: 6 months transportation plus nursing case management followed by 6 months transportation only for women currently using heroin and/or showing mental illness problems or transportation only for 12 months. Self-report and HIV clinic data provided measures of kept and missed appointments. Results were as hypothesized. The Transportation Only sample maintained number of kept appointments and significantly decreased number of missed appointments. The Transportation Plus sample significantly increased number of appointments kept and significantly decreased number of missed appointments. When intensive intervention was reduced to transportation only, charted HIV medical appointments significantly decreased. Positive influence on retention in HIV medical care requires level of intervention to be determined by current relevant client characteristics.

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“…A unique programme feature was its emphasis on promoting active physician involvement in, and leadership of, team activities. In yet another programme, nurses were used to aggressively recruit into care HIVpositive women with co-occurring substance abuse disorders and mental disorders (Andersen et al, 1999). In addition to having access to transportation and participating in weekly support groups, each woman was assigned a nurse to assist in navigating the complex service system.…”

Section: Review Findingsmentioning

confidence: 99%

Literature on integrated HIV care: a review

et al. 2004

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With a significant proportion of HIV-infected patients now presenting with co-occurring substance abuse disorders and mental disorders, interest in integrated HIV care is growing. However, no review of integrated HIV care has been conducted. Using relevant key word searches of the Medline and Psychlit databases, the authors identified about 450 publications. The few evaluations of integrated models tended to focus on measurements of engagement and retention in medical care, and their findings indicated an association between integrated HIV care and increased service utilization. No random assignment controlled studies were identified, except in the peripheral area of integrated care (without HIV primary care) for persons with co-occurring substance abuse disorders and mental disorders. The majority of reviewed articles described integrated models operating in the field and various aspects of implementation and sustainability. Overall, they supported use of a wide range of primary and ancillary services delivered by a multidisciplinary team that employs a 'biopsychosocial' approach. Despite the lack of scientific knowledge regarding the effects of integrated HIV care, those wanting to optimize treatment for patients with multiple interacting disorders can gain useful and practical knowledge from this literature.

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Nurses Decrease Barriers to Health Care by “Hyperlinking” Multiple-Diagnosed Women Living With HIV/AIDS Into Care

Cited by 21 publications

References 9 publications

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

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

Retaining Women in HIV Medical Care

Literature on integrated HIV care: a review

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