Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York.
Given the influence of provider perspective and practice in the uptake of HIV/STI prevention and care strategies, this qualitative descriptive design study sought to illuminate perspectives of couples HIV testing and counseling (CHTC) and describe couple/partner-based practices among health provider...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2025-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0299185 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849313254311985152 |
|---|---|
| author | Natalie M Leblanc Sadandaula R Muheriwa-Matemba Noelle St Vil Danielle Alcena-Stiner Keosha T Bond Alexander Glazier Luis Rosario-McCabe Faith Lambert Martez Smith |
| author_facet | Natalie M Leblanc Sadandaula R Muheriwa-Matemba Noelle St Vil Danielle Alcena-Stiner Keosha T Bond Alexander Glazier Luis Rosario-McCabe Faith Lambert Martez Smith |
| author_sort | Natalie M Leblanc |
| collection | DOAJ |
| description | Given the influence of provider perspective and practice in the uptake of HIV/STI prevention and care strategies, this qualitative descriptive design study sought to illuminate perspectives of couples HIV testing and counseling (CHTC) and describe couple/partner-based practices among health providers in New York State. We utilized a purposive sampling strategy to recruit health providers (N = 27). Semi-structured in-depth interviews were conducted from Sept. 2019 to Feb. 2021. Four themes emerged: perspectives on engaging partners and couples-centered sexual health promotion; providers' experiences with patients and partners in HIV prevention and care; provider endorsement of CHTC; and perceived CHTC implementation determinants. CHTC endorsement was prominently due to the perception of CHTC as a facilitator to enhance patient-provider engagement in HIV/STI treatment and care, especially in the communication and dissemination of information among partners. Providers reported that health literacy needs regarding HIV/STI testing and diagnosis, but primarily STIs treatment regimens warranted a joint approach. CHTC endorsement entailed the strategy's perceived ability to enhance sexual health literacy among patients and patient's partners. Lastly, CHTC endorsements entailed provider beliefs that it ensured knowledge equity and joint literacy in the communication of health information among health consumers. Determinants of CHTC implementation were factors that providers perceived to have a bearing on the facilitation or posed as barriers to jointly engage partners in HIV/STI prevention and care and was subsequently a source of provider uncertainty. These determinants ranged from provider-level factors to organizational capacity issues that could impact CHTC implementation. Recommendations for CHTC are discussed. |
| format | Article |
| id | doaj-art-f72b1a3f725142199cd8aba887babaae |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-f72b1a3f725142199cd8aba887babaae2025-08-20T03:52:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e029918510.1371/journal.pone.0299185Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York.Natalie M LeblancSadandaula R Muheriwa-MatembaNoelle St VilDanielle Alcena-StinerKeosha T BondAlexander GlazierLuis Rosario-McCabeFaith LambertMartez SmithGiven the influence of provider perspective and practice in the uptake of HIV/STI prevention and care strategies, this qualitative descriptive design study sought to illuminate perspectives of couples HIV testing and counseling (CHTC) and describe couple/partner-based practices among health providers in New York State. We utilized a purposive sampling strategy to recruit health providers (N = 27). Semi-structured in-depth interviews were conducted from Sept. 2019 to Feb. 2021. Four themes emerged: perspectives on engaging partners and couples-centered sexual health promotion; providers' experiences with patients and partners in HIV prevention and care; provider endorsement of CHTC; and perceived CHTC implementation determinants. CHTC endorsement was prominently due to the perception of CHTC as a facilitator to enhance patient-provider engagement in HIV/STI treatment and care, especially in the communication and dissemination of information among partners. Providers reported that health literacy needs regarding HIV/STI testing and diagnosis, but primarily STIs treatment regimens warranted a joint approach. CHTC endorsement entailed the strategy's perceived ability to enhance sexual health literacy among patients and patient's partners. Lastly, CHTC endorsements entailed provider beliefs that it ensured knowledge equity and joint literacy in the communication of health information among health consumers. Determinants of CHTC implementation were factors that providers perceived to have a bearing on the facilitation or posed as barriers to jointly engage partners in HIV/STI prevention and care and was subsequently a source of provider uncertainty. These determinants ranged from provider-level factors to organizational capacity issues that could impact CHTC implementation. Recommendations for CHTC are discussed.https://doi.org/10.1371/journal.pone.0299185 |
| spellingShingle | Natalie M Leblanc Sadandaula R Muheriwa-Matemba Noelle St Vil Danielle Alcena-Stiner Keosha T Bond Alexander Glazier Luis Rosario-McCabe Faith Lambert Martez Smith Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York. PLoS ONE |
| title | Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York. |
| title_full | Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York. |
| title_fullStr | Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York. |
| title_full_unstemmed | Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York. |
| title_short | Couple-centered HIV prevention and care: Endorsement, practice and uncertainty among us healthcare providers in western-central upstate New York. |
| title_sort | couple centered hiv prevention and care endorsement practice and uncertainty among us healthcare providers in western central upstate new york |
| url | https://doi.org/10.1371/journal.pone.0299185 |
| work_keys_str_mv | AT nataliemleblanc couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT sadandaularmuheriwamatemba couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT noellestvil couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT daniellealcenastiner couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT keoshatbond couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT alexanderglazier couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT luisrosariomccabe couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT faithlambert couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork AT martezsmith couplecenteredhivpreventionandcareendorsementpracticeanduncertaintyamongushealthcareprovidersinwesterncentralupstatenewyork |