Disease Intervention Specialist Field Experience in Re-engaging Out-of-Care People with HIV in Project CoRECT: A Mixed Methods Study.
The HIV care continuum is a framework that describes gaps in care engagement for people with HIV (PWH) who know their HIV status, are on antiretroviral therapy, and are virally suppressed. Despite the United Nations' 95 - 95 - 95 targets, significant gaps remain in the United States, driven by PWH w...
| Publicado en: | AIDS & Behavior Vol. 29; no. 8; pp. 2451 - 2461 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2025
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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=187534079&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187534079 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Aug2025 vid: 29 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 187534079 184336953 187534079 187534079 10.1007/s10461-025-04707-w 187534079 ppf: 2451 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Disease Intervention Specialist Field Experience in Re-engaging Out-of-Care People with HIV in Project CoRECT: A Mixed Methods Study. aug: au: Macharaviani, Eteri Altice, Frederick L. Shrestha, Roman Truebig, Janet Carroll, Constance Nichols, Lisa Ahmad, Bachar Copenhaver, Michael Villanueva, Merceditas affil: https://ror.org/03v76x132 Section of Infectious Diseases, AIDS Program, Yale University School of Medicine, New Haven, CT, USA sug: subj: HIV Infections Prevention and Control HIV-Positive Persons Patient Participation Continuity of Patient Care Population Surveillance Contact Tracing Health Personnel Psychosocial Factors Human Funding Source Connecticut Massachusetts Pennsylvania Multimethod Studies Centers for Disease Control and Prevention (U.S.) Public Health Evaluation Anti-Retroviral Agents Health Services Accessibility Secondary Analysis Interviews Descriptive Statistics Homelessness Patient Centered Care Implementation Science ab: The HIV care continuum is a framework that describes gaps in care engagement for people with HIV (PWH) who know their HIV status, are on antiretroviral therapy, and are virally suppressed. Despite the United Nations' 95 - 95 - 95 targets, significant gaps remain in the United States, driven by PWH who are not engaged in care. To evaluate a Data-to-Care strategy to re-engage PWH who recently fell out of care, the Centers for Disease Control and Prevention funded a randomized, controlled trial called the Cooperative Re-Engagement Controlled Trial (CoRECT) was conducted in Connecticut, Massachusetts, and Pennsylvania between 2014 and 2018. Three Disease Intervention Specialists (DIS) were trained to provide a public health intervention that adapted the Anti-Retroviral Treatment and Access to Services (ARTAS) model for re-engaging PWH in care. In this secondary analysis, we examined the implementation processes and field experiences of DIS in Connecticut using an explanatory sequential mixed methods design. Data sources included DIS field notes, an internal database, and in-depth interviews with two DIS. We found that the fidelity to the adapted ARTAS (ARTAS+) varied considerably, barriers to care assessments were completed consistently (95%), and structured interactive sessions were completed less frequently (35%). Qualitative interviews with DIS highlighted the importance of flexibility and rapport-building in re-engagement efforts. Re-engagement efforts were negatively impacted by psychiatric and substance use disorders and homelessness, while patient-reported barriers included time mismanagement, inconvenient clinic operational hours, or not perceiving themselves as sick. The study provides a roadmap for future Data-to-Care implementation efforts and underscores the importance of patient-centered approaches for re-engaging PWH in care. Trial Registration: https://www.clinicaltrials.gov/ with an identifier NCT02693145. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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