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Clinical Encounters and Treatment Initiation for Chronic Hepatitis C Patients

Applications of Adaptive Leadership Framework for Chronic Illness

Bibliographic Data

ID5161847
AuthorsDonald E Bailey (0000-0002-5678-8533, Duke University, corresponding author), Andrew J Muir (0000-0002-0206-1179, Duke University), Judith Adams (0000-0003-0378-2231, University of North Carolina at Greensboro), Judith A Adams, N Marcus Thygeson (0000-0003-3708-938X, Adaptive Health, San Francisco, CA, USA), Hants Williams (0000-0003-1447-2327, VirtualHealth in NY, USA), Michael P Cary (0000-0002-7966-7515, Duke University), Ruth A Anderson (0000-0001-6640-644X, University of North Carolina at Chapel Hill)
Year2019
Volume9
Issue1
Publication date2019-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSAGE Open (JOURNAL)
Journal identifiersISSN: 2158-2440 • E-ISSN: 2158-2440
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/2158244018824461
PMID31903296
OpenAlexW2909653197
LanguageEN
Citations received1
References cited26

Chronic hepatitis C (CHC) is the most common blood-borne infection in the United States. Patients with CHC undergoing treatment face many challenges including adherence to medications and management of symptoms; health care practitioners are well positioned to facilitate patients' ability to address these challenges. We used the Adaptive Leadership for Chronic Illness Framework to investigate the difficulties inherent in affecting behavior change in patients undergoing treatment. We enrolled 11 patient participants and 10 provider participants. We used data from the first clinical encounter between patients and providers during which treatment was discussed. We found examples of adaptive leadership and categorized these behaviors into three themes: support for medication, coping with family/home life, and strategizing to manage employment. We also saw examples of what we termed missed opportunities for adaptive leadership. This study illustrates the contributions of adaptive leadership behaviors by health care providers and the potential risk to patients in their absence

Chronic hepatitis · Health care · Psychiatry · Coaching Methods and Impact · Interprofessional Education and Collaboration · Medicine · Nursing · Primary Care and Health Outcomes · Psychology · Immunology

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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