Patient Perspectives on Rapid Antiretroviral Treatment Initiation for HIV: Implications for Best Practices.
Rapid start of antiretroviral therapy (ART) has been recommended by the World Health Organization since 2017 and is an important approach toward optimizing HIV care. Our objective was to understand the experiences of people with HIV (PWH) undergoing rapid start and to synthesize lessons learned to i...
| Publicado en: | AIDS Patient Care & STDs Vol. 39; no. 10; pp. 405 - 418 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Oct2025
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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=188654669&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188654669 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10872914 33C jtl: AIDS Patient Care & STDs issn: 10872914 maglogo: N pubinfo: dt: Oct2025 vid: 39 iid: 10 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 188654669 188654669 188654669 10.1177/10872914251364667 188654669 ppf: 405 ppct: 13 formats: tig: atl: Patient Perspectives on Rapid Antiretroviral Treatment Initiation for HIV: Implications for Best Practices. aug: au: Lee, Trevor Nijhawan, Ank E. Tiruneh, Yordanos M. Chow, Jeremy Y. affil: Anne Burnett Marion School of Medicine, Texas Christian University, Fort Worth, Texas, USA. sug: subj: Patient Attitudes Evaluation HIV Infections Drug Therapy Anti-HIV Agents Therapeutic Use Funding Source Texas Human Safety-Net Providers Multimethod Studies Questionnaires Semi-Structured Interview Thematic Analysis Cultural Competence Patient Centered Care Implementation Science Heterosexuality HIV Infections Transmission Disease Transmission Risk Factors Descriptive Statistics Shame Anger Adult Middle Age Support, Psychosocial Scales Adult: 19-44 years Middle Aged: 45-64 years ab: Rapid start of antiretroviral therapy (ART) has been recommended by the World Health Organization since 2017 and is an important approach toward optimizing HIV care. Our objective was to understand the experiences of people with HIV (PWH) undergoing rapid start and to synthesize lessons learned to improve our program. This mixed-methods study recruited newly diagnosed patients establishing care at an urban safety-net clinic in Dallas, TX, between 2021 and 2022. Eligible PWH were ART-naïve and diagnosed with HIV within 12 months prior to the rapid start visit. Participants completed baseline and follow-up surveys 3–12 months after enrollment. A subset of participants completed semi-structured interviews to capture their experiences with HIV and elucidate barriers and facilitators to rapid start. Interviews were evaluated using thematic analysis. Qualitative and quantitative findings were integrated to develop best practices. In total, 199 participants (35.5 ± 11.6 years; 73.9% men; 39.7% Black; 48.7% Hispanic; 38.2% heterosexual risk transmission of HIV) participated in the study. Completed surveys and interviews (n = 20) centered around five themes: (1) social and emotional needs, (2) patient-centered approach, (3) cultural competence, (4) structural navigation, and (5) longitudinal support. Key elements of a rapid start program include evaluating and fostering support networks; emphasizing patient-centered care like tailored education on HIV; acknowledging distinctive cultural values and behaviors of the patients; improving structural factors, including support for insurance issues; and strengthening longitudinal support past the rapid start visit. Such lessons can serve as a blueprint for other practices, particularly in the US South, looking to establish or strengthen rapid start programs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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