Assessing Problematic Substance Use in HIV Care: Which Questions Elicit Accurate Patient Disclosures?

@article{WynneCallon2016AssessingPS,
  title={Assessing Problematic Substance Use in HIV Care: Which Questions Elicit Accurate Patient Disclosures?},
  author={BA WynneCallon and MPH Mary Catherine Beach and MPH Somnath Saha and MPH Geetanjali Chander and Ira B. Wilson and Michael Barton Laws and Victoria Sharp and Jonathan B. Cohn and MHS Richard Moore and MPH P. Todd Korthuis},
  journal={Journal of General Internal Medicine},
  year={2016},
  volume={31},
  pages={1141-1147}
}
Substance use is associated with higher rates of antiretroviral non-adherence and poor HIV outcomes. This study examined how HIV care providers assess substance use, and which questions elicit accurate patient disclosures. We conducted a conversation analysis of audio-recorded encounters between 56 providers and 162 patients living with HIV (PLWH) reporting active substance use in post-encounter interviews (cocaine or heroin use in the past 30 days, > 4 days intoxicated in past 30 days, or… CONTINUE READING
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