“Take care of their hierarchy of needs first”: strategies used by data-to-care staff to address barriers to HIV care engagement

Roland, Katherine B.; Carey, James W.; Bessler, Patricia; Tesfaye, Casey Langer; Randall, Laura; Betley, Valerie; Schoua‐Glusberg, Alisú; Frew, Paula M.

doi:10.1080/09540121.2022.2077296

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…Consistent with other LA Links studies, our findings suggest that D2C staff were successful in helping nearly all clients overcome care and treatment barriers, such as lack of transportation or helping them manage mental health issues, such as depression (Anderson et al, 2020; Roland et al, 2022). Only three participants (8.3%; in “action” subgroup) reported any inconsistency in receiving medical care or taking medications.…”

Section: Resultssupporting

confidence: 89%

“…In a separate but related component of our work in Baton Rouge and New Orleans, we also interviewed D2C program staff in the same two cities to learn their views of clients' barriers to HIV care (Roland et al, 2022). Barriers mentioned by staff included challenges partially overlapping with those identified by clients and described in this article, such as transportation, financial challenges, unstable housing, mental illness, and adverse interactions with some health care providers.…”

Section: Discussionmentioning

confidence: 99%

“…These cities are ideal locations for conducting our research because they are part of the state's exemplary and longestablished D2C program, called "LA Links" (Anderson et al, 2020;Sweeney et al, 2018). Learning directly from D2C clients augments and complements comparable data collected from D2C staff, which in the case of Baton Rouge and New Orleans, we describe elsewhere (Roland et al, 2022).…”

mentioning

confidence: 99%

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Overcoming Challenges to HIV Medical Care-seeking and Treatment Among Data-to-Care Program Clients in Baton Rouge and New Orleans, Louisiana

Carey¹,

Roland²,

Bessler³

et al. 2022

J Assoc Nurses AIDS Care

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Data to Care (D2C) uses US public health surveillance data to identify persons with diagnosed HIV who are not receiving adequate medical care. These persons are linked to care and ancillary social services through personalized outreach. We conducted semistructured interviews with 36 adults with HIV in Louisiana who were engaged for the first time or reengaged back into HIV care through D2C efforts. Before D2C program staff contact, nearly 40% were not contemplating HIV care. Program clients cited barriers to HIV care, including difficulties with appointment scheduling and transportation, health care service and drug costs, low motivation, and competing non-HIV health needs. Thirty-four of the 36 clients said that D2C staff helped them overcome these barriers. Clients also described psychosocial support from D2C staff. After receiving D2C program assistance, more than 90% of clients reported consistently receiving HIV medical care and taking medications. Our findings suggest that D2C staff successfully identified client needs and provided tailored assistance.

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Section: Resultssupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Overcoming Challenges to HIV Medical Care-seeking and Treatment Among Data-to-Care Program Clients in Baton Rouge and New Orleans, Louisiana

Carey¹,

Roland²,

Bessler³

et al. 2022

J Assoc Nurses AIDS Care

Self Cite

View full text Add to dashboard Cite

show abstract

“…Initial research has demonstrated the success of D2C programs for increasing care engagement among PLH, particularly among those who lacked recent HIV-related laboratory testing [ 50 ]. Yet, research among key stakeholders has highlighted the need for D2C programs to address barriers such as transportation and housing [ 51 ]. Our results highlight the need to integrate resources that address material needs, such as income, housing, and food, within D2C programs to facilitate successful engagement in the care continuum.…”

Section: Discussionmentioning

confidence: 99%

Socio-Structural Factors and HIV Care Engagement among People Living with HIV during the COVID-19 Pandemic: A Qualitative Study in the United States

et al. 2022

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Achieving HIV prevention goals will require successful engagement in each stage of the HIV continuum. The present study sought to understand the ways in which socio-structural factors influence HIV care engagement among people living with HIV (PLH) within the context of the ongoing COVID-19 pandemic. Twenty-five PLH were recruited from January to October 2021. Semi-structured interviews discussed various socio-contextual factors that influenced engagement in HIV-related care as a result of the pandemic. A thematic content analysis reported semantic level themes describing factors influencing HIV care following an integrated inductive–deductive approach. Qualitative analysis revealed three themes that either supported or hindered engagement in care within the context of the COVID-19 pandemic: (1) social determinants of health, (2) social support, and (3) modes of healthcare delivery. The results underscore the need to assess socio-structural factors of health as means to promote successful engagement in the HIV care continuum and shed new insights to guide future practice in the era of COVID-19.

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Racial differences in the association of undetectable HIV viral load and transportation to an HIV provider among men who have sex with men in Atlanta, Georgia: a health equity perspective

et al. 2023

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“Take care of their hierarchy of needs first”: strategies used by data-to-care staff to address barriers to HIV care engagement

Cited by 5 publications

References 27 publications

Overcoming Challenges to HIV Medical Care-seeking and Treatment Among Data-to-Care Program Clients in Baton Rouge and New Orleans, Louisiana

Overcoming Challenges to HIV Medical Care-seeking and Treatment Among Data-to-Care Program Clients in Baton Rouge and New Orleans, Louisiana

Socio-Structural Factors and HIV Care Engagement among People Living with HIV during the COVID-19 Pandemic: A Qualitative Study in the United States

Racial differences in the association of undetectable HIV viral load and transportation to an HIV provider among men who have sex with men in Atlanta, Georgia: a health equity perspective

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