Developing an Intervention to Retain HIV-infected Veterans in HIV Care
制定干预措施,让感染艾滋病毒的退伍军人继续接受艾滋病毒护理
基本信息
- 批准号:8182121
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2010
- 资助国家:美国
- 起止时间:2010-07-01 至 2014-06-30
- 项目状态:已结题
- 来源:
- 关键词:AIDS/HIV problemAccident and Emergency departmentAdherenceAffectAfrican AmericanAmbulatory CareAppointmentCCRCaringChronicChronic DiseaseClinicalCohort StudiesContinuity of Patient CareDataData SetDatabasesDeveloped CountriesDiagnosisDiseaseEthnic OriginFeedbackGoalsGrantHIVHIV InfectionsHealthHealthcareHealthcare SystemsHepatitis CHighly Active Antiretroviral TherapyHospitalizationImmunologyInfectionInpatientsInterventionLaboratoriesLeadLifeLinkMedicalMedical centerMental disordersMethodsMilitary PersonnelMinority GroupsOutcomeOutpatientsPatientsPatternPersonsPharmacy facilityPopulationPredictive FactorPrimary Health CareProcessProviderQualitative MethodsQualitative ResearchRaceRandomized Controlled TrialsRecruitment ActivityRegistriesResearchResearch MethodologyRestRiskScheduleScienceSolidStagingSuggestionTestingTimeUnited StatesVeteransWorkbasedesignexperienceimprovedmedical appointmentmeetingsmortalityracial and ethnic disparitiestool
项目摘要
Background: The VA is the largest single provider of HIV care in the United States, caring for
about 5% of all HIV-infected persons in care in the US. Modern HIV treatment has transformed
this deadly infection into a treatable chronic condition. To maximally benefit from HIV treatment,
Veterans must navigate a continuum of HIV care. They must be diagnosed at an early stage of
disease, access or link to HIV medical care, and be retained in HIV care, i.e., attend regularly
scheduled medical appointments for the rest of their lives. We have shown that poor retention in
HIV medical care is one of the primary reasons Veterans die of HIV/AIDS today. There are no
proven interventions to better retain people in HIV primary care. Our team has been researching
retention in HIV care for over 7 years.
Objectives: Aim 1: To define where along the continuum of care Veterans with HIV infection
experience the most challenges with retention in HIV care; and to identify where those Veterans
having difficulty with retention in care eventually interface with the VA healthcare system. Aim
2: To identify the predictors of delayed linkage to care and poor retention in HIV care at care
entry and over time, to identify the facilitators and barriers to successfully navigating the
continuum of HIV care, and to identify methods to improve navigation of the continuum of care.
Aim 3: To develop and preliminarily test an intervention to improve retention in HIV care in the
VA. We expect that a reproducible, feasible intervention can be developed and tested.
Methods: To accomplish these aims, we will conduct a variety of studies, both quantitative and
qualitative. We will analyze the VA's Clinical Case Registry HIV (CCR HIV) to complete Aim 1
and part of Aim 2. This dataset is a comprehensive registry of all Veterans with HIV infection
who have used the VA since 1989. We will conduct retrospective cohort studies with this
national dataset. We will use qualitative research methods of Veterans from the Michael E.
DeBakey VA Medical Center and the Birmingham VA Medical Center to complete the remainder
of Aim 2 and Aim 3. The qualitative work will recruit Veterans in outpatient care, most of whom
will have had some episode of poor adherence to appointments. We will also recruit patients
hospitalized with HIV infection, many of whom will be presently out of HIV primary care. We will
ask the Veterans directly for facilitators and barriers to care, suggestions for interventions, and
feedback on possible interventions. These mixed methods will result in a complete picture of the
factors predictive of retention in HIV care so that interventions can be appropriately targeted.
They will also result in a comprehensive understanding of the facilitators and barriers to care,
and the strategies to remedy these problems as recommended by HIV-infected Veterans
themselves. These data will be coalesced and presented to an Advisory Panel, and through an
iterative pilot testing process we will develop a preliminary intervention to improve retention in
HIV primary care. The iterative pilot testing process will again solicit direct feedback from
Veterans on how to maximize the intervention. The intervention developed as a result of this
work will be fully tested and disseminated in subsequent work.
背景:退伍军人事务部是美国最大的艾滋病毒护理提供者,照顾
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Thomas P Giordano其他文献
The New Era of Long-Acting Antiretroviral Therapy: When and Why to Make the Switch
长效抗逆转录病毒治疗的新时代:何时以及为何进行转变
- DOI:
10.1007/s11904-023-00665-x - 发表时间:
2023 - 期刊:
- 影响因子:4.6
- 作者:
Melanie C Goebel;Emmanuel Guajardo;Thomas P Giordano;Shital M Patel - 通讯作者:
Shital M Patel
Thomas P Giordano的其他文献
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{{ truncateString('Thomas P Giordano', 18)}}的其他基金
Wastewater Sampling: A New Tool to Accelerate Ending the HIV Epidemic
废水采样:加速结束艾滋病毒流行的新工具
- 批准号:
10762555 - 财政年份:2023
- 资助金额:
-- - 项目类别:
VA Video Connect to Improve Access to Multi-disciplinary Specialty Care
VA 视频连接可改善获得多学科专业护理的机会
- 批准号:
10329924 - 财政年份:2020
- 资助金额:
-- - 项目类别:
VA Video Connect to Improve Access to Multi-disciplinary Specialty Care
VA 视频连接可改善获得多学科专业护理的机会
- 批准号:
9721402 - 财政年份:2020
- 资助金额:
-- - 项目类别:
VA Video Connect to Improve Access to Multi-disciplinary Specialty Care
VA 视频连接可改善获得多学科专业护理的机会
- 批准号:
10561628 - 财政年份:2020
- 资助金额:
-- - 项目类别:














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