Lost to Care and Back Again: Patient and Navigator Perspectives on HIV Care Re-engagement

  • Heather E. Parnell
  • Miriam B. Berger
  • Margaret W. Gichane
  • Anna F. LeViere
  • Kristen A. Sullivan
  • Jacquelyn M. Clymore
  • Evelyn Byrd Quinlivan
Original Paper

Abstract

Engagement in HIV care is critical to achieve viral suppression and ultimately improve health outcomes for people living with HIV (PLWH). However, maintaining their engagement in care is often a challenging goal. Utilizing patient navigators, trained in an adapted ARTAS intervention, to help re-engage out-of-care PLWH has proven to be a valuable resource. This qualitative study describes the encounters between PLWH (n = 11) and their care re-engagement navigators (n = 9). Participants were interviewed in-person; interviews were transcribed and analyzed using the strengths model of case management. PLWH shared how working with navigators increased their motivation to return to HIV care and assisted them to overcome barriers that were a hindrance to care engagement. Navigators described a strengths-based approach to working with their clients, thus helping facilitate PLWH care re-engagement goals and successes. Results from this study may inform the development of effective HIV navigation programs to re-engage out-of-care PLWH, often the hardest-to-engage.

Keywords

HIV/AIDS Retention Re-engagement Patients Health providers Strengths model of case management Navigators 

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Heather E. Parnell
    • 1
  • Miriam B. Berger
    • 1
  • Margaret W. Gichane
    • 2
  • Anna F. LeViere
    • 4
  • Kristen A. Sullivan
    • 1
  • Jacquelyn M. Clymore
    • 3
  • Evelyn Byrd Quinlivan
    • 4
  1. 1.Center for Health Policy and Inequalities Research, Duke Global Health InstituteDuke UniversityDurhamUSA
  2. 2.School of Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  3. 3.Division of Public Health, Communicable Disease BranchNorth Carolina Department of Health and Human ServicesRaleighUSA
  4. 4.Institute for Global Health and Infectious Diseases, UNC Center for AIDS ResearchUniversity of North Carolina at Chapel HillChapel HillUSA

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