Article

The promise of outreach for engaging and retaining out-of-care persons in HIV medical care

The Fenway Institute of Fenway Community Health, Boston, Massachusetts, USA.
AIDS PATIENT CARE and STDs (Impact Factor: 3.58). 02/2007; 21 Suppl 1(supplement 1):S85-91. DOI: 10.1089/apc.2007.9983
Source: PubMed

ABSTRACT From the beginning of the HIV/AIDS epidemic, outreach workers have been on the frontlines of HIV prevention, working in community venues to increase knowledge and promote behaviors to reduce HIV transmission. As demographics of the HIV-infected population have changed, the need has grown to locate out-of-care individuals and learn how to engage and retain them in HIV care. Through the Health Resources and Services Administration (HRSA) Special Projects of National Significance (SPNS) Outreach Initiative, 10 sites across the United States implemented and evaluated enhanced outreach models designed to increase engagement and retention in HIV care for underserved, disadvantaged HIV-infected individuals. Although the models differed in response to local needs and organizational characteristics, all made use of a common conceptual framework, and all used the same data collection and reporting protocols. Study teams enrolled and provided behavioral interventions to HIV-infected individuals who have been noticeably absent from research and from practice. Their interventions incorporated coaching, skills-building, and education, and were successful in reducing or removing structural, financial, and personal/cultural barriers that interfered with equitable access to HIV care. Desired outcomes of increased engagement and retention in HIV health care were achieved. Results demonstrate that interventions to promote equitable access to HIV care for disadvantaged population groups can be built from outreach models. Qualitative and quantitative analysis of the multisite data indicates that further development and evaluation of outreach-based interventions will result in effective tools for reaching HIV-infected individuals who would otherwise remain without needed care.

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    • "Peers can effectively reach HIV+ individuals not in care and help facilitate their engagement in HIV and related health care (Bradford, 2007; Cabral et al., 2007; Gwadz et al., 2011; Tobias, Cunninghan, Cunningham, & Pounds, 2007). Peers are effective, in part, through their understanding the targeted group's needs and concerns and offering valuable social support (Whittemore, Rankin, Callahan, Leder, & Carroll, 2000) and improving HIV services utilization (Broadhead et al., 2002; Knowlton, Hua, & Latkin, 2005). "
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    • "565). Cultural competence has been shown to increase engagement and retention rates in a variety of research, treatment, and training environments when information is presented in tailored formats and flexible interactive styles that are acceptable to and effective in reaching the targeted populations (Aktan 1999; Baer et al. 2009; Bradford 2007; Calsyn et al. 2004). "
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    ABSTRACT: The following references constitute the resources used in the preparation of the monograph, Peer-based Addiction Recovery Support: History, Theory, Practice, and Scientific Evaluation by William L. White to be released mid-2009. Copies of the full monograph will be available for purchase or download through the Center for Substance Abuse Treatment's Great Lakes Addiction Technology Transfer Center (www.glattc.org). A.A. guidelines for A.A. members employed in the alcoholism field. (ND). New York: General Service Office, Alcoholics Anonymous. AA volunteers provide support to inpatients. (1982). Alcohol Health and Research World, 6(3), 34-35.
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