People Living with HIV are Receptive to HIV Prevention Interventions in Clinical Settings: A Qualitative Evaluation

Koester, Kimberly A.; Maiorana, André; Morin, Stephen F.; Rose, Carol Dawson; Shade, Starley B.; Myers, Janet J.

doi:10.1521/aeap.2012.24.4.295

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…In the USA, suboptimal adherence, in addition to differences in access to care and treatment delivery, are cited as factors accounting for disparities in HIV treatment outcomes experienced by African‐Americans and other population groups disproportionately affected by the HIV/AIDS epidemic (Cargill, Stone, & Robinson, ; Simoni et al, ). Research indicates that peer facilitators can be effective in helping antiretroviral therapy patients improve their adherence, develop stronger coping skills and reduce negative affect and social isolation (Dutcher et al, ; Koester et al, ; Suwanteerangkul et al, ). Gaining a better understanding of the role played by peer facilitators and how they are perceived by intervention participants is important, given the growing emphasis on treatment initiation and retention in the care of patients soon after an HIV diagnosis (Dieffenbach & Fauci, ; Granich, Gilks, Dye, DeCock, & Williams, ; NIH, ; ONAP, ; Padian et al, ).…”

Section: Introductionmentioning

confidence: 99%

Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

Houston

Osborn

Lyons

et al. 2015

Community & Applied Soc Psy

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HIV treatment adherence interventions increasingly rely on peer facilitators to promote treatment adherence and improve patient retention, yet little is known about how participants perceive the role performed by peer facilitators. The present study examined participant perceptions in terms of the social support from peer facilitators in a hospital-based intervention in Chicago. Content analysis was conducted with reference to four types of social support (instrumental, informational, emotional and affiliational) on exit interviews with 11 participants enrolled in the intervention that targeted African-American patients living with HIV/AIDS. We examined how the type of social support perceived by participants was related to their self-reported behaviours in three domains: adherence, sexual safety and general coping. Our analysis revealed that most participants perceived informational and emotional support from their peer facilitators, followed by instrumental support. Affiliational support was the least frequently perceived type of social support. We found that perceived informational support from peer facilitators with regard to adherence had greater impact and credibility amongst participants than the same type of support from medical providers. Informational support was cited most frequently with regard to influencing adherence and sexual safety behaviours, whereas perceived emotional support was cited primarily with helping participants cope with HIV.

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Section: Introductionmentioning

confidence: 99%

Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

Houston

Osborn

Lyons

et al. 2015

Community & Applied Soc Psy

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“… 2009 ). Another study in the USA concluded that interventions that are well matched to the clinical environment and patient population being served were feasible and acceptable to healthcare providers, prevention interventionists and clinic staff (Koester, Maiorana, Morin, Rose, Shade & Myers 2012 ).…”

Section: Discussionmentioning

confidence: 99%

Acceptability, feasibility and challenges of implementing an HIV prevention intervention for people living with HIV/AIDS among healthcare providers in Mozambique: Results of a qualitative study

Jaiantilal

Gutin

Cummings

et al. 2015

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Despite the Mozambique government's efforts to curb human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), national prevalence is 11.5% and support is needed to expand HIV-related services and improve program quality. Positive prevention (PP) programs, which prioritize HIV prevention with people living with HIV and AIDS (PLHIV), have been recognized as an important intervention for preventing new HIV infections. To address this, an evidence-based PP training intervention was implemented with HIV healthcare providers in Mozambique. This study focuses on the acceptability and feasibility of a PP intervention in HIV clinics from the healthcare provider perspective. In-depth interviews were conducted with 31 healthcare providers from three provinces who participated in PP trainings in Mozambique. Interview data were coded using content analysis. Study data suggest that healthcare providers found PP acceptable, feasible to implement in their HIV work in clinic settings, and valued this strategy to improve HIV prevention. The PP training also led providers to feel more comfortable counseling their patients about prevention, with a more holistic approach that included HIV testing, treatment and encouraging PLHIV to live positively. While overall acceptance of the PP training was positive, several barriers to feasibility surfaced in the data. Patient-level barriers included resistance to disclosing HIV status due to fear of stigma and discrimination, difficulty negotiating for condom use, difficulty engaging men in testing and treatment, and the effects of poverty on accessing care. Providers also identified work environment barriers including high patient load, time constraints, and frequent staff turnover. Recognizing PP as an important intervention, healthcare providers should be trained to provide comprehensive prevention, care and treatment for PLHIV. Further work is needed to explore the complex social dynamics and cultural challenges such as gender inequalities, stigma and discrimination which hinder the full impact of PP interventions in this context.

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“…The three analysts collectively developed a codebook following a process authors KK and LM have successfully used in the past. This process included reading a transcript selected for its data richness aloud to discuss, interpret and collectively generate a list of preliminary codes [ 24 ]. Once a preliminary list of codes was drafted, we independently coded 2 additional interviews and met to cross-check our coding choices.…”

Section: Methodsmentioning

confidence: 99%

Essential elements of and challenges to rapid ART implementation: a qualitative study of three programs in the United States

et al. 2022

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Background Antiretroviral therapy (ART) initiation on the day of an HIV diagnosis or as soon as possible after diagnosis, known as rapid ART (henceforth “RAPID”), is considered to be a safe and effective intervention to quickly reduce viral load and potentially improve engagement in care over time. However, implementation of RAPID programming is not yet widespread. To facilitate broader dissemination of RAPID, we sought to understand health care worker experiences with RAPID implementation and to identify essential programmatic elements. Methods We conducted 27 key informant interviews with medical providers and staff involved in RAPID service delivery in three distinct clinical settings: an HIV clinic, a Federally Qualified Health Center and a sexual health and wellness clinic. Interviews were structured around domains associated with the Consolidated Framework for Implementation Research and were audio-recorded, transcribed, and thematically analyzed. Findings We identified seven (7) essential elements across settings associated with successful RAPID program implementation. These high-impact elements represent essential components without which a RAPID program could not function. There was no one requisite formation. Instead, we observed a constellation of essential elements that could be operationalized in various formations and by various people in various roles. The essential elements included: (1) presence of an implementation champion; (2) comfort and competence prescribing RAPID ART; (3) expedited access to ART medications; (4) expertise in benefits, linkage, and care navigation; (5) RAPID team member flexibility and organizations’ adaptive capacity; (6) patient-centered approach; and (7) strong communication methods and culture. Conclusions The RAPID model can be applied to a diverse range of clinical contexts. The operational structure of RAPID programs is shaped by the clinical setting in which they function, and therefore the essential elements identified may not apply equally to all programs. Based on the seven essential elements described above we recommend future implementers identify where these elements currently exist within a practice; leverage them when possible; strengthen them when necessary or develop them if they do not yet exist; and look to these elements when challenges arise for potential solutions.

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People Living with HIV are Receptive to HIV Prevention Interventions in Clinical Settings: A Qualitative Evaluation

Cited by 6 publications

References 22 publications

Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

Acceptability, feasibility and challenges of implementing an HIV prevention intervention for people living with HIV/AIDS among healthcare providers in Mozambique: Results of a qualitative study

Essential elements of and challenges to rapid ART implementation: a qualitative study of three programs in the United States

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