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Implementation of Client-Centered Care Coordination for HIV Prevention with Black Men Who Have Sex with Men: Activities, Personnel Costs, and Outcomes-HPTN 073
DL. Whitfield, LE. Nelson, A. Komárek, D. Turner, Z. Ni, DT. Boyd, T. Taggart, SR. Ramos, L. Wilton, GG. Beauchamp, L. Hightow-Weidman, SJ. Shoptaw, M. Magnus, KH. Mayer, SD. Fields, DP. Wheeler, H. I. V. Prevention Trials Network (HPTN) 073 Study Team
Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural
Grantová podpora
UM1 AI069424
NIAID NIH HHS - United States
P30 MH062294
NIMH NIH HHS - United States
UL1 TR001863
NCATS NIH HHS - United States
UM1 AI068619
NIAID NIH HHS - United States
UM1 AI068613
NIAID NIH HHS - United States
UM1 AI068617
NIAID NIH HHS - United States
R25 MH067127
NIMH NIH HHS - United States
UM1 AI069412
NIAID NIH HHS - United States
NLK
ProQuest Central
od 2014-03-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest)
od 2014-03-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2014-03-01 do Před 1 rokem
- MeSH
- černoši nebo Afroameričané MeSH
- HIV infekce * psychologie MeSH
- homosexualita mužská MeSH
- lidé MeSH
- sexuální a genderové menšiny * MeSH
- sexuální chování MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Research Support, N.I.H., Extramural MeSH
BACKGROUND: Black men who have sex with men (MSM) experience disproportionate rates of HIV infection in the USA, despite being no more likely to engage in sexual risk behaviors than other MSM racial/ethnic groups. HIV pre-exposure prophylaxis (PrEP) has been shown to reduce risk of HIV acquisition; however, rates of PrEP use among Black MSM remain low. Clinical, psychosocial, and structural factors have been shown to impact PrEP use and adherence among Black MSM. Care coordination of HIV prevention services has the potential to improve PrEP use and adherence for Black MSM, as it has been shown to improve HIV-related care outcomes among people living with HIV. METHODS: Client-centered care coordination (C4) is a multi-level intervention designed to address clinical, psychosocial, and structural barriers to HIV prevention services for Black MSM within HPTN 073, a PrEP demonstration project among Black MSM in three cities in the USA. The current study examined the implementation process of C4, specifically investigating the activities, cost, time, and outcomes associated with the C4 intervention. RESULTS: On average, participants engaged in five care coordination encounters. The vast majority of care coordination activities were conducted by counselors, averaging 30 min per encounter. The cost of care coordination was relatively low with a mean cost of $8.70 per client encounter. CONCLUSION: Although client-centered care coordination was initially implemented in well-resourced communities with robust HIV research and service infrastructure, our findings suggest that C4 can be successfully implemented in resource constrained communities.
College of Nursing University of South Florida Tampa FL USA
College of Social Work The Ohio State University Columbus OH USA
Department of Human Development State University of New York at Binghamton Binghamton NY USA
Department of Social and Behavioral Sciences Yale School of Public Health New Haven CT USA
Faculty of Humanities University of Johannesburg Johannesburg South Africa
Iona College New Rochelle NY USA
Ross and Carol Nese College of Nursing The Pennsylvania State University University Park PA USA
School of Medicine Yale University New Haven CT USA
School of Nursing Yale University New Haven CT USA
School of Social Work University of Maryland Baltimore Baltimore PA USA
Citace poskytuje Crossref.org
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