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AIDS and Behavior
Published in: AIDS and Behavior 1/2019

01-01-2019 | Original Paper

Lost to Care and Back Again: Patient and Navigator Perspectives on HIV Care Re-engagement

Authors: Heather E. Parnell, Miriam B. Berger, Margaret W. Gichane, Anna F. LeViere, Kristen A. Sullivan, Jacquelyn M. Clymore, Evelyn Byrd Quinlivan

Published in: AIDS and Behavior | Special Issue 1/2019

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Abstract

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.
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Metadata
Title
Lost to Care and Back Again: Patient and Navigator Perspectives on HIV Care Re-engagement
Authors
Heather E. Parnell
Miriam B. Berger
Margaret W. Gichane
Anna F. LeViere
Kristen A. Sullivan
Jacquelyn M. Clymore
Evelyn Byrd Quinlivan
Publication date
01-01-2019
Publisher
Springer US
Published in
AIDS and Behavior / Issue Special Issue 1/2019
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1919-y

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