Evidence map›Paper›PMID 39365989›Full record

ArticleJMIR formative research2024

Tailoring HIV Care for Black Populations: A Pilot Feasibility Prospective Cohort Study.

BreAnne Young, Olveen Carrasquillo, Deborah L Jones, Yue Pan, Sonjia Kenya

Abstract read
In one paragraph

Article in JMIR formative research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

5 authors.

BreAnne YoungDepartment of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States.ORCID 0000-0002-9034-3095
Olveen CarrasquilloClinical and Translational Science Institute, University of Miami Miller School of Medicine, Miami, FL, United States.ORCID 0000-0002-6524-7878
Deborah L JonesDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States.ORCID 0000-0002-4106-8891
Yue PanDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, United States.ORCID 0000-0001-9586-0975
Sonjia KenyaDepartment of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States.ORCID 0000-0002-3959-9706

Funding

Integrated Navigation Services for Treatment Adherence, Counseling, and Research (INSTACARE)R01MD018187 · NIMHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Sonjia Kenya · 2022 to 2026
$3.6M
Integrated Navigation Services for Treatment Adherence, Counseling, and Research (INSTACARE).R56NR019755 · NINR · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI KENYA, SONJIA · 2020 to 2020
$250k
NIMHD NIH HHS R01 MD018187NINR NIH HHS R56 NR019755
6 · The paper itself

Abstract

backgroundResearch has shown that integrating community health workers (CHWs) into the formal health care system can improve outcomes for people living with HIV, yet there is limited literature exploring this framework among marginalized minority populations.

objectiveHerein, we discuss the feasibility of a clinic-embedded CHW strategy to improve antiretroviral therapy adherence among Black people living with HIV in Miami-Dade County, Florida, a designated priority region for the US Department of Health and Human Services' Ending the HIV Epidemic Initiative.

methodsFrom December 2022 to September 2023, three CHWs were trained and integrated into the hospital workflow to provide support as members of the clinical team. Ten Black adults with an HIV viral load over 200 copies/mL were enrolled to received 3 months of CHW support focused on navigating the health system and addressing poor social determinants of health. Intervention feasibility was based on 4 criteria: recruitment rate, demographic composition, study fidelity, and qualitative feedback on CHW perceptions.

resultsParticipants were recruited at a rate of 5.7 participants per month, with the sample evenly distributed between men and women. Retention was moderately strong, with 7 (70%) of the 10 participants attending more than 75% of CHW sessions. Qualitative feedback reflected CHW perceptions on clinical interactions and intervention length.

conclusionsOutcomes indicate that a clinic-integrated CHW approach is a feasible and acceptable methodology to address adverse social determinants and improve HIV treatment adherence. By offering targeted social and clinical support, CHWs may be a promising solution to achieve sustained viral suppression and care engagement for Black people living with HIV.

Indexed as

Black or African AmericanCommunity Health WorkersFeasibility StudiesHIV InfectionsAdultCohort StudiesFemaleFloridaHumansMaleMedication AdherenceMiddle AgedPilot ProjectsProspective StudiesAfrican AmericanAIDSBlackcare continuumCHWscommunity health workersfeasibilityHIVHIV disparitieshuman immunodeficiency virussocial determinants of healthsocial disparitysocial factorsocial inequalitysocial inequitysociety

Identifiers

PMID39365989
PMCPMC11489798

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.