Evidence map›Paper›PMID 31597497›Full record

ReviewHealth promotion practice2020

Client Perspectives and Experiences With HIV Patient Navigation in the United States: A Qualitative Meta-Synthesis.

Katherine B Roland, Darrel H Higa, Carolyn A Leighton, Yuko Mizuno, Julia B DeLuca, Linda J Koenig

Abstract readReview
In one paragraph

Review in Health promotion practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Exploring Patient Understandings of Navigation Services Within Alberta's Healthcare System: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
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  20. AIDS patient care and STDs · 2021
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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

6 authors.

Katherine B RolandCenters for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0002-6695-6887
Darrel H HigaCenters for Disease Control and Prevention, Atlanta, GA, USA.
Carolyn A LeightonCenters for Disease Control and Prevention, Atlanta, GA, USA.
Yuko MizunoCenters for Disease Control and Prevention, Atlanta, GA, USA.
Julia B DeLucaCenters for Disease Control and Prevention, Atlanta, GA, USA.
Linda J KoenigCenters for Disease Control and Prevention, Atlanta, GA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Patient navigation is increasingly utilized to link and (re)engage persons with HIV to care. Understanding client experiences with HIV patient navigation can facilitate intervention design and translation of evidence to practice. We conducted a qualitative meta-synthesis of client experiences with HIV patient navigation. Data were analyzed using thematic synthesis. We identified seven relevant studies; all collected data via in-depth interviews with persons with HIV who participated in HIV patient navigation. Four interrelated themes emerged from analysis that pertain to (1) the complexity of the health and social service environment and the holistic approaches taken by the navigator, (2) the profound significance of the client-navigator relationship, (3) client reluctance to end the navigation program, and (4) client self-efficacy and feelings of hope and psychological change as a result of their navigation experience. The unifying theme across all studies was the value and impact of the client-navigator relationship on client experience and quality of life. Programs should consider hiring navigators who possess strong relational skills and are peers of the clients, and clearly delineating the role of the navigator. Research should examine the impact of the client-navigator relationship on client outcomes and further investigate how participating in patient navigation affects client self-efficacy, client resiliency, and the role of posttraumatic growth to achieve improved HIV outcomes. This review underscores the significance of the relationship within intensive, multilevel interventions for individuals and communities marginalized and isolated from health and social service systems.

Indexed as

FemaleHIV InfectionsHumansInterviews as TopicPatient NavigationProfessional-Patient RelationsQualitative ResearchQuality of LifeSelf EfficacySocial WorkUnited Stateshealth researchHIV/AIDSlay health advisors/community health workersqualitative research

Identifiers

PMID31597497
PMCPMC6917848

What OpenQuestion holds

Textmetadata
LicenceTDM
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.