HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic Suppression
This study represents one of the few exploring the effectiveness of an integrated HIV nurse navigation program on engagement and virologic outcomes. A navigator provided individualized care management (eg, pillbox renewals), intensive outreach, and collaboration with existing support systems (eg, fa...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-11-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325957417732835 |
| _version_ | 1818456163131326464 |
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| author | Octaviana Hemmy Asamsama PsyD Leah Squires PhD Alpha Tessema RN Ephrem Rae Karen Hall NP Rush Williams PhD Debra Benator MD |
| author_facet | Octaviana Hemmy Asamsama PsyD Leah Squires PhD Alpha Tessema RN Ephrem Rae Karen Hall NP Rush Williams PhD Debra Benator MD |
| author_sort | Octaviana Hemmy Asamsama PsyD |
| collection | DOAJ |
| description | This study represents one of the few exploring the effectiveness of an integrated HIV nurse navigation program on engagement and virologic outcomes. A navigator provided individualized care management (eg, pillbox renewals), intensive outreach, and collaboration with existing support systems (eg, families, community programs). Clinical data from the Veterans Affairs (VA) Medical Center site of a longitudinal, observational study of HIV in the District of Columbia (DC) cohort were used for comparison (N = 706). Navigation patients (n = 84) were less likely to have permanent housing, and more likely to be disabled, have detectable viral load, comorbid depressive, and substance use disorders. Navigation patients showed improvements in clinic visits (doubled), rate of medication renewal (40.91% to 80.61%), CD4 count and CD4%, and viral rates of Veterans with <200 copies/mL increased from 47.6% to 69.0% after one year. Integration of nurse navigation into a HIV primary care setting shows promise in improving engagement and virologic suppression in a high-risk population. |
| first_indexed | 2024-12-14T22:22:18Z |
| format | Article |
| id | doaj.art-7f016d001e4d465a888e15e24a5cae83 |
| institution | Directory Open Access Journal |
| issn | 2325-9574 2325-9582 |
| language | English |
| last_indexed | 2024-12-14T22:22:18Z |
| publishDate | 2017-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-7f016d001e4d465a888e15e24a5cae832022-12-21T22:45:29ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822017-11-011610.1177/2325957417732835HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic SuppressionOctaviana Hemmy Asamsama PsyD0Leah Squires PhD1Alpha Tessema RN2Ephrem Rae3Karen Hall NP4Rush Williams PhD5Debra Benator MD6 Cincinnati VA Medical Center, Cincinnati, OH, USA Washington DC VA Medical Center, Washington DC, USA Washington DC VA Medical Center, Washington DC, USA Yale University, Global Affairs Department, New Haven, CT, USA Durham Veterans Affairs Medical Center, Durham, NC, USA Washington DC VA Medical Center, Washington DC, USA Washington DC VA Medical Center, Washington DC, USAThis study represents one of the few exploring the effectiveness of an integrated HIV nurse navigation program on engagement and virologic outcomes. A navigator provided individualized care management (eg, pillbox renewals), intensive outreach, and collaboration with existing support systems (eg, families, community programs). Clinical data from the Veterans Affairs (VA) Medical Center site of a longitudinal, observational study of HIV in the District of Columbia (DC) cohort were used for comparison (N = 706). Navigation patients (n = 84) were less likely to have permanent housing, and more likely to be disabled, have detectable viral load, comorbid depressive, and substance use disorders. Navigation patients showed improvements in clinic visits (doubled), rate of medication renewal (40.91% to 80.61%), CD4 count and CD4%, and viral rates of Veterans with <200 copies/mL increased from 47.6% to 69.0% after one year. Integration of nurse navigation into a HIV primary care setting shows promise in improving engagement and virologic suppression in a high-risk population.https://doi.org/10.1177/2325957417732835 |
| spellingShingle | Octaviana Hemmy Asamsama PsyD Leah Squires PhD Alpha Tessema RN Ephrem Rae Karen Hall NP Rush Williams PhD Debra Benator MD HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic Suppression Journal of the International Association of Providers of AIDS Care |
| title | HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic Suppression |
| title_full | HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic Suppression |
| title_fullStr | HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic Suppression |
| title_full_unstemmed | HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic Suppression |
| title_short | HIV Nurse Navigation: Charting the Course to Improve Engagement in Care and HIV Virologic Suppression |
| title_sort | hiv nurse navigation charting the course to improve engagement in care and hiv virologic suppression |
| url | https://doi.org/10.1177/2325957417732835 |
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