Participants' perspectives on improving retention in HIV care after hospitalization: A post-study qualitative investigation of the MAPPS study

PloS One
Sophie G MinickThomas P Giordano

Abstract

Few interventions have been shown to improve retention in HIV care. We recently completed a randomized, controlled trial of a peer mentoring intervention, which failed to increase retention in care or HIV suppression. We sought to gain insight into this negative result and elicit suggestions for future interventions. We conducted semi-structured one-on-one interviews with a sub-sample of participants and all available interventionists after completion of the primary study. Interviews were coded by two researchers and thematically analyzed. Participants in the intervention arm (N = 16) reported good rapport with and benefit from peer mentoring and found the mentors helpful in facilitating the transition from hospital to out-patient clinic. Control arm participants (N = 9) reported similar emotional and social support benefits from the health educators. In both arms, ongoing challenges including completing paperwork, securing transportation, and rescheduling missed appointments were cited, along with internalized stigma and lack of will to seek care, despite the mentors' best efforts. Suggested improvements to the intervention included: more frequent contact with interventionists; additional support for mental health problems; an...Continue Reading

References

Jul 19, 2006·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Jeffrey D FisherJennifer J Harman
Oct 8, 2008·Current HIV/AIDS Reports·Jeffrey D FisherJennifer J Harman
Sep 23, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Michael J MugaveroMichael S Saag
May 20, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lytt I GardnerUNKNOWN Retention in Care Study Group
Sep 17, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Rupali Kotwal DoshiLaura W Cheever
May 25, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Thomas P GiordanoMelinda Stanley

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Citations

Oct 30, 2019·Open Forum Infectious Diseases·Lottie HaachambwaMichael J Vinikoor

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Clinical Trials Mentioned

NCT01103856

Software Mentioned

Atlas ti
MAPPS
RESPECT

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