HIV Patients' Preference for Integrated Models of Addiction and HIV Treatment in Vietnam

Bich, Diep Nguyen; Korthuis, P. Todd; Thu, Trang Nguyễn; Dinh, Hoa Van; Giang, Lê Minh

doi:10.1016/j.jsat.2016.07.003

Cited by 15 publications

(3 citation statements)

References 48 publications

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“…Provision of multiple services during a single point of contact is challenging as service providers in a certain healthcare agency often lack expertise in all aspects of concern [9,10]. Thus, one of the critical barriers to delivering integrated services for HIV-positive PWID lays in the fragmented healthcare system [11][12][13]. Seeking services repeatedly from multiple health sectors poses a burden on HIV-positive PWID and often causes treatment incompletion or even attrition [14,15].…”

Section: Introductionmentioning

confidence: 99%

Using Social Media to Enhance Provider Network for HIV and Harm Reduction Service Integration in Vietnam

Li¹,

Lin²,

Feng³

et al. 2019

AIDS Behav

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Social media can potentially serve as a platform to coordinate medical care among fragmented health sectors. This paper describes procedures of using social media to enhance antiretroviral therapy (ART) and methadone maintenance treatment (MMT) providers' virtual network for integrated service for HIV-positive people who inject drugs (PWID) in Vietnam. A total of 88 ART and MMT treatment providers participated in person group sessions followed by online virtual support to improve service integration. In-person reunions were held to reinforce Facebook participation and network activities. Content analysis was used to identify keywords and topic categories of the online information exchange. Both MMT and ART providers were actively engaged in online communications. Referral and treatment adherence were the two most frequently discussed topic areas by both the MMT and ART providers. Frequent cross-agency connections were observed. Online provider networks and communities could be built and useful to support treatment providers to improve service integration. Keywords Social media • Treatment providers • Service integration • Network • Vietnam Resumen Los medios sociales pueden potencialmente servir una plataforma para coordinar atencion medica entre los sectores de salud fragmentados. Este documento describe los procedimentos de uso de las redes sociales para mejorar proveedores red virtual de proveedores de terapia antiretoriviral (TARV) y la tratamiento de mantenimiento con metadona (TMM) para el servicio integrado para personas VIH positivas que se inyectan drogas en Vietnam. Un total de 88 proveedores de tratamiento de TARV y TMM participación en sesiones grupales en persona siguiendo un ayuda virtual web para mejorar integracions de servicio. Se llevaron reuniones en persona para reforzar la participación en Facebook y en las actividades de la red. El método de análisis se utiliza para identificar palabras y categorías de intercambio de información en línea. Los proveedores de TMM y TARV participaron activamente en las comunicaciones en línea. La referencia y la adherencia al tratamiento fueron las dos áreas temáticas más discutidas por los proveedores de TMM y TARV. Observaron conexiones frecuentes entre agencias. Las redes y comunidades de proveedores en línea podrían ser construidas y útiles para apoyar a los proveedores de tratamiento para mejorar la integración del servicio. Palabra claves Medios sociales • Proveedores de tratamiento • Integración del servicio • La red • Vietnam

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Section: Introductionmentioning

confidence: 99%

Using Social Media to Enhance Provider Network for HIV and Harm Reduction Service Integration in Vietnam

Li¹,

Lin²,

Feng³

et al. 2019

AIDS Behav

View full text Add to dashboard Cite

show abstract

“…Eighteen papers developed or adapted survey instruments to measure clinical integration; of these, 10 papers surveyed health care providers [ 34 , 35 , 38 , 40 , 42 , 46 , 60 – 63 ], and eight surveyed patients [ 35 , 43 , 44 , 48 , 54 , 59 , 62 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

Integration measurement and its applications in low- and middle-income country health systems: a scoping review

Neill,

Zia,

Ashraf

et al. 2023

BMC Public Health

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Background Despite growing interest in and commitment to integration, or integrated care, the concept is ill-defined and the resulting evidence base fragmented, particularly in low- and middle-income countries (LMICs). Underlying this challenge is a lack of coherent approaches to measure the extent of integration and how this influences desired outcomes. The aim of this scoping review is to identify measurement approaches for integration in LMICs and map them for future use. Methods Arksey and O’Malley’s framework for scoping reviews was followed. We conducted a systematic search of peer-reviewed literature measuring integration in LMICs across three databases and screened identified papers by predetermined inclusion and exclusion criteria. A modified version of the Rainbow Model for Integrated Care guided charting and analysis of the data. Results We included 99 studies. Studies were concentrated in the Africa region and most frequently focused on the integration of HIV care with other services. A range of definitions and methods were identified, with no single approach for the measurement of integration dominating the literature. Measurement of clinical integration was the most common, with indicators focused on measuring receipt of two or more services provided at a single point of time. Organizational and professional integration indicators were focused on inter- and intra-organizational communication, collaboration, coordination, and continuity of care, while functional integration measured common information systems or patient records. Gaps were identified in measuring systems and normative integration. Few tools were validated or publicly available for future use. Conclusion We identified a wide range of recent approaches used to measure integration in LMICs. Our findings underscore continued challenges with lack of conceptual cohesion and fragmentation which limits how integration is understood in practice.

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“…This distribution was similar to that of other samples of PWH in Vietnam, which also had a high proprotion of participants being male. [69][70][71] However, our ability to generalize findings to other groups of PWH, including PWH not on ART might be limited.…”

Section: Discussionmentioning

confidence: 99%

Validation of the combined Patient Health Questionnaire Anxiety and Depression Scale among people with HIV in Vietnam

et al. 2023

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Background Our study aims to examine the factor structure, validity, and reliability of the combined scale Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS) among people with HIV (PWH) in Vietnam. Methods Baseline data from an alcohol-reduction intervention trial among ART clients in Thai Nguyen, Vietnam were used for this analysis ( n = 1547). A score ≥10 on the PHQ-9, GAD-7 and PHQ-ADS scale was considered having clinically meaningful depression, anxiety and distress symptoms. Factor structure of the combined PHQ-ADS scale was validated using confirmatory factor analysis, and three models were tested: a one-factor, a two-factor, and a bi-factor model. Reliability and construct validity were examined. Results The prevalence of clinically meaningful depression and anxiety symptoms was 7% and 2%, respectively, while 19% had distress symptoms. A bi-factor model had the best fit to the data (RMSEA = 0.048; CFI = 0.99; TLI = 0.98). The Omega index of the bi-factor model was 0.97. The scale showed good construct validity through negative associations between depression, anxiety, distress symptoms and quality of life. Conclusions Our study supports the use of a combined scale to measure general distress for PWH, which has good validity, reliability and is unidimensional enough to justify the use of a composite depression and anxiety score.

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HIV Patients' Preference for Integrated Models of Addiction and HIV Treatment in Vietnam

Cited by 15 publications

References 48 publications

Using Social Media to Enhance Provider Network for HIV and Harm Reduction Service Integration in Vietnam

Using Social Media to Enhance Provider Network for HIV and Harm Reduction Service Integration in Vietnam

Integration measurement and its applications in low- and middle-income country health systems: a scoping review

Validation of the combined Patient Health Questionnaire Anxiety and Depression Scale among people with HIV in Vietnam

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