Center for Health Policy and Inequalities Research, Duke Global Health Institute, Duke University, Durham, NC, USA.
School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
AIDS Behav. 2019 Jan;23(Suppl 1):61-69. doi: 10.1007/s10461-017-1919-y.
Engagement in HIV care is critical to achieve viral suppression and ultimately improve health outcomes for people living with HIV (PLWH). However, maintaining their engagement in care is often a challenging goal. Utilizing patient navigators, trained in an adapted ARTAS intervention, to help re-engage out-of-care PLWH has proven to be a valuable resource. This qualitative study describes the encounters between PLWH (n = 11) and their care re-engagement navigators (n = 9). Participants were interviewed in-person; interviews were transcribed and analyzed using the strengths model of case management. PLWH shared how working with navigators increased their motivation to return to HIV care and assisted them to overcome barriers that were a hindrance to care engagement. Navigators described a strengths-based approach to working with their clients, thus helping facilitate PLWH care re-engagement goals and successes. Results from this study may inform the development of effective HIV navigation programs to re-engage out-of-care PLWH, often the hardest-to-engage.
参与艾滋病护理对于实现病毒抑制，最终改善艾滋病毒感染者（PLWH）的健康结果至关重要。然而，维持他们的护理参与通常是一个具有挑战性的目标。利用经过改编的 ARTAS 干预措施培训的患者导航员来帮助重新参与脱离护理的 PLWH 已被证明是一种有价值的资源。这项定性研究描述了 PLWH（n=11）与他们的护理重新参与导航员（n=9）之间的接触。参与者接受了面对面访谈；访谈使用案例管理的优势模型进行转录和分析。PLWH 分享了与导航员合作如何增加他们返回艾滋病护理的动机，并帮助他们克服了阻碍护理参与的障碍。导航员描述了一种基于优势的方法来与他们的客户合作，从而帮助促进 PLWH 护理重新参与的目标和成功。本研究的结果可能为制定有效的 HIV 导航计划提供信息，以重新参与脱离护理的 PLWH，他们通常是最难参与的人群。
