Improving HIV/Aids care through treatment advocacy
Going beyond client education to empowerment by facilitating client–provider relationships
Bibliographic Data
| ID | 19439222 |
|---|---|
| Authors | Matt G Mutchler (0000-0003-2510-0262, California State University System, corresponding author), Glenn J Wagner (0000-0001-9081-3299, RAND Corporation), Glenn Wagner (c RAND , Santa Monica , CA , USA), Burt O Cowgill (University of California System), Tara Mckay (0000-0001-5076-6483, b Community Based Research , AIDS Project Los Angeles , Los Angeles , CA , USA), Brian Risley (0000-0001-8682-7583, f Treatment Education , AIDS Project Los Angeles , Los Angeles , CA , USA), Laura M Bogart (0000-0003-3182-5542, Harvard Medical School) |
| Year | 2011 |
| Volume | 23 |
| Issue | 1 |
| Pages | 79-90 |
| Publication date | 2011-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2010.496847 |
| PMID | 21218280 |
| OpenAlex | W1981346299 |
| Language | EN |
| Citations received | 14 |
| References cited | 34 |
Treatment advocacy (TA) programs have been implemented by AIDS service organizations (ASOs) and primary care clinics across the USA to help engage clients with HIV into care and support their adherence to antiretroviral therapy (ART). TA aims to empower people with HIV through education and client-centered counseling regarding HIV, ART, and other health issues; advocate on behalf of patients with providers; and make referrals to healthcare services and clinical trials. However, relatively little is known about the impact TA has on clients' healthcare experiences. The present study's objectives included exploring how TA services help clients engage in HIV care, initiate ART, and adhere to HIV medications. We conducted 25 semi-structured qualitative open-ended interviews with clients living with HIV/AIDS recruited from AIDS Project Los Angeles (APLA); four HIV medical providers; and two TA staff at APLA. Of the 25 clients interviewed, 92% were male and 8% were female. The average age was 43 years (SD=9). About 60% were African-American, 20% were White, 12% were other or multiracial, 4% were Latino, and 4% were Asian/Pacific Islander. Five interconnected themes consistently emerged across clients, TAs, and providers. TAs helped clients understand treatments and supported adherence within a holistic context. Further, TAs acted as a bridge to providers and helped clients build self-advocacy skills. Our data show that TA services go beyond traditional areas of education and treatment adherence. TA services within an ASO also provide a safe place to discuss initial HIV diagnoses and other health issues in a more comprehensive manner. TA services complemented medical and other social services by preparing clients with HIV to be better consumers of healthcare services. Future quantitative research examining the effectiveness of TA on improving clients' engagement in care and adherence is a critical next step
Business · Empowerment · Family medicine · Health care · Political science · Qualitative research · Service provider · Sociology · HIV, Drug Use, Sexual Risk · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medicine · Nursing
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| Citations per year | 1 |
|---|---|
| Citation span | 2012 - 2025 (14) |
| Highly cited | No |