Understanding motivations and resilience-associated factors to promote timely linkage to HIV care
A qualitative study among people living with HIV in western Kenya
Bibliographic Data
Understanding motivations and resilience-associated factors that help people newly diagnosed with HIV link to care is critical in the context of universal test and treat. We analyzed 30 in-depth interviews (IDI) among adults aged 18 and older in western Kenya diagnosed with HIV during home-based counseling and testing and who had linked to HIV care. A directed content analysis was performed, categorizing IDI quotations into a table based on linkage stages for organization and then developing and applying codes from self-determination theory and the concept of resilience. Autonomous motivations, including internalized concerns for one's health and/or to provide care for family, were salient facilitators of accessing care. Controlled forms of motivation, such as fear or external pressure, were less salient. Social support was an important resilience-associated factor fostering linkage. HIV testing and counseling programs which incorporate motivational interviewing that emphasizes motivations related to one's health or family combined with a social support/navigator approach, may promote timely linkage to care
Family medicine · Health care · Interview · Political science · Psychological resilience · Qualitative research · Social support · Sociology · Adolescent Sexual and Reproductive Health · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Social Psychology · Gerontology
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