Outreach program contacts: Do they increase the likelihood of engagement and retention in HIV primary care for hard-to-reach patients?

Howard J. Cabral, Carol Tobias, Serena Rajabiun, Nancy Sohler, Chinazo O. Cunningham, Mitchell Wong, William Cunningham

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Engagement in HIV primary care and the receipt of antiretroviral therapy when clinically indicated offers patients the opportunity to experience HIV disease as a chronic illness. Yet many people, particularly those with comorbid mental health or substance abuse conditions and those who face multiple barriers to care, cycle in and out of care and thus can not reap the life-prolonging benefits of antiretroviral therapy. Although there is evidence about the impact of different interventions on adherence to HIV medications, there is little information about the impact of interventions on engagement or retention in HIV primary care among the hard-to-reach. In this multisite, national study, we contribute new information by exploring the relationship between outreach program contacts and retention in care over a 12-month period among participants in a demonstration project to promote engagement and retention in HIV primary care. We found that when participants received nine or more contacts during the first 3 months of their programs, they were about half as likely to have a substantial gap (defined as 4 months or more) in primary care during the first 12 months of follow-up. This finding remained after controlling for baseline CD4 count. These findings can be used to improve the effectiveness of programs to increase engagement and retention in HIV primary care among the hard-to-reach.

Original languageEnglish (US)
JournalAIDS Patient Care and STDs
Volume21
Issue numberSUPPL. 1
DOIs
StatePublished - Jun 2007

Fingerprint

Primary Health Care
HIV
Program Evaluation
CD4 Lymphocyte Count
Substance-Related Disorders
Mental Health
Chronic Disease
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Outreach program contacts : Do they increase the likelihood of engagement and retention in HIV primary care for hard-to-reach patients? / Cabral, Howard J.; Tobias, Carol; Rajabiun, Serena; Sohler, Nancy; Cunningham, Chinazo O.; Wong, Mitchell; Cunningham, William.

In: AIDS Patient Care and STDs, Vol. 21, No. SUPPL. 1, 06.2007.

Research output: Contribution to journalArticle

Cabral, Howard J. ; Tobias, Carol ; Rajabiun, Serena ; Sohler, Nancy ; Cunningham, Chinazo O. ; Wong, Mitchell ; Cunningham, William. / Outreach program contacts : Do they increase the likelihood of engagement and retention in HIV primary care for hard-to-reach patients?. In: AIDS Patient Care and STDs. 2007 ; Vol. 21, No. SUPPL. 1.
@article{b297149d80784db29651f048ec7b03f9,
title = "Outreach program contacts: Do they increase the likelihood of engagement and retention in HIV primary care for hard-to-reach patients?",
abstract = "Engagement in HIV primary care and the receipt of antiretroviral therapy when clinically indicated offers patients the opportunity to experience HIV disease as a chronic illness. Yet many people, particularly those with comorbid mental health or substance abuse conditions and those who face multiple barriers to care, cycle in and out of care and thus can not reap the life-prolonging benefits of antiretroviral therapy. Although there is evidence about the impact of different interventions on adherence to HIV medications, there is little information about the impact of interventions on engagement or retention in HIV primary care among the hard-to-reach. In this multisite, national study, we contribute new information by exploring the relationship between outreach program contacts and retention in care over a 12-month period among participants in a demonstration project to promote engagement and retention in HIV primary care. We found that when participants received nine or more contacts during the first 3 months of their programs, they were about half as likely to have a substantial gap (defined as 4 months or more) in primary care during the first 12 months of follow-up. This finding remained after controlling for baseline CD4 count. These findings can be used to improve the effectiveness of programs to increase engagement and retention in HIV primary care among the hard-to-reach.",
author = "Cabral, {Howard J.} and Carol Tobias and Serena Rajabiun and Nancy Sohler and Cunningham, {Chinazo O.} and Mitchell Wong and William Cunningham",
year = "2007",
month = "6",
doi = "10.1089/apc.2007.9986",
language = "English (US)",
volume = "21",
journal = "AIDS Patient Care and STDs",
issn = "1087-2914",
publisher = "Mary Ann Liebert Inc.",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Outreach program contacts

T2 - Do they increase the likelihood of engagement and retention in HIV primary care for hard-to-reach patients?

AU - Cabral, Howard J.

AU - Tobias, Carol

AU - Rajabiun, Serena

AU - Sohler, Nancy

AU - Cunningham, Chinazo O.

AU - Wong, Mitchell

AU - Cunningham, William

PY - 2007/6

Y1 - 2007/6

N2 - Engagement in HIV primary care and the receipt of antiretroviral therapy when clinically indicated offers patients the opportunity to experience HIV disease as a chronic illness. Yet many people, particularly those with comorbid mental health or substance abuse conditions and those who face multiple barriers to care, cycle in and out of care and thus can not reap the life-prolonging benefits of antiretroviral therapy. Although there is evidence about the impact of different interventions on adherence to HIV medications, there is little information about the impact of interventions on engagement or retention in HIV primary care among the hard-to-reach. In this multisite, national study, we contribute new information by exploring the relationship between outreach program contacts and retention in care over a 12-month period among participants in a demonstration project to promote engagement and retention in HIV primary care. We found that when participants received nine or more contacts during the first 3 months of their programs, they were about half as likely to have a substantial gap (defined as 4 months or more) in primary care during the first 12 months of follow-up. This finding remained after controlling for baseline CD4 count. These findings can be used to improve the effectiveness of programs to increase engagement and retention in HIV primary care among the hard-to-reach.

AB - Engagement in HIV primary care and the receipt of antiretroviral therapy when clinically indicated offers patients the opportunity to experience HIV disease as a chronic illness. Yet many people, particularly those with comorbid mental health or substance abuse conditions and those who face multiple barriers to care, cycle in and out of care and thus can not reap the life-prolonging benefits of antiretroviral therapy. Although there is evidence about the impact of different interventions on adherence to HIV medications, there is little information about the impact of interventions on engagement or retention in HIV primary care among the hard-to-reach. In this multisite, national study, we contribute new information by exploring the relationship between outreach program contacts and retention in care over a 12-month period among participants in a demonstration project to promote engagement and retention in HIV primary care. We found that when participants received nine or more contacts during the first 3 months of their programs, they were about half as likely to have a substantial gap (defined as 4 months or more) in primary care during the first 12 months of follow-up. This finding remained after controlling for baseline CD4 count. These findings can be used to improve the effectiveness of programs to increase engagement and retention in HIV primary care among the hard-to-reach.

UR - http://www.scopus.com/inward/record.url?scp=34250806508&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34250806508&partnerID=8YFLogxK

U2 - 10.1089/apc.2007.9986

DO - 10.1089/apc.2007.9986

M3 - Article

C2 - 17563291

AN - SCOPUS:34250806508

VL - 21

JO - AIDS Patient Care and STDs

JF - AIDS Patient Care and STDs

SN - 1087-2914

IS - SUPPL. 1

ER -