Characteristics of Out-of-Care Patients Who Required a Referral for Re-engagement Services by Public Health Bridge Counselors Following a Brief Clinic-Based Retention Intervention

Nada Fadul, Sarah J. Willis, Jenna Donovan, Aimee Wilkin, Amy Durr Heine, Anna LeViere, Ciarra Dortche, Evelyn Byrd Quinlivan

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

The NC-LINK Project initiated both clinic-based retention services and state public health bridge counselor-based (SBCs) re-engagement services to retain and re-engage people living with HIV infection (PLWH) in care. The goal of this project is to compare efforts between clinic-based retention and SBC re-engagement services to determine whether patients are more or less likely to remain in HIV care services. Clinic appointment data were used to identify patients who were last seen more than 6–9 months prior. Patients either received clinic-based retention services only or were subsequently referred to the SBC re-engagement intervention if the retention services were unsuccessful. The frequency of re-engagement in care (180 days) and HIV suppression (VLS, within 1 year) was examined for patients in these two groups. The SBC group was less likely to have VLS at the visit prior to referral (adjusted OR 2.04, 95% CI 1.53, 2.72). Patients who were referred to the SBC were less likely to re-engage in care within 180 days as compared to those who received clinic-based retention services only (adjusted OR 0.29, 95% CI 0.21, 0.41).

Original languageEnglish (US)
Pages (from-to)52-60
Number of pages9
JournalAIDS and Behavior
Volume23
DOIs
StatePublished - Jan 15 2019
Externally publishedYes

Keywords

  • HIV care
  • Out-of-care
  • Patient care
  • Re-engagement
  • Retention in care

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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