TY - JOUR
T1 - Hepatitis C Treatment Experiences and Decision Making Among Patients Living With HIV Infection
AU - Bova, Carol
AU - Ogawa, Lisa Fink
AU - Sullivan-Bolyai, Susan
N1 - Funding Information:
This publication was made possible by a grant from the National Institute of Nursing Research (NINR) ( R15 NR008341 ). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NINR. The authors also recognize the support of Community Research Initiative of New England, Nancy Madru, and the late Anne B. Morris, MD.
PY - 2010/1
Y1 - 2010/1
N2 - Hepatitis C infection is a major problem for approximately 250,000 HIV-infected persons in the United States. Although HIV infection is well-controlled in most of this population, they suffer liver-associated morbidity and mortality. Conversely, hepatitis C virus (HCV) treatment uptake remains quite low (15%-30%). Therefore, the purpose of this qualitative study was to explore HCV treatment experiences and decision making in adults with HIV infection. The study sample included 39 coinfected adults; 16 in the HCV-treated cohort (who were interviewed a maximum of 3 times) and 23 in the HCV-nontreatment cohort. Analysis of interviews identified 2 treatment barriers (fears and vicarious experiences) and 4 facilitating factors (experience with illness management, patient-provider relationships, gaining sober time, and facing treatment head-on). Analysis of these data also revealed a preliminary model to guide intervention development and theoretical perspectives. Ultimately, research is urgently needed to test interventions that improve HCV evaluation and treatment uptake among HIV-infected patients.
AB - Hepatitis C infection is a major problem for approximately 250,000 HIV-infected persons in the United States. Although HIV infection is well-controlled in most of this population, they suffer liver-associated morbidity and mortality. Conversely, hepatitis C virus (HCV) treatment uptake remains quite low (15%-30%). Therefore, the purpose of this qualitative study was to explore HCV treatment experiences and decision making in adults with HIV infection. The study sample included 39 coinfected adults; 16 in the HCV-treated cohort (who were interviewed a maximum of 3 times) and 23 in the HCV-nontreatment cohort. Analysis of interviews identified 2 treatment barriers (fears and vicarious experiences) and 4 facilitating factors (experience with illness management, patient-provider relationships, gaining sober time, and facing treatment head-on). Analysis of these data also revealed a preliminary model to guide intervention development and theoretical perspectives. Ultimately, research is urgently needed to test interventions that improve HCV evaluation and treatment uptake among HIV-infected patients.
KW - HIV
KW - decision making
KW - hepatitis C
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U2 - 10.1016/j.jana.2009.07.009
DO - 10.1016/j.jana.2009.07.009
M3 - Article
C2 - 19853480
AN - SCOPUS:72149130029
SN - 1055-3290
VL - 21
SP - 63
EP - 74
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 1
ER -