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Engaging the Community in Designing a Hepatitis C Virus Treatment Program for Adults Experiencing Homelessness.

Nyamathi AM, Wall SA, Yadav K, Shin SS, Chang A, Arce N, Cuellar H, Fernando S, White K, Gelberg L, Salem BE. Engaging the Community in Designing a Hepatitis C Virus Treatment Program for Adults Experiencing Homelessness. Qualitative Health Research. 2021 Sep 1; 31(11):2069-2083.

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Abstract:

Despite the availability of cure for hepatitis C virus (HCV), people experiencing homelessness (PEH) are challenged with initiating and completing HCV treatment. The design of culturally sensitive HCV treatment programs is lacking. The objective was to employ community-based participatory research methods to understand perceptions of HCV-positive PEH, and providers, on the design and delivery of a culturally sensitive, nurse-led community health worker (RN/CHW) HCV initiation and completion program. Four focus group sessions were conducted with HCV-positive PEH ( = 30) as well as homeless service providers (HSP; = 7) in Skid Row, Los Angeles. An iterative, thematic approach provided the themes of g: (a) tangible and emotional support; (b) cognitive and behavioral support; and (c) financial and structural resources. The goal of this study is to provide the groundwork for future research of HCV program design to support HCV cure among homeless populations.




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