权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Identifying Factors to Improve Dental and Mental Health Care among People with HIV

确定改善艾滋病毒感染者牙科和心理保健的因素

基本信息

批准号：
10906440
负责人：
LARRY K BROWN
金额：
$ 77.35万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-22 至 2024-09-21
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10906440
关键词：
Acquired Immunodeficiency Syndrome Adherence Adoption Anxiety Behavior assessment Behavioral Boston Bruxism Candidiasis Caregiver Burden Caring Clinic Clinical Communicable Diseases Cross-Sectional Studies Data Dental Dental Care Dental Clinics Dental Hygiene Dental caries Dentists Discrimination Disease Drug Prescriptions Dysplasia Effectiveness Evaluation Focus Groups Food Fright HIV HIV/AIDS Health Health Care Costs Health Personnel Healthcare Hemorrhage Impairment Individual Interview Lead Leukoplakia Longitudinal Studies Maps Mental Depression Mental Health Services Mental disorders Methods Modeling Morbidity - disease rate Mucous Membrane Nature Oral Oral health Oral mucous membrane structure Outcome Participant Patients Periodontal Diseases Periodontitis Persons Pharmaceutical Preparations Provider Psychiatric therapeutic procedure Quality of life Recommendation Research Salivary Gland Diseases Social support Structure Substance Use Disorder Surveys Symptoms System Time Tooth Attrition Tooth Loss Ulcer Validation Viral Load result Work Xerostomia acceptability and feasibility barrier to care behavioral health care coordination care providers cost craving future implementation illicit drug use implementation intervention implementation strategy improved member mortality neglect oral condition oral lesion prevent programs prospective protective factors psychiatric symptom response screening social social stigma substance misuse substance use substance use treatment system-level barriers

项目摘要

Project Summary Identifying Factors to Improve Dental and Mental Health Care among People with HIV Impaired oral health and psychiatric disorders, including substance use, disproportionally impact people with HIV and AIDS (PWH). Conditions such as dental caries, salivary gland disease, ulcers, periodontitis, leukoplakia, and candidiasis are associated with HIV and can negatively impact quality of life. Depression, anxiety, substance use and other psychiatric disorders in PWH are also associated with more dental problems and unmet oral health needs. In addition, patient, provider, and system barriers interfere with the receipt of oral health care for PWH. HIV care, behavioral health care, and dental care are largely siloed, making it difficult for different health care clinics and different professionals to work together to provide coordinated care. There is great need to investigate further how individual and system-level barriers, behavioral health, and oral health intersect for PWH. In response to RFA-DE-23-002, this proposed project will conduct biannual assessments over two years of 400 PWH, from the Providence/Boston Center for AIDS Research HIV clinics, to identify modifiable individual and system-level barriers and facilitators for engagement and adherence in oral, HIV, and behavioral health care. Associations of longitudinal changes in oral, behavioral, and HIV symptoms and their relationships with barriers and facilitators will also be examined. In addition, in-depth interviews with 40 PWH from the longitudinal study, and 20 health care workers (from dental, behavioral, and HIV clinical settings) will provide further details on the nature of the barriers and facilitators to care, and suggest opportunities for improvement. Using this combined quantitative and qualitative data, strategies will be selected for clinic-based programs to improve oral and behavioral health care among PWH. Member checking, also known as participant validation, will examine the feasibility and acceptability of the selected strategies and actions through focus groups with 20 PWH from the longitudinal study and 10 health care workers from dental, behavioral, and HIV clinical settings. This will be one the largest, in-depth, prospective assessments to date of oral health among PWH that assesses behavioral health and other factors that directly influence oral health outcomes. These results will directly inform a research agenda beyond this study to improve oral and behavioral health among PWH.

项目总结