دورية أكاديمية
Acceptability, feasibility, and pilot results of the tele-harm reduction intervention for rapid initiation of antiretrovirals among people who inject drugs.
| العنوان: | Acceptability, feasibility, and pilot results of the tele-harm reduction intervention for rapid initiation of antiretrovirals among people who inject drugs. |
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| المؤلفون: | Tookes, Hansel E, Bartholomew, Tyler S, Suarez, Edward, Ekowo, Elisha, Ginoza, Margaret, Forrest, David W, Serota, David P, Rodriguez, Allan, Kolber, Michael A, Feaster, Daniel J, Mooss, Angela, Boyd, Derek, Sternberg, Candice, Metsch, Lisa R |
| بيانات النشر: | Elsevier Science |
| سنة النشر: | 2021 |
| المجموعة: | National Documentation Centre on Drug Use |
| مصطلحات موضوعية: | Substance use harm reduction, Communicable / infectious disease control, Telehealth / Telemedicine / mHealth / eHealth, Person who injects drugs (Intravenous / injecting), United States |
| الوصف: | BACKGROUND: People who inject drugs (PWID) have been a marginalized and a stigmatized population since the beginning of the AIDS epidemic and have not experienced the same life-changing benefits of antiretroviral therapy as others. Tele-Harm Reduction (THR) is a telehealth-enhanced, harm reduction intervention, delivered within a trusted SSP venue. It aims to facilitate initiation of care and achieve rapid HIV viral suppression among PWID living with HIV. METHODS: In this mixed-methods study, we employed the Practical, Robust, Implementation and Sustainability Model (PRISM) implementation science framework to identify multilevel barriers and facilitators to implementing the THR intervention. Focus groups (n = 2, 16 participants), stakeholder interviews (n = 7) and in-depth interviews were conducted with PWID living with HIV (n = 25). In addition, to assess feasibility and acceptability, we pilot tested the THR intervention and reported viral suppression at 6 months. RESULTS: Focus groups and stakeholder interviews revealed system and organizational level barriers to implementation including requirements for identification and in person visits, waiting times, stigma, case management inexperience, multiple electronic health records, and billing. A potential facilitator was using telehealth for case management and initial provider visit. In the in depth interviews conducted with PWID living with HIV, participants expressed that the SSP creates a convenient, comfortable, confidential environment for delivering multiple, non-stigmatizing PWID-specific services. 35 PWID living with HIV were enrolled in the pilot study, 35 initiated antiretroviral therapy, and 25 (78.1%) were virally suppressed at six months. CONCLUSION: Rooted in harm reduction, the THR intervention shows promise in being an acceptable and feasible intervention that may facilitate engagement in HIV care and viral suppression among PWID. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| العلاقة: | Tookes, Hansel E and Bartholomew, Tyler S and Suarez, Edward and Ekowo, Elisha and Ginoza, Margaret and Forrest, David W and Serota, David P and Rodriguez, Allan and Kolber, Michael A and Feaster, Daniel J and Mooss, Angela and Boyd, Derek and Sternberg, Candice and Metsch, Lisa R (2021) Acceptability, feasibility, and pilot results of the tele-harm reduction intervention for rapid initiation of antiretrovirals among people who inject drugs. Drug and Alcohol Dependence, 229, (Pt A), p. 109124. doi:10.1016/j.drugalcdep.2021.109124. |
| DOI: | 10.1016/j.drugalcdep.2021.109124 |
| الإتاحة: | https://doi.org/10.1016/j.drugalcdep.2021.109124Test https://www.drugsandalcohol.ie/35621Test/ https://www.sciencedirect.com/science/article/pii/S0376871621006190?via%3DihubTest |
| رقم الانضمام: | edsbas.E28D8BEB |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.drugalcdep.2021.109124 |
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