Karen E Watkins, Lorilee R Sandmann, Cody Aaron Dailey, Beixi Li, Sung-Eun Yang, Robert S Galen, Reda Sadki
Accelerating problem-solving capacities of sub-national public health professionals: an evaluation of a digital immunization training intervention
BMC health services research
maintaining people living hiv plwhiv clinical care global priority metro detroit area michigan approximately 30 plwhiv care reengage losttofollowup patients wayne health infectious disease clinic launched innovative homecare program 2017 addition home healthcare delivery program included links community resources quarterly community meetings aimed evaluate homecares impact participants ability stay engaged hiv care reach viral suppression included data plwhiv healthcare workers used convergent mixedmethods design including first year program record review semistructured interviews validated likert scale questionnaire rating illness perception homecare interview data collected 15 plwhiv metro detroit two healthcare workers responsible program delivery semistructured interviews focused obstacles clinicbased care support networks illness perceptions interview data transcribed analyzed using thematic approach fully coded analysis used create conceptual framework factors contributing homecares success means eight categories brief illness perception ipq compared using paired ttests first year homecare 28 34 participants 82 became virally suppressed least program offered 1 social support stigma reduction strong relationships healthcare workers 2 removal physical resource barriers transportation 3 positive changes illness perceptions plwhiv worked towards functional coping strategies including improvements emotional regulation acceptance diagnosis positive perspectives control briefipq showed significant changes six domains homecare homecare offers innovative system successfully reengaging maintaining losttofollowup plwhiv care findings implications hiv control efforts could inform development future programs difficult reach populations