Enhancing patient navigation to improve intervention session attendance and viral load suppression of persons with HIV and substance use: a secondary post hoc analysis of the Project HOPE study
| Autor: | Colin Cunningham, James L. Sorensen, Lauren Gooden, Heather Fitzsimons, Tim Matheson, Maxine L. Stitzer, Alexis S. Hammond, Daniel J. Feaster, Lisa R. Metsch |
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| Rok vydání: | 2016 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty lcsh:Social pathology. Social and public welfare. Criminology Referral Substance-Related Disorders Psychological intervention Contingency management HIV Infections Contingent incentives Session (web analytics) lcsh:HV1-9960 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Post-hoc analysis Patient navigation medicine Humans HIV substance users 0501 psychology and cognitive sciences 030212 general & internal medicine Psychiatry Vial suppression lcsh:R5-920 Motivation business.industry Research 05 social sciences Attendance HIV health care General Medicine Viral Load 3. Good health Session attendance Physical therapy lcsh:Medicine (General) business Viral load |
| Zdroj: | Addiction Science & Clinical Practice Addiction Science & Clinical Practice, Vol 12, Iss 1, Pp 1-6 (2017) |
| ISSN: | 1940-0640 |
| Popis: | Background Interventions are needed to improve viral suppression rates among persons with HIV and substance use. A 3-arm randomized multi-site study (Metsch et al. in JAMA 316:156–70, 2016) was conducted to evaluate the effect on HIV outcomes of usual care referral to HIV and substance use services (N = 253) versus patient navigation delivered alone (PN: N = 266) or together with contingency management (PN + CM; N = 271) that provided financial incentives targeting potential behavioral mediators of viral load suppression. Aims This secondary analysis evaluates the effects of financial incentives on attendance at PN sessions and the relationship between session attendance and viral load suppression at end of the intervention. Methods Frequency of sessions attended was analyzed over time and by distribution of individual session attendance frequency (PN vs PN + CM). Percent virally suppressed (≤200 copies/mL) at 6 months was compared for low, medium and high rate attenders. In PN + CM a total of $220 could be earned for attendance at 11 PN sessions over the 6-month intervention with payments ranging from $10 to $30 under an escalating schedule. Results The majority (74%) of PN-only participants attended 6 or more sessions but only 28% attended 10 or more and 16% attended all eleven sessions. In contrast, 90% of PN + CM attended 6 or more visits, 69% attended 10 or more and 57% attended all eleven sessions (attendance distribution χ2[11] = 105.81; p |
| Databáze: | OpenAIRE |
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