Details:

Alternative Title:
Health Promot Pract
Personal Author:
Roland, Katherine B. ; Higa, Darrel H. ; Leighton, Carolyn A. ; Mizuno, Yuko ; DeLuca, Julia B. ; ... More +
Roland, Katherine B. ; Higa, Darrel H. ; Leighton, Carolyn A. ; Mizuno, Yuko ; DeLuca, Julia B. ; Koenig, Linda J. Less -
Description:
Patient navigation is increasingly utilized to link and (re)engage persons with HIV to care. Understanding client experiences with HIV patient navigation can facilitate intervention design and translation of evidence to practice. We conducted a qualitative meta-synthesis of client experiences with HIV patient navigation. Data were analyzed using thematic synthesis. We identified seven relevant studies; all collected data via in-depth interviews with persons with HIV who participated in HIV patient navigation. Four interrelated themes emerged from analysis that pertain to (1) the complexity of the health and social service environment and the holistic approaches taken by the navigator, (2) the profound significance of the client-navigator relationship, (3) client reluctance to end the navigation program, and (4) client self-efficacy and feelings of hope and psychological change as a result of their navigation experience. The unifying theme across all studies was the value and impact of the client-navigator relationship on client experience and quality of life. Programs should consider hiring navigators who possess strong relational skills and are peers of the clients, and clearly delineating the role of the navigator. Research should examine the impact of the client-navigator relationship on client outcomes and further investigate how participating in patient navigation affects client self-efficacy, client resiliency, and the role of posttraumatic growth to achieve improved HIV outcomes. This review underscores the significance of the relationship within intensive, multilevel interventions for individuals and communities marginalized and isolated from health and social service systems.
Subjects:
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Female HIV Infections Humans Interviews As Topic Patient Navigation Professional-Patient Relations Qualitative Research Quality Of Life Self Efficacy Social Work
Source:
Health Promot Pract. 21(1):25-36
Pubmed ID:
31597497
Pubmed Central ID:
PMC6917848
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2cffc4bf5a039967382e26af706138c49175101cab652de74e28bb6d7d8ed382
Download URL:
https://stacks.cdc.gov/view/cdc/83666/cdc_83666_DS1.pdf
File Type:

Supporting Files

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