scholarly journals A framework for community ownership of a text messaging programme to improve adherence to antiretroviral therapy and client-provider communication: a mixed methods study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Lawrence Mbuagbaw ◽  
Renee-Cecile Bonono-Momnougui ◽  
Lehana Thabane ◽  
Charles Kouanfack ◽  
Marek Smieja ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Antiretroviral Therapy ◽  
Text Messaging ◽  
Mixed Methods Study ◽  
Provider Communication ◽  
Community Ownership

A mixed-methods study of adolescent and young adult cancer patient’s preferences for patient navigation services by distance from cancer treatment centers.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 155-155
Author(s):  
Echo L. Warner ◽  
Brynn Fowler ◽  
Samantha Pannier ◽  
Douglas Beaty Fair ◽  
Holly Perlman ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Young Adult ◽  
Cancer Treatment ◽  
Text Messaging ◽  
Patient Navigation ◽  
Travel Distance ◽  
Mixed Methods Study ◽  
Adolescent And Young Adult ◽  
Treatment Center ◽  
Patient Navigator

155 Background: We describe patient navigator preferences for adolescent and young adult (AYA) cancer patients by geographical distance from cancer treatment centers. Methods: In this mixed methods study, N = 39 participants were recruited primarily from oncology clinics in Utah. Participants were diagnosed between ages 15-39 and had completed ≥ 1 month of treatment. Participants were interviewed and surveyed on preferences for patient navigation. Thematic content analysis revealed navigation preferences based on participants’ travel distance from their treatment center, classified as < 20 miles (local) and ≥ 20 miles (distance). Qualitative data was quantized and the proportion of codes in each theme was compared by travel distance using two-tailed z-scores. Results: Mean travel distance to cancer treatment center was 53.5 miles (SD = 77.4); 53.8% of participants were local ( < 20 miles) and 46.2% were distance ( ≥ 20 miles). There were no differences by age or ethnicity. Local patients were less likely to endorse that travel distance was a challenge for their oncology appointments than distance patients (25.0% vs. 75.0%, p = 0.01). Local patients reported a higher proportion of codes (62.5%) related to believing a patient navigator would be helpful to them compared to distance patients (37.5%, p = 0.01). Connecting with a patient navigator at the time of first diagnosis was endorsed by more local patients than distance (66.7% vs. 33.3%, p = 0.01). Local patients reported a greater need for navigation support regarding finances (local 69.6% vs. distance 30.4%, p = < 0.001) and social support (local 87.5% vs. distance 12.5%, p = 0.03). Most participants, regardless of travel distance, desired navigation primarily via telephone (audio and text messaging). Conclusions: While AYAs with cancer living further from their treatment location were more likely to report that travel was a barrier, local AYAs reported more needs related to patient navigation than remote patients. Patient navigators may need to consider different support services for distanced patients including strategies to address geographic barriers to care.

scholarly journals Why are HIV-infected people not started on antiretroviral therapy? A mixed-methods study from Gujarat, India

2017 ◽  
Vol 7 (3) ◽  
pp. 183-192
Author(s):  
S. Chawla ◽  
K. Shringarpure ◽  
B. Modi ◽  
R. Sharma ◽  
B. B. Rewari ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Antiretroviral Therapy ◽  
Mixed Methods Study ◽  
Infected People

scholarly journals What Are the Barriers for Uptake of Antiretroviral Therapy in HIV-Infected Tuberculosis Patients? A Mixed-Methods Study from Ayeyawady Region, Myanmar

2020 ◽  
Vol 5 (1) ◽  
pp. 41
Author(s):  
Naychi Htet Htet Lin Aung ◽  
Kyaw Thu Soe ◽  
Ajay M.V. Kumar ◽  
Saw Saw ◽  
Si Thu Aung
Keyword(s):  
Mixed Methods ◽  
Antiretroviral Therapy ◽  
Cohort Analysis ◽  
Drug Effects ◽  
Feedback Mechanism ◽  
Mixed Methods Study ◽  
Tb Treatment ◽  
Economic Constraints ◽  
Lost To Follow Up ◽  
Hiv Programs

Antiretroviral therapy (ART) coverage among HIV-infected tuberculosis (HIV-TB) patients has been suboptimal in Myanmar and the reasons are unknown. We aimed to assess the ART uptake among HIV-TB patients in public health facilities of Ayeyawady Region from July 2017–June 2018 and explore the barriers for non-initiation of ART. We conducted an explanatory mixed-methods study with a quantitative component (cohort analysis of secondary programme data) followed by a descriptive qualitative component (thematic analysis of in-depth interviews of 22 providers and five patients). Among 12,447 TB patients, 11,057 (89%) were HIV-tested and 627 (5.7%) were HIV-positive. Of 627 HIV-TB patients, 446 (71%) received ART during TB treatment (86 started on ART prior to TB treatment and rest started after TB treatment). Among the 181 patients not started on ART, 60 (33%) died and 41 (23%) were lost-to-follow-up. Patient-related barriers included geographic and economic constraints, poor awareness, denial of HIV status, and fear of adverse drug effects. The health system barriers included limited human resource, provision of ART on ‘fixed’ days only, weaknesses in counselling, referral and feedback mechanism, and clinicians’ reluctance to start ART early due to concerns about immune reconstitution inflammatory syndrome. We urge the national TB and HIV programs to take immediate actions to improve the ART uptake.

scholarly journals A mixed methods study of patient–provider communication about opioid analgesics

2015 ◽  
Vol 98 (4) ◽  
pp. 453-461 ◽  
Author(s):  
Helen Kinsman Hughes ◽  
Philip Todd Korthuis ◽  
Somnath Saha ◽  
Susan Eggly ◽  
Victoria Sharp ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Opioid Analgesics ◽  
Mixed Methods Study ◽  
Provider Communication ◽  
Patient Provider Communication
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