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Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV

BACKGROUND AND OBJECTIVES: Over 50% of New Yorkers living with human immunodeficiency virus (HIV) are 50 years old or older, and the emotional and physical consequences of being a long-term survivor are significant. This study aimed to identify the practical needs of long-term survivors and older pe...

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Autores principales: Brown, Maria T, Wikiera, John, Albarran, Marz, Partap, Angie, Ahmed, Courtney, Brock, Victoria, Beard, Sheriden, Siegler, Eugenia L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629937/
https://www.ncbi.nlm.nih.gov/pubmed/37941828
http://dx.doi.org/10.1093/geroni/igad107
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author Brown, Maria T
Wikiera, John
Albarran, Marz
Partap, Angie
Ahmed, Courtney
Brock, Victoria
Beard, Sheriden
Siegler, Eugenia L
author_facet Brown, Maria T
Wikiera, John
Albarran, Marz
Partap, Angie
Ahmed, Courtney
Brock, Victoria
Beard, Sheriden
Siegler, Eugenia L
author_sort Brown, Maria T
collection PubMed
description BACKGROUND AND OBJECTIVES: Over 50% of New Yorkers living with human immunodeficiency virus (HIV) are 50 years old or older, and the emotional and physical consequences of being a long-term survivor are significant. This study aimed to identify the practical needs of long-term survivors and older people with HIV (consumers) in New York State and develop recommendations addressing those needs. RESEARCH DESIGN AND METHODS: The HIV + Aging/LTS/Perinatally Diagnosed Subcommittee of the Consumer Advisory and Quality Advisory committees in the New York State AIDS Institute used community-based participatory research (CBPR) methods to design a statewide survey about the care needs of consumers in New York State. This survey, open to consumers, clinicians, and supportive services providers, was launched in June 2021 using Qualtrics. Participants provided demographic data and chose the 3 most important barriers and recommendations from each of 10 categories of issues affecting health care and supportive services. Consumers provided information about their HIV diagnosis and other health conditions. Responses were characterized using basic descriptive statistics. RESULTS: Participants included 124 consumers from 26 counties, 20 clinicians, and 24 supportive service providers. Among consumers, 67% were cisgender men, 27% were African American, and 65% were both long-term survivors and older people with HIV. On average consumers had been diagnosed with HIV for 27 years. Participants were concerned with clinical care coordination, housing needs, cultural representation in mental health services, and financial support of consumers. DISCUSSION AND IMPLICATIONS: CBPR is an effective approach to developing consumer-generated recommendations to improve HIV care for long-term survivors and older people with HIV. Town hall formats informed survey design, enabled broad coverage of topics, and ensured that focus remained on priorities most important to consumers. The first quality initiative arising from the study was a routine screening of long-term survivors of HIV to identify functional decline and enhance referral pathways and care linkages.
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spelling pubmed-106299372023-11-08 Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV Brown, Maria T Wikiera, John Albarran, Marz Partap, Angie Ahmed, Courtney Brock, Victoria Beard, Sheriden Siegler, Eugenia L Innov Aging Original Research Article BACKGROUND AND OBJECTIVES: Over 50% of New Yorkers living with human immunodeficiency virus (HIV) are 50 years old or older, and the emotional and physical consequences of being a long-term survivor are significant. This study aimed to identify the practical needs of long-term survivors and older people with HIV (consumers) in New York State and develop recommendations addressing those needs. RESEARCH DESIGN AND METHODS: The HIV + Aging/LTS/Perinatally Diagnosed Subcommittee of the Consumer Advisory and Quality Advisory committees in the New York State AIDS Institute used community-based participatory research (CBPR) methods to design a statewide survey about the care needs of consumers in New York State. This survey, open to consumers, clinicians, and supportive services providers, was launched in June 2021 using Qualtrics. Participants provided demographic data and chose the 3 most important barriers and recommendations from each of 10 categories of issues affecting health care and supportive services. Consumers provided information about their HIV diagnosis and other health conditions. Responses were characterized using basic descriptive statistics. RESULTS: Participants included 124 consumers from 26 counties, 20 clinicians, and 24 supportive service providers. Among consumers, 67% were cisgender men, 27% were African American, and 65% were both long-term survivors and older people with HIV. On average consumers had been diagnosed with HIV for 27 years. Participants were concerned with clinical care coordination, housing needs, cultural representation in mental health services, and financial support of consumers. DISCUSSION AND IMPLICATIONS: CBPR is an effective approach to developing consumer-generated recommendations to improve HIV care for long-term survivors and older people with HIV. Town hall formats informed survey design, enabled broad coverage of topics, and ensured that focus remained on priorities most important to consumers. The first quality initiative arising from the study was a routine screening of long-term survivors of HIV to identify functional decline and enhance referral pathways and care linkages. Oxford University Press 2023-09-25 /pmc/articles/PMC10629937/ /pubmed/37941828 http://dx.doi.org/10.1093/geroni/igad107 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Article
Brown, Maria T
Wikiera, John
Albarran, Marz
Partap, Angie
Ahmed, Courtney
Brock, Victoria
Beard, Sheriden
Siegler, Eugenia L
Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV
title Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV
title_full Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV
title_fullStr Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV
title_full_unstemmed Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV
title_short Using Community-Based Participatory Research to Develop Care Recommendations for People Aging With HIV
title_sort using community-based participatory research to develop care recommendations for people aging with hiv
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629937/
https://www.ncbi.nlm.nih.gov/pubmed/37941828
http://dx.doi.org/10.1093/geroni/igad107
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