Evidence map›Paper›PMID 30921440›Full record

ArticlePloS one2019

The influence of the 'good' patient ideal on engagement in HIV care.

Kimberly A Koester, Mallory O Johnson, Troy Wood, Rob Fredericksen, Torsten B Neilands, John Sauceda, Heidi M Crane, Michael J Mugavero, Katerina A Christopoulos

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Effective Messages to Reduce Stigma among People Newly Diagnosed with HIV during Rapid ART Initiation.International journal of environmental research and public health · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. The Brief Human Immunodeficiency Virus (HIV) Index: A Rapid 3-Item Scale to Measure Engagement in HIV Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  9. Implementation of Low-Barrier Human Immunodeficiency Virus Care: Lessons Learned From the Max Clinic in Seattle.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Power of Big Data in ending HIV.AIDS (London, England) · 2021
    Article
  16. Review
  17. Measuring engagement in HIV care: Measurement invariance in three racial/ethnic patient groups.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    Article
  18. Article
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

9 authors.

Kimberly A KoesterDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, California, United States of America.
Mallory O JohnsonDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, California, United States of America.
Troy WoodDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, California, United States of America.
Rob FredericksenDepartment of Medicine, University of Washington, Seattle, Washington, United States of America.
Torsten B NeilandsDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, California, United States of America.
John SaucedaDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, California, United States of America.
Heidi M CraneDepartment of Medicine, University of Washington, Seattle, Washington, United States of America.
Michael J MugaveroDepartment of Medicine, University of Alabama, Birmingham, Alabama, United States of America.
Katerina A ChristopoulosDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, California, United States of America.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
John A. Sauceda Research Supplement to Promote Diversity in Health-Related Research to M.O. Johnson's Parent Grant R01 MH102198R01MH102198 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTOPOULOS, KATERINA A, JOHNSON, MALLORY O · 2013 to 2017
$3.5M
NIAID NIH HHS P30 AI027757NIAID NIH HHS P30 AI027763NIMH NIH HHS P30 MH062246NIMH NIH HHS R01 MH102198
6 · The paper itself

Abstract

Research on patient engagement in health care shows that better health outcomes and lower healthcare costs are observed among highly engaged patients. Similar to other illnesses, high levels of patient engagement in HIV care are considered essential to maintaining optimal health, and patients who are on treatment and retained in HIV care are known to have better health outcomes. In this article, we draw on focus group discussion data with patients living with HIV in order to explain tacit expectations associated with engagement in care. The main objective of our research was to elicit an explanatory model of engagement in HIV care from the patients' perspective. We conducted focus group discussions with a sample of two distinct types of patients: those who regularly attended medical appointments and those who did not. In total, we conducted six focus group discussions (n = 43) across in three cities in the US; these included two focus group discussions with a well-engaged and less-well-engaged group in each location. Both types of patients assigned a moral dimension to engagement in care, in that well-engaged patients were considered to be 'good' patients. Aspiring to become a 'good' patient provided a meaningful goal for some and deepened vulnerabilities among patients that struggled to achieve this status. More vulnerable patients may feel less secure in health care interactions and these feelings may be amplified if patients have an unreasonable impression of what constitutes a 'good' patient; thereby leading to disengagement in care. Our findings can inform the development of patient-centered, tailored messages to better serve patients struggling to stay engaged in HIV care.

Indexed as

HIV InfectionsAdaptation, PsychologicalAdultAgedFemaleFocus GroupsHumansMaleMiddle AgedPatient CarePatient ParticipationYoung Adult

Identifiers

PMID30921440
PMCPMC6438522

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.