Evidence map›Paper›PMID 38381949›Full record

ArticleAIDS patient care and STDs2024

Long-Acting Injectable Antiretrovirals for HIV Treatment: A Multi-Site Qualitative Study of Clinic-Level Barriers to Implementation in the United States.

Tara McCrimmon, Lauren F Collins, Amaya Perez-Brumer, Angela R Bazzi, Victoria A Shaffer, Deanna Kerrigan, Maria L Alcaide, Morgan M Philbin

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in AIDS patient care and STDs, 2024. 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
6.2field-weighted citation impact, top 3% 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, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Long-Acting Cabotegravir/Rilpivirine, Lenacapavir, and Ibalizumab Use Among Persons With HIV-1 Viremia at a Ryan White-Funded Clinic in the Urban US South.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Comparison of At-Home Versus In-Clinic Receipt of Long-Acting Injectable Cabotegravir/Rilpivirine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

8 authors at 8 institutions in 2 countries.

Tara McCrimmonDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York, USA.
Lauren F CollinsDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Amaya Perez-BrumerDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Angela R BazziHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, California, USA.
Victoria A ShafferDepartment of Psychological Sciences, University of Missouri, Columbia, Missouri, USA.
Deanna KerriganDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA.
Maria L AlcaideDepartment of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA.
Morgan M PhilbinDivision of Vulnerable Populations, Department of Medicine, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0001-7608-7921
Columbia University · USEmory University · USMilken Institute · USUniversity of California San Diego · USUniversity of California, San Francisco · USUniversity of Miami · USUniversity of Missouri · USUniversity of Toronto · CA

Funding

Optimizing HIV adherence by developing a shared decision support tool to facilitate women's choice between oral and LAI ARTR34MH124552 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PHILBIN, MORGAN MARI · 2021 to 2023
$773k
An EYE toward healthy aging in HIV: building evidence for multimorbidity screening and preventionK23AG084415 · NIA · EMORY UNIVERSITY · PI COLLINS, LAUREN FRANCES · 2023 to 2025
$535k
NHLBI NIH HHS L30 HL159721NIA NIH HHS K23 AG084415NIMH NIH HHS R34 MH124552
6 · The paper itself

Abstract

Long-acting injectable antiretroviral therapy (LAI ART) has the potential to address adherence obstacles associated with daily oral ART, leading to enhanced treatment uptake, adherence, and viral suppression among people living with HIV (PLWH). Yet, its potential may be limited due to ongoing disparities in availability and accessibility. We need a better understanding of the organizational context surrounding the implementation of LAI ART, and to inform its widespread rollout, we conducted 38 in-depth interviews with medical and social service providers who offer HIV care at private and hospital-based clinics across six US cities. Our findings highlight real-world implementation barriers outside of clinical trial settings. Providers described ongoing and anticipated barriers across three stages of LAI ART implementation: (1) Patient enrollment (challenges registering patients and limited insurance coverage), (2) medication delivery (insufficient personnel and resources), and (3) leadership and management (lack of interprofessional coordination and a lack of programming guidelines). Providers described how these barriers would have a disproportionate impact on under-resourced clinics, potentially exacerbating existing disparities in LAI ART access and adherence. Our findings suggest strategies that clinic leadership, policymakers, and other stakeholders can pursue to promote rapid and equitable LAI ART implementation in clinics across the United States. Resource and staffing investments could support clinics to begin, sustain, and scale up LAI ART delivery; additionally, the establishment of guidelines and tools could facilitate wider adoption of LAI ART across clinical settings. These efforts are crucial to promote resourced, standardized, and equitable implementation of LAI ART and maximize its potential to help end the HIV epidemic.

Indexed as

Anti-HIV AgentsHIV InfectionsAnti-Retroviral AgentsHumansQualitative ResearchSurveys and QuestionnairesUnited StatesAnti-HIV AgentsAnti-Retroviral Agentsclinic-level barriersHIV treatmentimplementation sciencelong-acting injectable ARTqualitative

Identifiers

PMID38381949
PMCPMC11250840
OpenAlexW4391993674

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.