title: Veterans' Perspectives on Interventions to Improve Retention in HIV Care.
abstract: Poor retention in HIV medical care is associated with increased mortality among patients with HIV/AIDS. Developing new interventions to improve retention in HIV primary care is needed. The Department of Veteran Affairs (VA) is the largest single provider of HIV care in the US. We sought to understand what veterans would want in an intervention to improve retention in VA HIV care. We conducted 18 one-on-one interviews and 15 outpatient focus groups with 46 patients living with HIV infection from the Michael E. DeBakey VAMC (MEDVAMC). Analysis identified three focus areas for improving retention in care: developing an HIV friendly clinic environment, providing mental health and substance use treatment concurrent with HIV care and encouraging peer support from other Veterans with HIV.
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.
authors.forename: Sophie G
authors.initials: SG
authors.lastname: Minick
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.
authors.forename: Crystal L
authors.initials: CL
authors.lastname: Stafford
authors.affiliation: Infectious Disease Section, Michael E. DeBakey VA Medical Center, Houston, TX, United States of America.
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Kertz
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.
authors.forename: Jeffery A
authors.initials: JA
authors.lastname: Cully
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.
authors.forename: Melinda A
authors.initials: MA
authors.lastname: Stanley
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Davila
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.
authors.forename: Bich N
authors.initials: BN
authors.lastname: Dang
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.|Infectious Disease Section, Michael E. DeBakey VA Medical Center, Houston, TX, United States of America.
authors.forename: Maria C
authors.initials: MC
authors.lastname: Rodriguez-Barradas
authors.affiliation: Houston Center for Innovations in Quality, Safety and Effectiveness, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, United States of America.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Giordano
mesh_terms: D000328:Adult; D000368:Aged; D003695:Delivery of Health Care; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D014481:United States / Q000453:epidemiology; D014728:Veterans; D058014:Veterans Health
references.citation: AIDS Care. 2002 Aug;14 Suppl 1:S31-44
references.pmid: 12204140
references.citation: Public Health Rep. 2004 Jan-Feb;119(1):48-59
references.pmid: 15147649
references.citation: J Ment Health Adm. 1995 Spring;22(2):135-46
references.pmid: 10142127
references.citation: J Gen Intern Med. 1999 May;14(5):267-73
references.pmid: 10337035
references.citation: Psychiatr Serv. 2006 Aug;57(8):1179-84
references.pmid: 16870970
references.citation: Clin Infect Dis. 2007 Jun 1;44(11):1493-9
references.pmid: 17479948
references.citation: Psychiatr Serv. 2007 Jun;58(6):802-9
references.pmid: 17535940
references.citation: AIDS Patient Care STDS. 2007;21 Suppl 1:S20-9
references.pmid: 17563286
references.citation: AIDS Patient Care STDS. 2007;21 Suppl 1:S3-8
references.pmid: 17563287
references.citation: AIDS Patient Care STDS. 2007;21 Suppl 1:S40-8
references.pmid: 17563289
references.citation: Clin Infect Dis. 2009 Jan 15;48(2):248-56
references.pmid: 19072715
references.citation: AIDS Patient Care STDS. 2009 Jan;23(1):41-9
references.pmid: 19055408
references.citation: AIDS Patient Care STDS. 2010 Oct;24(10):607-13
references.pmid: 20858055
references.citation: AIDS Behav. 2011 Nov;15(8):1589-95
references.pmid: 21598034
references.citation: AIDS Patient Care STDS. 2012 Mar;26(3):165-72
references.pmid: 22248331
references.citation: Ann Intern Med. 2012 Jun 5;156(11):817-33, W-284, W-285, W-286, W-287, W-288, W-289, W-290, W-291, W-292, W-293, W-294
references.pmid: 22393036
references.citation: PLoS One. 2012;7(8):e42980
references.pmid: 22912770
references.citation: Clin Infect Dis. 2012 Oct;55(8):1124-34
references.pmid: 22828593
references.citation: AIDS Care. 2013;25(2):202-6
references.pmid: 22708510
references.citation: PLoS One. 2013;8(1):e54729
references.pmid: 23382948
references.citation: PLoS Med. 2013;10(5):e1001447
references.pmid: 23700389
references.citation: Clin Infect Dis. 2013 Oct;57(8):1164-71
references.pmid: 23797289
references.citation: Clin Infect Dis. 2014 Jan;58(1):e1-34
references.pmid: 24235263
references.citation: Clin Infect Dis. 2014 Sep 1;59(5):725-34
references.pmid: 24837481
references.citation: MMWR Morb Mortal Wkly Rep. 2014 Nov 28;63(47):1113-7
references.pmid: 25426654
references.citation: Clin Infect Dis. 2015 Jan 1;60(1):117-25
references.pmid: 25225233
references.citation: J Behav Health Serv Res. 2015 Jan;42(1):109-21
references.pmid: 23657754
references.citation: AIDS Care. 2015;27(11):1387-95
references.pmid: 26679267
references.citation: Aust N Z J Psychiatry. 1999 Oct;33(5):684-93
references.pmid: 10544992
references.citation: Ment Health Serv Res. 2000 Sep;2(3):155-64
references.pmid: 11256724