"Quick, simple, and friendly": Understanding the acceptability and accessibility of a nurse and peer-led, mobile model of hepatitis C care adjacent to community corrections in Australia

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE International Journal of Drug Policy Pub Date : 2025-03-26 DOI:10.1016/j.drugpo.2025.104785

Samara Griffin , Shelley Walker , Jacinta A Holmes , Bridget Reid , Amanda Callus , Mark Belzer , Jane Dicka , Timothy Papaluca , Anne Craigie , Sophia Schroeder , Kari Lancaster , Margaret Hellard , Mark Stoové , Alexander J. Thompson , Rebecca J Winter

{"title":"\"Quick, simple, and friendly\": Understanding the acceptability and accessibility of a nurse and peer-led, mobile model of hepatitis C care adjacent to community corrections in Australia","authors":"Samara Griffin , Shelley Walker , Jacinta A Holmes , Bridget Reid , Amanda Callus , Mark Belzer , Jane Dicka , Timothy Papaluca , Anne Craigie , Sophia Schroeder , Kari Lancaster , Margaret Hellard , Mark Stoové , Alexander J. Thompson , Rebecca J Winter","doi":"10.1016/j.drugpo.2025.104785","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>People on community corrections orders are at high-risk for hepatitis C but opportunities for hepatitis C care may be missed due to poor integration of prison-based healthcare. The C No More study is a pilot feasibility study of point-of-care hepatitis C testing and rapid treatment initiation delivered adjacent to community corrections settings in Melbourne, Australia, via a mobile, nurse and peer-led, low-threshold model of care.</div></div><div><h3>Methods</h3><div>We conducted a mixed methods evaluation using Levesque's Conceptual Framework of Access to Health to understand participants’ experiences and perspectives on the accessibility of this model of care. Interviewer-administered surveys were conducted with all participants after enrolment and initial testing, and qualitative in-depth interviews were conducted with a sample of those who completed the survey.</div></div><div><h3>Results</h3><div>500 participants completed the survey, and 20 participants undertook in-depth interviews. Both quantitative and qualitative results indicated that participants found the C No More service approachable and accessible due to the informal outreach setting, the involvement of peer workers, and the convenient location of service delivery. Participants reported feeling comfortable seeking care in the van and found the service appropriate and easy to engage with due to the fingerstick point-of-care testing and individualised support provided by the nurse.</div></div><div><h3>Conclusion</h3><div>Multiple elements of the C No More model increased client-perceived service accessibility, including being located close to government services, point-of-care testing, and the person-centred, peer-based and non-judgemental nurse-led care provided. This study supports the implementation of other peer and nurse-led models of hepatitis C care in similar settings.</div></div>","PeriodicalId":48364,"journal":{"name":"International Journal of Drug Policy","volume":"139 ","pages":"Article 104785"},"PeriodicalIF":4.4000,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Drug Policy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0955395925000842","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}

引用次数: 0

Abstract

Background

People on community corrections orders are at high-risk for hepatitis C but opportunities for hepatitis C care may be missed due to poor integration of prison-based healthcare. The C No More study is a pilot feasibility study of point-of-care hepatitis C testing and rapid treatment initiation delivered adjacent to community corrections settings in Melbourne, Australia, via a mobile, nurse and peer-led, low-threshold model of care.

Methods

We conducted a mixed methods evaluation using Levesque's Conceptual Framework of Access to Health to understand participants’ experiences and perspectives on the accessibility of this model of care. Interviewer-administered surveys were conducted with all participants after enrolment and initial testing, and qualitative in-depth interviews were conducted with a sample of those who completed the survey.

Results

500 participants completed the survey, and 20 participants undertook in-depth interviews. Both quantitative and qualitative results indicated that participants found the C No More service approachable and accessible due to the informal outreach setting, the involvement of peer workers, and the convenient location of service delivery. Participants reported feeling comfortable seeking care in the van and found the service appropriate and easy to engage with due to the fingerstick point-of-care testing and individualised support provided by the nurse.

Conclusion

Multiple elements of the C No More model increased client-perceived service accessibility, including being located close to government services, point-of-care testing, and the person-centred, peer-based and non-judgemental nurse-led care provided. This study supports the implementation of other peer and nurse-led models of hepatitis C care in similar settings.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

“快速、简单、友好”：了解护士和同伴领导的流动模式在澳大利亚社区矫正附近的丙型肝炎护理的可接受性和可及性

社区矫正令中的人是丙型肝炎的高危人群，但由于监狱医疗保健整合不佳，可能会错过丙型肝炎护理的机会。C No More研究是一项试点可行性研究，通过移动、护士和同伴领导的低门槛护理模式，在澳大利亚墨尔本的社区矫正环境附近提供即时丙型肝炎检测和快速治疗启动。方法采用Levesque的健康可及性概念框架进行混合方法评估，以了解参与者对这种医疗模式可及性的体验和观点。在登记和初步测试后，对所有参与者进行访谈者管理的调查，并对完成调查的样本进行定性深入访谈。结果500名参与者完成了调查，20名参与者进行了深度访谈。定量和定性结果都表明，由于非正式的外展环境、同伴工作者的参与以及服务提供的便利位置，参与者认为C No More服务是平易近人的。参与者报告说，他们在面包车里寻求护理感到很舒服，并且发现这项服务是适当的，而且很容易参与，因为护士提供了指指点点的护理测试和个性化的支持。结论：“无更多”模式的多个要素提高了客户对服务可及性的感知，包括靠近政府服务点、护理点检测，以及提供以人为本、以同伴为基础和非评判性的护士领导的护理。本研究支持在类似环境中实施其他同伴和护士主导的丙型肝炎护理模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.