An Adherence-Focused Case Management Intervention for HIV-Positive Patients in a Public Care Setting

Publisher Website
Google Scholar
Abstract
An adherence-focused case management intervention was evaluated in 84 public clinic patients in Los Angeles County, California, and included weekly contact with a paraprofessional case manager development of an individualized highly-active antiretroviral therapy (HAART) adherence support plan, and referrals to ancillary services. Participants were primarily Latino (65%) or African American (25%); male (74%); monolingual Spanish-speakers (57%) with annual incomes under $10,000 (65%). Participants were in the intervention for a median of 26 weeks; attended 67% of appointments; participated in an average of 9 hours of case management; and each visit averaged 23 minutes. Seventy-two percent of the goals established at baseline were achieved and 74% of referrals were completed. The most common goals were related to adherence (16%), housing (12%), or nutrition (12%). Self-reported adherence to HAART was no different for intervention participants compared to those in standard case management at 6 months. These data suggest that an adherence-focused case management program was effective in achieving established goals and referrals. In addition, the existing provider and standard case management adherence support appears sufficient to sustain adherence in this public clinic population.

This publication has 0 references indexed in Scilit: