Using Causal Bayesian Networks to Assess the Role of Patient-Centered Care and Psychosocial Factors on Durable HIV Viral Suppression.

Autor: Trepka MJ; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, 11200 SW 8th Street, Miami, FL, 33199, USA. trepkam@fiu.edu.; Research Center for Minority Institutions, Florida International University, Miami, FL, USA. trepkam@fiu.edu., Gong Z; Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA., Ward MK; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, 11200 SW 8th Street, Miami, FL, 33199, USA.; Research Center for Minority Institutions, Florida International University, Miami, FL, USA., Fennie KP; Division of Natural Sciences, New College of Florida, Sarasota, FL, USA., Sheehan DM; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, 11200 SW 8th Street, Miami, FL, 33199, USA.; Research Center for Minority Institutions, Florida International University, Miami, FL, USA., Jean-Gilles M; Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA., Devieux J; Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA., Ibañez GE; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, 11200 SW 8th Street, Miami, FL, 33199, USA., Gwanzura T; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, 11200 SW 8th Street, Miami, FL, 33199, USA., Nawfal ES; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, 11200 SW 8th Street, Miami, FL, 33199, USA., Gray A; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, AHC 5, 11200 SW 8th Street, Miami, FL, 33199, USA., Beach MC; Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, USA., Ladner R; Behavioral Science Research Corporation, Coral Gables, FL, USA., Yoo C; Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Jun; Vol. 28 (6), pp. 2113-2130. Date of Electronic Publication: 2024 Apr 04.
DOI: 10.1007/s10461-024-04310-5
Abstrakt: We assessed the role of patient-centered care on durable viral suppression (i.e., all viral load test results < 200 copies per ml during 2019) by conducting a retrospective cohort study of clients medically case managed by the Miami-Dade County Ryan White Program (RWP). Summary measures of patient-centered care practices of RWP-affiliated providers were obtained from a survey of 1352 clients. Bayesian network models analyzed the complex relationship between psychosocial and patient-centered care factors. Of 5037 clients, 4135 (82.1%) had durable viral suppression. Household income was the factor most strongly associated with durable viral suppression. Further, mean healthcare relationship score and mean "provider knows patient as a person" score were both associated with durable viral suppression. Healthcare relationship score moderated the association between low household income and lack of durable viral suppression. Although patient-centered care supports patient HIV care success, wrap around support is also needed for people with unmet psychosocial needs.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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