A systematic review of best practices in HIV care

Maina, Geoffrey; Mill, Judy; Chaw-Kant, Jean; Caine, Vera

doi:10.1080/15381501.2015.1116037

Cited by 12 publications

(9 citation statements)

References 20 publications

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“…The results from the choice simulation highlight the endorsement among most providers in the study for intensive CCPs that provide support for psychosocial factors that often act as barriers to ART adherence, such as mental healthcare and securing stable housing; this finding is substantially supported by past research [28–31]. A small subset of providers had a high share of preference in the simulation for Medical management-focused CCP rather than Intensive CCP.…”

Section: Discussionsupporting

confidence: 64%

Heterogeneity of Provider Preferences for HIV Care Coordination Program Features: Latent Class Analysis of a Discrete Choice Experiment

Fong

Conte

Zimba

et al. 2022

Preprint

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BackgroundThe PROMISE study was launched in 2018 to assess revisions to an HIV care coordination program (CCP) designed to address gaps in care and treatment engagement among people living with HIV in New York City (NYC). We report on the heterogeneity of provider preferences regarding a revised CCP elicited from a discrete choice experiment (DCE).MethodsFrom January to March 2020, 152 CCP providers in NYC completed a DCE with 4 program attributes: 1) help with adherence to antiretroviral therapy, 2) help with primary care appointments, 3) help with issues other than primary care, and 4) program visit location. Each attribute had 3-4 levels. Latent class analysis (LCA) was used to detect subgroups with differing attribute importance and part-worth utility patterns. Choice simulation was used to estimate providers’ endorsement of eight hypothetical CCPs.ResultsLCA identified three subgroups. The two larger subgroups (n = 133) endorsed more intensive attribute levels, particularly clients receiving directly observed therapy, and home visits. The remaining smaller subgroup (n = 19) endorsed clients receiving medication reminders and meeting with clients at the program. Simulation showed that intensive medical case management programs had the highest degree of endorsement (62%).ConclusionWhile our results indicate high endorsement among providers for intensive CCP features, overall, they also suggest the need for flexible service delivery options to meet the needs of the clients that these programs serve. Additional information sharing across and within agencies may be warranted to improve the fidelity with which the CCP is implemented.

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Section: Discussionsupporting

confidence: 64%

Heterogeneity of Provider Preferences for HIV Care Coordination Program Features: Latent Class Analysis of a Discrete Choice Experiment

Fong

Conte

Zimba

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…The interpersonal strategies included directly providing practical assistance, information, counseling, and/or referrals to PLWH experiencing neurocognitive problems. In general, these strategies have been discussed in previous academic literature, 33 but to date, little discourse specific to providers utilizing them to support PLWH experiencing neurocognitive decline has been published. 22 The provision of practical assistance, information, counseling, referrals, and other support services catered to the specific needs of clients is at the core of the work of ASOs, 34 so it came as no surprise that it turned out that our participants utilized them as interpersonal strategies to support clients struggling with neurocognitive challenges.…”

Section: Discussionmentioning

confidence: 99%

Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study

Liboro

Rourke

Ibáñez-Carrasco

et al. 2019

J Int Assoc Provid AIDS Care

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Background:HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based providers in the HIV sector.Methods:Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed to determine the strategies they used to support PLWH experiencing neurocognitive difficulties. Thematic analysis was conducted to determine key themes from the interview data.Results:Three types of strategies were identified: (a) intrapersonal, (b) interpersonal, and (c) organizational. Intrapersonal strategies involved learning and staying informed about causes of neurocognitive challenges. Interpersonal strategies included providing practical assistance, information, counseling, and/or referrals to PLWH. Organizational strategies included creating dedicated support groups for PLWH experiencing neurocognitive challenges, partnering with other organizations with services not available within their own organization, and advocating for greater access to services with expertise and experience working with PLWH.Conclusion:Through concerted efforts in the future, it is likely that empirically investigating, developing, and customizing these strategies specifically to address HIV-associated neurocognitive challenges will yield improved social support and mental health outcomes for PLWH.

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“…Future guidelines will need to consider available evidence as well as national guidelines for hypertension, high blood cholesterol, and lifestyle management to reduce CVD risk, and their implications for HIV-treatment algorithms [35]. Furthermore, they could emphasize use of team-based models of care, previously shown to be effective for the support of blood pressure control and for integrated HIV care [44,45]. Important among our findings was the high correlation in excess heart age estimates between the two models used, suggesting that either the cholesterol-based or BMI-based method could be used to estimate heart age in PLWH.…”

Section: Discussionmentioning

confidence: 99%

Excess heart age in adult outpatients in routine HIV care

Thompson‐Paul

Palella

Rayeed

et al. 2019

Aids

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Objective: Cardiovascular disease (CVD) is a common cause of morbidity and mortality among persons living with HIV (PLWH). We used individual cardiovascular risk factor profiles to estimate heart age for PLWH in medical care in the United States. Design: Cross-sectional analyses of HIV Outpatient Study (HOPS) dataMethods: Included in this analysis were participants aged 30-74 years, without prior CVD, with at least two HOPS clinic visits during 2010-2017, at least 1-year of follow-up, and available covariate data. We calculated age and race/ethnicity-adjusted heart age and excess heart age (chronological age -heart age), using a Framingham risk score-based model. Results:We analyzed data from 2467 men and 619 women (mean chronologic age 49.3 and 49.1 years, and 23.6% and 54.6% Non-Hispanic/Latino black, respectively). Adjusted excess heart age was 11.5 years (95% confidence interval, 11.1-12.0) among men and 13.1 years (12.0-14.1

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A systematic review of best practices in HIV care

Cited by 12 publications

References 20 publications

Heterogeneity of Provider Preferences for HIV Care Coordination Program Features: Latent Class Analysis of a Discrete Choice Experiment

Heterogeneity of Provider Preferences for HIV Care Coordination Program Features: Latent Class Analysis of a Discrete Choice Experiment

Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study

Excess heart age in adult outpatients in routine HIV care

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