Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV care
Background Despite advances in HIV treatment, gaps in care retention threaten the individual health of people with HIV (people) and public health efforts to end the HIV epidemic. Objective This project aimed to identify and address gaps in retention and support re-engagement in care. Methods A multi...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | HIV Research & Clinical Practice |
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| Online Access: | http://dx.doi.org/10.1080/25787489.2025.2455814 |
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| author | Ellen Eaton Claudia T. Martorell Jewel Sawyer Tanya S. Schreibman Gregory S. Felzien Jenniffer Meza Jimenez Chelsie Anderson Chadha Jeffrey Carter Chris Napolitan Laura Simone Leah Molloy Bonnie Douglas |
| author_facet | Ellen Eaton Claudia T. Martorell Jewel Sawyer Tanya S. Schreibman Gregory S. Felzien Jenniffer Meza Jimenez Chelsie Anderson Chadha Jeffrey Carter Chris Napolitan Laura Simone Leah Molloy Bonnie Douglas |
| author_sort | Ellen Eaton |
| collection | DOAJ |
| description | Background Despite advances in HIV treatment, gaps in care retention threaten the individual health of people with HIV (people) and public health efforts to end the HIV epidemic. Objective This project aimed to identify and address gaps in retention and support re-engagement in care. Methods A multipronged initiative at five community HIV clinics and community-based organizations (CBOs) included patient, healthcare professional (HCP), and community-focused interventions. Patient-oriented interventions included instructional videos for patients to view before appointments and conversation guides about barriers to care for patients to use with staff during appointments. HCP-oriented interventions included baseline surveys assessing clinic practices and challenges and audit-feedback sessions to review survey findings and devise plans to improve retention strategies. Community-oriented interventions included education sessions co-led by clinics and CBOs, micro-learning engagements at community events, and social media campaigns covering topics related to HIV care. Data were collected through surveys administered before and after patient- and HCP-oriented interventions and community education sessions, follow-up surveys administered after micro-learning engagements, and reach of social media campaigns. Results Patient-oriented interventions led to improvements in patient-reported empowerment and confidence in their ability to remain in care. HCPs also reported improvements in patient intake and follow-up processes after audit-feedback sessions. Community interventions reached over 1,000 community members combined, with education sessions and micro-learning engagements uncovering key barriers to HIV care and leading to improvements in knowledge and awareness of local HIV services. Conclusion This multipronged initiative demonstrates how patient, HCP, and community-oriented education can support retention and re-engagement in care. |
| format | Article |
| id | doaj-art-d2ff7a6bf5d84e598386d9c9a0e3a37a |
| institution | Kabale University |
| issn | 2578-7470 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | HIV Research & Clinical Practice |
| spelling | doaj-art-d2ff7a6bf5d84e598386d9c9a0e3a37a2025-02-05T12:46:15ZengTaylor & Francis GroupHIV Research & Clinical Practice2578-74702025-12-0126110.1080/25787489.2025.24558142455814Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV careEllen Eaton0Claudia T. Martorell1Jewel Sawyer2Tanya S. Schreibman3Gregory S. Felzien4Jenniffer Meza Jimenez5Chelsie Anderson Chadha6Jeffrey Carter7Chris Napolitan8Laura Simone9Leah Molloy10Bonnie Douglas11Division of Infectious Diseases, University of Alabama, BirminghamInfectious Disease and The Research InstituteAvitaCare AtlantaCAN Community HealthPositive Impact Health CentersPRIME EducationPRIME EducationPRIME EducationPRIME EducationPRIME EducationPRIME EducationPRIME EducationBackground Despite advances in HIV treatment, gaps in care retention threaten the individual health of people with HIV (people) and public health efforts to end the HIV epidemic. Objective This project aimed to identify and address gaps in retention and support re-engagement in care. Methods A multipronged initiative at five community HIV clinics and community-based organizations (CBOs) included patient, healthcare professional (HCP), and community-focused interventions. Patient-oriented interventions included instructional videos for patients to view before appointments and conversation guides about barriers to care for patients to use with staff during appointments. HCP-oriented interventions included baseline surveys assessing clinic practices and challenges and audit-feedback sessions to review survey findings and devise plans to improve retention strategies. Community-oriented interventions included education sessions co-led by clinics and CBOs, micro-learning engagements at community events, and social media campaigns covering topics related to HIV care. Data were collected through surveys administered before and after patient- and HCP-oriented interventions and community education sessions, follow-up surveys administered after micro-learning engagements, and reach of social media campaigns. Results Patient-oriented interventions led to improvements in patient-reported empowerment and confidence in their ability to remain in care. HCPs also reported improvements in patient intake and follow-up processes after audit-feedback sessions. Community interventions reached over 1,000 community members combined, with education sessions and micro-learning engagements uncovering key barriers to HIV care and leading to improvements in knowledge and awareness of local HIV services. Conclusion This multipronged initiative demonstrates how patient, HCP, and community-oriented education can support retention and re-engagement in care.http://dx.doi.org/10.1080/25787489.2025.2455814hiv carepatient retentionre-engagement in carecommunity hiv educationclinic – community partnerships |
| spellingShingle | Ellen Eaton Claudia T. Martorell Jewel Sawyer Tanya S. Schreibman Gregory S. Felzien Jenniffer Meza Jimenez Chelsie Anderson Chadha Jeffrey Carter Chris Napolitan Laura Simone Leah Molloy Bonnie Douglas Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV care HIV Research & Clinical Practice hiv care patient retention re-engagement in care community hiv education clinic – community partnerships |
| title | Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV care |
| title_full | Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV care |
| title_fullStr | Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV care |
| title_full_unstemmed | Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV care |
| title_short | Impacts of a multipronged initiative with community HIV clinics to support retention and re-engagement in HIV care |
| title_sort | impacts of a multipronged initiative with community hiv clinics to support retention and re engagement in hiv care |
| topic | hiv care patient retention re-engagement in care community hiv education clinic – community partnerships |
| url | http://dx.doi.org/10.1080/25787489.2025.2455814 |
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