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Publication Profiles

Examining the Impact of the Golden Compass Clinical Care Program for Older People with HIV: A Qualitative Study

Citation

Tan JY, Greene M, Blat C, et al. Examining the Impact of the Golden Compass Clinical Care Program for Older People with HIV: A Qualitative Study. AIDS Behav. 2022;26(5):1562-1571. doi:10.1007/s10461-021-03509-0

Implementation stage:

Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

Engagement in treatment (including retention and re-engagement), Linkage to HIV care

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care, Providers

Plain Language Objectives

The researchers interviewed older adults with HIV and their primary care providers about a multidisciplinary HIV and aging program. They wanted to understand how patients and clinicians believed the program affected care, function, trust, and quality of life.

Plain Language Abstract

Older adults with HIV may need coordinated care for HIV, chronic conditions, aging-related problems, and social needs. Golden Compass is an outpatient program with an HIV geriatrician, cardiologist, pharmacist, social worker, referrals, navigation, and classes supporting function and cognition. Researchers used nonprobability sampling to interview 13 patients and 11 primary care providers about the program’s perceived impact. Patients valued its focus on whole-person and functional health and reported greater trust in providers. Providers said consultations in geriatrics, cardiology, and pharmacy helped them gain new skills. Researchers organized the perceived benefits around program areas covering heart and cognitive health, strength, navigation and social connection, and sensory and dental care. Participants believed the integrated model supported function and quality of life. However, this qualitative study measured perceptions rather than objective changes in health outcomes. The small, nonrandom sample may have included people with especially strong views, so the results do not prove that Golden Compass caused improvements or that similar programs would perform the same elsewhere.

Key Takeaways

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