{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T23:45:17Z","timestamp":1768002317391,"version":"3.49.0"},"reference-count":63,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T00:00:00Z","timestamp":1752192000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Micro\u2010elimination education can improve access to life\u2010saving treatments for patients with hepatitis C, co\u2010occurring mental health conditions, and alcohol and other drug use disorders. The Hepatitis C virus (HCV) is disproportionately prevalent among people with mental health conditions and alcohol and other drug issues, reducing their life expectancy. Although hepatitis C is a curable condition, this population frequently remains untested and untreated. Micro\u2010elimination programs are necessary to enhance hepatitis C virus screening and treatment rates. This study aims to evaluate the impact of micro\u2010elimination education on healthcare providers' confidence in identifying high\u2010risk HCV populations, conducting HCV screenings and treatments, and managing comorbid substance use disorders. Additionally, it will assess referrals to a nurse\u2010led HCV treatment clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A quasi\u2010experimental pre\u2010posttest intervention design was used. The intervention was an education program targeted at HCV micro\u2010elimination and linkage to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Questionnaires were administered to (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009101) healthcare providers to measure changes in confidence in screening and treating HCV in people with comorbid mental health conditions and alcohol and other drug disorders pre\u2010 and post\u2010intervention. Pre\u2010intervention, healthcare providers reported the highest confidence levels in treating mental health conditions. A significant increase in post\u2010education confidence in screening and treating the HCV across all healthcare provider roles was observed (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Twenty\u2010three referrals were received at the nurse\u2010led hepatitis C virus treatment clinic, with the majority (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911) of referrals received from nurses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study underscores the significance of micro\u2010elimination education programs in enhancing healthcare provider confidence in treating hepatitis C. Leveraging the mental health nursing workforce to connect high\u2010risk populations with hepatitis C care will expand timely access to life\u2010saving treatments and optimize healthcare outcomes. Targeted hepatitis C micro\u2010elimination education will further accelerate progress toward the 2030 elimination goals, enhancing the overall well\u2010being of vulnerable populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71039","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T11:53:02Z","timestamp":1752234782000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["From Education to Action\u2014The Impact of Hepatitis C Micro\u2010Elimination Education on Healthcare Provider Confidence and Linkage to Care: A Quasi\u2010Experimental Study"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3224-4109","authenticated-orcid":false,"given":"Regan","family":"Preston","sequence":"first","affiliation":[{"name":"Curtin School of Nursing, Faculty of Health Sciences Curtin University Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4860-9336","authenticated-orcid":false,"given":"Eric","family":"Lim","sequence":"additional","affiliation":[{"name":"Curtin School of Nursing, Faculty of Health Sciences Curtin University Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5725-9158","authenticated-orcid":false,"given":"Shirley","family":"McGough","sequence":"additional","affiliation":[{"name":"Curtin School of Nursing, Faculty of Health Sciences Curtin University Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9201-5856","authenticated-orcid":false,"given":"Glenn","family":"Boardman","sequence":"additional","affiliation":[{"name":"South Metropolitan Health Service, Digital Health Myaree Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1136-3718","authenticated-orcid":false,"given":"Karen","family":"Heslop","sequence":"additional","affiliation":[{"name":"Curtin School of Nursing, Faculty of Health Sciences Curtin University Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.14363"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.18773\/austprescr.2021.003"},{"key":"e_1_2_9_4_1","unstructured":"World Health Organisation.Global Health Sector Strategy on Viral Hepatitis 2016\u20102021.2016 https:\/\/www.who.int\/publications\/i\/item\/WHO-HIV-2016.06."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1666841"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00135-8"},{"key":"e_1_2_9_7_1","unstructured":"Department of Health.Fifth National Hepatitis C Strategy 2018\u20132022 Australian Government Department of Health 2018 https:\/\/www.health.gov.au\/resources\/publications\/fifth-national-hepatitis-c-strategy-2018-2022."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(20)31144-2"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.15327"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v27.i16.1728"},{"key":"e_1_2_9_11_1","unstructured":"World Health Organisation.Updated Recommendations on HCV Simplified Service Delivery and HCV Diagnostics: Policy Brief.Geneva: World Health Organization. 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