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1.
Eval Health Prof ; 44(2): 168-176, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33657900

RESUMEN

Electronic health record (EHR) data can be leveraged for prospective cohort studies and pragmatic clinical trials, targeting youth living with HIV (YLH). Using EHRs in this manner may minimize the need for costly research infrastructure in service to lowering disease burden. This study characterizes HIV prevention and care continua variables and identifies factors likely to impede or facilitate EHR use for research and interventions. We conducted telephone-based qualitative interviews with National Experts (n = 10) and Key Stakeholders (n = 19) from subject recruitment venues (SRVs), providing care services to YLH and youth at risk for HIV. We found 17 different EHR systems being used for various purposes (e.g., workflow management and billing). Thematic content analysis of interviews highlighted six broad categories of perspectives on barriers to and facilitators of EHR use: specific variable collection, general use barriers, and facilitators, general data collection barriers and facilitators, EHRs for surveillance and research, EHRs for personnel and resource management and capture of HIV specific variables. These findings may inform implementation strategies of future studies, in which we conduct routine monitoring of the youth HIV prevention and care continua using EHRs and test an eHealth intervention.


Asunto(s)
Medicina del Adolescente , Infecciones por VIH , Adolescente , Registros Electrónicos de Salud , Infecciones por VIH/prevención & control , Humanos , Estudios Prospectivos , Encuestas y Cuestionarios
2.
Womens Health Rep (New Rochelle) ; 1(1): 224-226, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33786483

RESUMEN

The prevalence of crisis pregnancy centers (CPCs), their false claims, and the real harm they cause necessitate public education about their unethical practices. Also called "pregnancy resource centers" and "pregnancy support centers," CPCs are nonmedical institutions designed to deceive women seeking comprehensive pregnancy care, as their volunteers are instructed to pedal misinformation about reproductive health care.

3.
AIDS Behav ; 23(8): 2130-2137, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-30387024

RESUMEN

In adults living with HIV, pharmacy refill data are good predictors of virologic failure (VF). The utility of pharmacy refill data for predicting VF in adolescents has not been reported. We evaluated data from 291 adolescents on antiretroviral therapy. The main outcome measure was VF, defined as two consecutive HIV viral load measurements ≥ 400 copies/mL during 24-months of follow-up. Pharmacy refill non-adherence was defined as two consecutive refill adherence measurements < 95% during the same period. Fifty-three (18%) adolescents experienced VF. One hundred twenty-eight (44%) adolescents had refill non-adherence. Refill non-adherence had poor discriminative ability for indicating VF (receiver operating characteristic AUC = 0.60). Sensitivity and specificity for predicting VF was poor (60% (95% CI 46-74%) and 60% (95% CI 53-66%), respectively). The lack of a viable surrogate for VF in adolescents highlights the urgent need for more access to virologic testing and novel methods of monitoring adolescent treatment adherence.


Asunto(s)
Fármacos Anti-VIH/uso terapéutico , Infecciones por VIH/tratamiento farmacológico , Cumplimiento de la Medicación , Servicios Farmacéuticos/estadística & datos numéricos , Carga Viral/efectos de los fármacos , Adolescente , Adulto , Botswana , Femenino , Humanos , Masculino , Aceptación de la Atención de Salud , Farmacias , Valor Predictivo de las Pruebas , Curva ROC , Resultado del Tratamiento
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