Randomized Community Trial Comparing Telephone versus Clinic‐Based Behavioral Health Counseling for People Living with HIV in a Rural Setting

2021 ◽  
Author(s):  
Seth C. Kalichman ◽  
Harold Katner ◽  
Lisa A. Eaton ◽  
Marnie Hill ◽  
Wendy Ewing ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Rural Setting ◽  
People Living With Hiv ◽  
Health Counseling ◽  
Behavioral Health Counseling ◽  
Living With Hiv ◽  
Community Trial

scholarly journals Comparative effects of telephone versus in-office behavioral counseling to improve HIV treatment outcomes among people living with HIV in a rural setting

2020 ◽  
Author(s):  
Seth C Kalichman ◽  
Harold Katner ◽  
Lisa A Eaton ◽  
Ellen Banas ◽  
Marnie Hill ◽  
...  
Keyword(s):  
Treatment Adherence ◽  
Self Regulation ◽  
Hiv Treatment ◽  
People Living With Hiv ◽  
Evidence Based ◽  
Health Counseling ◽  
Behavioral Health Counseling ◽  
Hiv Treatment Outcomes ◽  
Living With Hiv ◽  
Delivery Formats

Abstract With the expansion of telehealth services, there is a need for evidence-based treatment adherence interventions that can be delivered remotely to people living with HIV. Evidence-based behavioral health counseling can be delivered via telephone, as well as in-office services. However, there is limited research on counseling delivery formats and their differential outcomes. The purpose of this study was to conduct a head-to-head comparison of behavioral self-regulation counseling delivered by telephone versus behavioral self-regulation counseling delivered by in-office sessions to improve HIV treatment outcomes. Patients (N = 251) deemed at risk for discontinuing care and treatment failure living in a rural area of the southeastern USA were referred by their care provider. The trial implemented a Wennberg Randomized Preferential Design to rigorously test: (a) patient preference and (b) comparative effects on patient retention in care and treatment adherence. There was a clear patient preference for telephone-delivered counseling (69%) over in-office-delivered counseling (31%) and participants who received telephone counseling completed a greater number of sessions. There were few differences between the two intervention delivery formats on clinical appointment attendance, antiretroviral adherence, and HIV viral load. Overall improvements in health outcomes were not observed across delivery formats. Telephone-delivered counseling did show somewhat greater benefit for improving depression symptoms, whereas in-office services demonstrated greater benefits for reducing alcohol use. These results encourage offering most patients the choice of telephone and in-office behavioral health counseling and suggest that more intensive interventions may be needed to improve clinical outcomes for people living with HIV who may be at risk for discontinuing care or experiencing HIV treatment failure.

Telephone-delivered behavioral health interventions for people living with HIV: patients’ perspectives from a qualitative study

AIDS Care ◽  
2020 ◽  
pp. 1-4
Author(s):  
Eugene M. Dunne ◽  
Rochelle K. Rosen ◽  
Carla Rich ◽  
Alyssa L. Norris ◽  
Elena Salmoirago-Blotcher ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Behavioral Health ◽  
Health Interventions ◽  
People Living With Hiv ◽  
Hiv Patients ◽  
Living With Hiv

417 A RANDOMIZED, PROSPECTIVE INTERVENTION SUGGESTS POSITIVE ROLE OF BEHAVIORAL HEALTH COUNSELING IN RECURRENT STONE FORMERS

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Eric R. Neumaier ◽  
Lori L. DuBenske ◽  
William T. Hoyt ◽  
Stephen Y. Nakada ◽  
Kristina L. Penniston
Keyword(s):  
Behavioral Health ◽  
Positive Role ◽  
Health Counseling ◽  
Stone Formers ◽  
Recurrent Stone ◽  
Behavioral Health Counseling ◽  
Recurrent Stone Formers

Exploring national trends of patient- and family-centered care among US children

2018 ◽  
Vol 23 (2) ◽  
pp. 200-212 ◽  
Author(s):  
Andrew C Anderson ◽  
Ellesse Akre ◽  
Jie Chen
Keyword(s):  
Behavioral Health ◽  
Patient Empowerment ◽  
Patient Communication ◽  
High Quality ◽  
Health Counseling ◽  
Physician Patient Communication ◽  
Centered Care ◽  
Behavioral Health Counseling ◽  
National Trends ◽  
Physician Patient

We explored national trends in the receipt of high-quality patient–physician communication and patient empowerment through behavioral health counseling among children in the United States. We used data from the Medical Expenditure Panel Survey from 2010 to 2014. We employed two measures of patient- and family-centered care (PFCC): (1) a composite measure of high-quality patient–physician communication ( n = 34,629) and (2) patient empowerment through behavioral health counseling about healthy eating ( n = 36,527) and exercise ( n = 38,318). We used multivariate logistic regression models to estimate the variation of receiving PFCC by social determinants of health over time. Rates of receiving behavioral health counseling about healthy eating (53–60%) and exercise (37–42%) were lower than the rate of receiving high-quality physician–patient communication (92–93%). Parents were significantly more likely to report receiving high-quality physician–patient communication in 2014 than in 2010 (odds ratio 1.37, confidence interval 1.08–1.67); however, no association was found for empowerment through behavioral health counseling. Low income and parental educational attainment, and lack of insurance were associated with lower odds of receiving behavioral health counseling. Results showed significant variation of physician–patient communication and empowerment by social and demographic factors. The results suggest more providers need to empower parents and their children to self-care through behavioral health counseling.

HIV stigma and disclosure experiences of people living with HIV in an urban and a rural setting

AIDS Care ◽  
2015 ◽  
Vol 27 (8) ◽  
pp. 1042-1046 ◽  
Author(s):  
Heleen French ◽  
Minrie Greeff ◽  
Martha J. Watson ◽  
Colleen M. Doak
Keyword(s):  
Hiv Stigma ◽  
Rural Setting ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals The Impact Of Medicaid Expansion On People Living With HIV And Seeking Behavioral Health Services

2018 ◽  
Vol 37 (9) ◽  
pp. 1450-1456 ◽  
Author(s):  
Emily A. Arnold ◽  
Shannon Fuller ◽  
Valerie Kirby ◽  
Wayne T. Steward
Keyword(s):  
Health Services ◽  
Behavioral Health ◽  
People Living With Hiv ◽  
Medicaid Expansion ◽  
Behavioral Health Services ◽  
Living With Hiv ◽  
The Impact

Computer-assisted behavioral health counseling for high school students.

1989 ◽  
Vol 36 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Kent F. Burnett ◽  
Patricia E. Magel ◽  
Susan Harrington ◽  
C. Barr Taylor
Keyword(s):  
High School ◽  
High School Students ◽  
Behavioral Health ◽  
Computer Assisted ◽  
School Students ◽  
Health Counseling ◽  
Behavioral Health Counseling

scholarly journals Spiritual leaders’ experiences of a comprehensive HIV stigma reduction intervention

2018 ◽  
Vol 74 (4) ◽  
Author(s):  
Germari Kruger ◽  
Minrie Greeff ◽  
Rantoa Letšosa
Keyword(s):  
Traditional Healers ◽  
Hiv Stigma ◽  
Rural Setting ◽  
People Living With Hiv ◽  
Spiritual Leaders ◽  
Community Members ◽  
Stigma Reduction ◽  
North West ◽  
The North ◽  
Living With Hiv

HIV is a deadly reality in South African communities, where people living with HIV (PLWH) do not only face physical sickness but also severe stigmatisation. Literature shows that spiritual leaders (religious leaders/traditional healers) can have a very meaningful role in the reduction of HIV stigma. This article reports on part of a comprehensive community-based HIV stigma reduction intervention with PLWH and people living close to them, which included partners, children, family members, friends, community members and spiritual leaders. The focus of this article is on the experiences of spiritual leaders during and after the HIV stigma reduction intervention. The research took place in both an urban and rural setting in the North-West Province of South Africa and data collection was done by means of in-depth interviews with the spiritual leaders. The interaction with PLWH during the intervention activated new experiences for spiritual leaders: acceptance and empathy for PLWH, an awareness of their own ignorance, a stronger realisation of God’s presence and a realisation that they could inspire hope in PLWH. A greater awareness was created of HIV and of the associated realities regarding disclosure and stigma. The inclusion of spiritual leaders as well as PLWH brought about a positive shift in the attitudes of communities through the increase of knowledge and understanding of HIV stigma. They saw themselves playing a much greater part in facilitating such a shift and in reducing HIV stigma in their own congregations and their communities at large.

scholarly journals Frequency of Suicide Ideation and Attempt in HIV infected patients referred to behavioral health counseling center of Rafsanjan (RUMS) and Kerman University of medical sciences (KUMS) in 2012

2015 ◽  
Vol 4 (1) ◽  
pp. 33-38
Author(s):  
Ahmadreza Sayadi Anari ◽  
Reza Bidaki ◽  
Hossein Soltani ◽  
Hossein Zolala ◽  
Razie Asadi ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Hiv Infection ◽  
Behavioral Health ◽  
Suicide Ideation ◽  
Demographic Data ◽  
Counseling Center ◽  
Medical Sciences ◽  
Health Counseling ◽  
Significant Difference ◽  
Behavioral Health Counseling

Background: Suicidal behavior and HIV/AIDS are considered as significant public health concerns. HIV infection has been associated with elevated risk of suicidal ideation.Methods and Materials: Cross-sectional and descriptive research design was used to record socio-demographic data of the study. The suicidal ideation scale BECK was used to determine and measure the frequency of suicide ideation and attempt in HIV infected (HIV+) persons referred to behavioral health counseling center of Rafsanjan University of medical sciences (RUMS) and Kerman University of medical sciences (KUMS) in 2012.Results:   Men had more suicidal ideation than women after the diagnosis of infection with HIV. More cases of  HIV positive persons  with duration  of  less  than 10  and  more   than   14 years, and  most cases of less  than 40 years-old  had suicidal ideation. There was no significant difference between suicidal ideation in HIV-infected individuals and factors such as gender, age, and duration of HIV-infection (p >0.05). Conclusion: Suicidal ideation and attempt is common in HIV infected patients which needs more assessment and prevention.

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