Evidence map›Paper›PMID 28981336›Full record

ArticleAIDS patient care and STDs2017

Fostering a "Feeling of Worth" Among Vulnerable HIV Populations: The Role of Linkage to Care Specialists.

Michelle R Broaddus, Jill Owczarzak, Casey Schumann, Kimberly A Koester

Open access · greenAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 21 citations in OpenAlex.

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  13. Improving Timely Linkage to Care among Newly Diagnosed HIV-Infected Youth: Results of SMILE.Journal of urban health : bulletin of the New York Academy of Medicine · 2019
    Article
  14. Ten Things We Need to Do to Achieve the Goals of the End the HIV Epidemic Plan for America.Journal of acquired immune deficiency syndromes (1999) · 2019
    Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Michelle R Broaddus1 Center for AIDS Intervention Research , Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Jill Owczarzak2 Bloomberg School of Public Health, Department of Health, Behavior, and Society, Johns Hopkins University , Baltimore, Maryland.
Casey Schumann3 AIDS/HIV Program , Wisconsin Department of Health Services, Madison, Wisconsin.
Kimberly A Koester4 Center for AIDS Prevention Studies, University of California , Department of Medicine, San Francisco, San Francisco, California.
Johns Hopkins University · USMedical College of Wisconsin · USSan Francisco AIDS Foundation · USWisconsin Department of Health Services · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
QUANTITATIVE COREP30MH052776 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI MCAULIFFE, TIMOTHY L · 1994 to 2018
$33.2M
NIMH NIH HHS P30 MH052776NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

To address barriers to adequate engagement in medical care among people living with HIV, Wisconsin's AIDS/HIV Program created a new position, the Linkage to Care (LTC) Specialist. Specialists provide intensive, short-term case management and patient navigation services for small caseloads of individuals at high risk of disengaging with medical care. Clients are eligible if they are newly diagnosed with HIV or new to medical care, recently released from incarceration, recently out of care, nonadherent to scheduled medical care visits, or have detectable viral load while in care. Interviews with 30 clients of Specialists were conducted to understand experiences with the program and medical care. Common themes included the ability of Specialists to navigate complex systems of care and support services, the unique role Specialists played in their clients' lives, and the challenges of transitioning out of the program. Although the primary goal of Specialists is to address barriers to medical care, they often adopted a holistic approach that also included housing, financial assistance, and other social determinants of health. Descriptions of the Specialist's role in implementation manuals focus on their functional roles and the services provided. However, clients often discussed the emotional support they received, especially for clients without strong social support networks. Many clients also desired an ongoing relationship with their Specialists even after discharge, but had been able to establish independence and self-efficacy. The LTC Specialists are resource-intensive considering their small caseloads, but fill an important gap in existing, often overtaxed case management systems.

Indexed as

Case ManagementPatient NavigationVulnerable PopulationsCounselingEmotionsFemaleHIV InfectionsHumansInterviews as TopicMaleMotivationPatient DischargeProgram EvaluationQualitative ResearchSocial SupportSpecializationcase managementmedical care engagementpatient navigationpeople living with HIV

Identifiers

PMID28981336
PMCPMC5650712
OpenAlexW2761682810

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.