IMPROVING LINKAGE TO, AND RETENTION IN, HIV CARE IN NORTH CAROLINA: VIRTUAL AND IN-PERSON HOME VISITS AS AN ALTERNATIVE MODEL OF CARE DELIVERY
The NC state-bridge Counsellor system has improved initial linkages and patient re-engagement. However, for a sizable group of patients, challenges remain for the current system in engaging hard-to-reach lost-to-care patients. This study aims to reach patients in their comfort zone by going to provide care to them in their homes or virtually and re-engage them in clinical care. Primary outcomes of the study include clinic appointments made and attended, viral load, medication adherence, and incident STD compared to patients re-engaged in care through standard SBC protocols. Implementation outcomes will assess intervention feasibility, acceptability and fidelity using standard process measures such as patient satisfaction.
Study participants include 15-20 HIV positive adult patients at Southeastern Regional Area Health Education Center (SRAHEC) clinic and the Wake County Health Department HIV clinic. Ten clinical providers FROM SRAHEC will also participate. The Outreach Nurse (ORN) will meet the patient in the community or virtually and perform a limited history and physical, draw blood for labs, obtain self-collected STD specimens, and begin any required paperwork for clinic eligibility and medication.
The ORN will also provide educational intervention about importance of treatment, discuss control measures and contact information for re-engagement. She will schedule a follow-up appointment for the patient in the field OR in the clinic within 10 days of the initial visit. The ORN may schedule up to four follow-up field appointments per patient over 6 months, as needed.
- Successfully re-engage patients into care through the State Bridge Counsellor Program with the ORN as a direct clinical liaison.
Dr. Christopher Sellers
Dr. Carol Golin
Patient homes, community venues and Southeastern Regional Area Health Education Center Clinic and Wake County Health Department HIV clinic
May 2019 – March 2022
Retention in Care and Adherence
In collaboration with investigators at the University Medical University of South Carolina (MUSC) Infectious Disease Clinic, this study determined the capacity to text and video conference with HIV-infected persons cared for at MUSC to improve linkage to care, retention in care, and patient satisfaction.
This study aims to determine whether using a concierge ‘ride-sharing’ service (i.e., Lyft) increases the likelihood that HIV patients with transportation barriers will be retained in care and will also assess patients’ satisfaction with the concierge Lyft service.
Retention and Reengagement in Care of PLHIV Through Physician and Media Delivered U=U Retention in Care Education in Arizona
To aid future research on the effectiveness of the U=U message campaign as a clinical intervention, the aim of this project is to evaluate the effectiveness of a clinic-delivered media campaign of the U=U message.
NP-GBL-HVU-WCNT- 210053 | March 2022
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