The ART of conversation: Feasibility and acceptability of a pilot peer intervention to help transition complex HIV-positive people from hospital to community

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dc.contributor.authorEaton, Andrew
dc.date.accessioned2022-04-29T15:37:29Z
dc.date.available2022-04-29T15:37:29Z
dc.date.issued2019-03-30
dc.description© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.en_US
dc.description.abstractObjectives To pilot a peer-based intervention for people living with HIV who used substances, had challenges with antiretroviral adherence and would be discharged from hospital to community. Study design A community-based, quasi-experimental pilot intervention study designed to assess feasibility, acceptability and connection to a community-based HIV organisation. Setting This study was conducted in Toronto, Canada, at Casey House (CH; hospital for people living with HIV) in collaboration with the AIDS Committee of Toronto (ACT; community-based HIV organisation). Participants People living with HIV who were CH inpatient between 1 April 2017 and 31 March 2018, struggled with antiretroviral adherence, actively used substances and would be discharged to community were eligible. Forty people met criteria, 19 were approached by an inpatient nurse and 17 consented. Average age was 48.8 years (SD=11.4), 58.8% were male and participants averaged 7.8 physical and mental health comorbidities (SD=3.1). Intervention Titled ’The ART of Conversation', the three-pronged personalised intervention was developed through input from CH clients and ACT volunteers, all living with HIV. Intervention components were (a) predischarge goal-setting (adherence, substance use and self-identified goal) with the study nurse; (b) predischarge meeting with an HIV+ peer volunteer (PV) and (c) nine postdischarge phone calls between PV and participant, once per day for 3 days, then once per week for 6 weeks. Primary outcomes Feasibility was measured through proportion of eligible participants recruited and PV availability. Acceptability was assessed through participant interviews at three times (preintervention, post-intervention and 6 weeks follow-up) and through PV call logs. Client records determined connection to ACT within the study timeframe. Results Twelve participants completed the intervention and nine connected with ACT. Predischarge goal-setting and PV meeting were both feasible and acceptable. Postdischarge phone calls were a challenge as half of completers missed at least one call. Conclusions Although predischarge goal-setting and PV meeting were feasible, methods to maintain connection following discharge require further investigation.en_US
dc.description.authorstatusFacultyen_US
dc.description.peerreviewyesen_US
dc.identifier.citationEaton AD, Chan Carusone S, Craig SL, et al The ART of conversation: feasibility and acceptability of a pilot peer intervention to help transition complex HIV-positive people from hospital to community BMJ Open 2019;9:e026674. doi: 10.1136/bmjopen-2018-026674en_US
dc.identifier.doihttps://bmjopen.bmj.com/content/9/3/e026674.citation-tools
dc.identifier.urihttps://hdl.handle.net/10294/14840
dc.language.isoenen_US
dc.publisherBMJ Openen_US
dc.rightsAttribution Non Commercial 4.0*
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.titleThe ART of conversation: Feasibility and acceptability of a pilot peer intervention to help transition complex HIV-positive people from hospital to communityen_US
dc.typeArticleen_US
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