Moving Beyond Viral Suppression: Strengthening the Community HIV Workforce to Improve Empowerment and Reduce Stigma in the Memphis Transitional Grant Area.

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2025-04-01 Epub Date: 2025-02-24 DOI:10.1097/JAC.0000000000000521
Serena Rajabiun, Noelle Wiggins, Abigail Smack, Xiyuan Zhang, Brandon Bernard Williams, Robin Lennon-Dearing
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引用次数: 0

Abstract

Community health worker (CHW) integration into the health care team has been identified as an important strategy for engaging people living with HIV in care and treatment. The content and methodology for training influences the way CHWs work with clients. Our study describes the impact of a community-driven CHW and supervisor training program on client viral suppression, retention in care, and psychosocial outcomes. We conducted a single arm, pretest-posttest study of 45 clients of CHWs who participated in a training intervention from 2021 to 2022 in eight counties in the southern United States. We found significant improvements in viral suppression and empowerment, and reductions in stigma and unmet service needs. Providing training to CHWs and supervisors, using a participatory methodology and content designed to enhance integration in the care team can improve psychosocial outcomes for clients, including increased empowerment and reduced stigma.

社区保健员(CHW)融入医疗团队已被确定为让艾滋病病毒感染者参与护理和治疗的重要策略。培训的内容和方法会影响社区保健员与客户合作的方式。我们的研究描述了社区驱动的 CHW 和主管培训项目对客户病毒抑制、继续接受护理和社会心理结果的影响。我们对美国南部 8 个县参加 2021 年至 2022 年培训干预的 45 名社区保健工作者的客户进行了单臂、前测-后测研究。我们发现,在病毒抑制和赋权方面有了明显改善,耻辱感和未满足的服务需求也有所减少。为社区保健工作者和主管提供培训,采用参与式方法和旨在加强护理团队整合的内容,可以改善客户的社会心理成果,包括增强能力和减少污名化。
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来源期刊
JOURNAL OF AMBULATORY CARE MANAGEMENT
JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.10
自引率
4.30%
发文量
65
期刊介绍: The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.
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