Project CONNECT was originally launched in 2007 at the University of Alabama at Birmingham 1917 HIV Outpatient Clinic to address the issue that one-third of clinic patients did not attend their first scheduled HIV primary care appointment. Because the first year in outpatient HIV medical care is a dynamic and vulnerable time, missed visits are common as PLWH acclimate to new regimens.
Recognizing that the lag time between initial clinic contact and first appointment was strongly associated with missed visits, the Project CONNECT developers created an intervention that schedules an orientation for new patients within the first five business days of their initial call to the clinic. The Centers for Disease Control and Prevention Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention includes Project CONNECT as an evidence-informed intervention.
Literature & Resources:
Links to Literature:
- Centers for Disease Control and Prevention. Compendium of Evidence-Based Interventions and best practices for HIV prevention. Available at: https://www.cdc.gov/hiv/research/interventionresearch/compendium/index.html
- Crawford, TN. Poor Retention in Care One-Year after Viral Suppression: A Significant Predictor of Viral Rebound. AIDS Care. 2014; 26(11): 1393-9.
- Gardner, L. I., Giordano, T. P., Marks, G., Wilson, T. E., Craw, J. A., Drainoni, M. L., Keruly, J. C., Rodriguez, A. E., Malitz, F., Moore, R. D., Bradley-Springer, L. A., Holman, S., Rose, C. E., Girde, S., Sullivan, M., Metsch, L. R., Saag, M., Mugavero, M. J., Retention in Care Study Group (2014). Enhanced Personal Contact with HIV Patients Improves Retention in Primary Care: A Randomized Trial in Six US HIV Clinics. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America, 59(5), 725-34.
- Michael J. Mugavero, Hui-Yi Lin, Jeroan J. Allison, James H. Willig, Pei-Wen Chang, Malcolm Marler, James L. Raper, Joseph E. Schumacher, Maria Pisu, Michael S.
- Saag. Failure to Establish HIV Care: Characterizing the “No Show” Phenomenon. Clinical Infectious Diseases, Volume 45, Issue 1, 1 July 2007, Pages 127–130.
- Mugavero, M. J. (2008). Improving Engagement in HIV Care: What Can We do? Topics in HIV Medicine, 16, 156- 161
- Mugavero MJ, Westfall AO, Cole SR. Beyond Core Indicators of Retention in HIV Care: Missed Clinic Visits are Independently Associated with All-Cause Mortality. Clin Infect Dis. 2014;59(10):1471–1479.
- Nijhawan, A. E., Liang, Y., Vysyaraju, K., Muñoz, J., Ketchum, N., Saber, J., Buchberg, M., Venegas, Y., Bullock, D., Jain, M. K., Villarreal, R, Taylor, B. S. Missed Initial Medical Visits: Predictors, Timing, and Implications for Retention in HIV Care. AIDS Patient Care and STDS. 2017;31(5):213-21.
- Project CONNECT (Client-Oriented New Patient Navigation to Encourage Connection to Treatment). Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention. LRC Chapter – Project CONNECT. March 16, 2018.
Links to Websites: