Research and engagement considerations for alcohol use telehealth services within HIV care: a qualitative exploration in federally qualified health centers.
The prevalence of alcohol misuse is high among people with HIV (PWH); however, access to and utilization of evidence-based alcohol misuse interventions remain limited. Telehealth is one treatment approach with the potential for enhancing substance use disorder treatment utilization for PWH served by...
| Publicado en: | AIDS Care Vol. 35; no. 11; pp. 1786 - 1796 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172806144&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172806144 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09540121 AAE jtl: AIDS Care issn: 09540121 maglogo: N pubinfo: dt: Nov2023 vid: 35 iid: 11 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 172806144 162999611 172806144 172806144 10.1080/09540121.2023.2197640 172806144 ppf: 1786 ppct: 10 formats: tig: atl: Research and engagement considerations for alcohol use telehealth services within HIV care: a qualitative exploration in federally qualified health centers. aug: au: Scott, Kelli Guy, Arryn A. Zelaya, David G. Surace, Anthony Elwy, A. Rani Keuroghlian, Alex S. Mayer, Kenneth H. Monti, Peter M. Kahler, Christopher W. affil: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA sug: subj: HIV Infections Therapy Alcohol Abuse Therapy Attitude of Health Personnel Evaluation Health Services Accessibility Evaluation Telehealth Utilization Research, Medical Health Care Delivery, Integrated Implementation Science Hospitals, Federal Human United States Qualitative Studies Personnel, Health Facility Psychosocial Factors Content Analysis Referral and Consultation Workflow Healthcare Disparities Personnel Turnover Cultural Competence Alcohol-Related Disorders Therapy ab: The prevalence of alcohol misuse is high among people with HIV (PWH); however, access to and utilization of evidence-based alcohol misuse interventions remain limited. Telehealth is one treatment approach with the potential for enhancing substance use disorder treatment utilization for PWH served by Federally Qualified Health Centers (FQHCs). However, questions remain regarding barriers to alcohol-focused telehealth service integration and telehealth research in FQHCs. This study employed qualitative methods, guided by the Dynamic Sustainability Framework, to evaluate barriers and cultural factors impacting FQHC telehealth integration. Eighteen qualitative interviews were completed with staff and leaders across four FQHCs. Interviews were analyzed using directed content analysis, and codes were organized into a priori and emergent themes. Key themes included the presence of common workflows for referring clients to substance use disorder treatment; existing research workflows and preferences for active project staff involvement; telehealth barriers including exacerbation of healthcare disparities and high provider turnover; and the importance of cultural humility and telehealth adaptations for sexual, gender, racial and ethnic minority clients. Findings from this study will inform the development of an alcohol-focused telehealth implementation strategy for a Hybrid Type 1 implementation effectiveness trial to enhance FQHC substance use disorder treatment. Trial registration: ClinicalTrials.gov identifier: NCT02563574.. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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