Self-efficacy as a mediator of patient navigation interventions to engage persons living with HIV and substance use.

ABSTRACT:

Background

People living with HIV who report substance use (PLWH-SU) face many barriers to care, resulting in an increased risk for poor health outcomes and the potential for ongoing disease transmission. This study evaluates the mechanisms by which Patient Navigation (PN) and Contingency Management (CM) interventions may work to address barriers to care and improve HIV outcomes in this population.

Methods

Mediation analysis was conducted using data from a randomized, multi-site trial testing PN interventions to improve HIV care outcomes among 801 hospitalized PLHW-SU. Direct and indirect effects of PN and PN + CM were evaluated through five potential mediators-psychosocial conditions, healthcare avoidance, financial hardship, system barriers, and self-efficacy for HIV treat

SUBMITTER: Traynor SM 

PROVIDER: S-EPMC8067954 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature