{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T07:34:19Z","timestamp":1770276859058,"version":"3.49.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","award":["IN-US-342-4531"],"award-info":[{"award-number":["IN-US-342-4531"]}],"id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24AA022523"],"award-info":[{"award-number":["K24AA022523"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32DA007250"],"award-info":[{"award-number":["T32DA007250"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University of California San Francisco Liver Center","award":["P30 DK026743"],"award-info":[{"award-number":["P30 DK026743"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The objective of this study was to evaluate the effectiveness of formal hepatitis C virus (HCV) education on engagement in therapy in persons experiencing homelessness in an on-site shelter-based model of care. As policies to eliminate Medicaid access restrictions to HCV treatment are expanded, patient education is paramount to achieving HCV elimination targets in difficult-to-engage populations including persons experiencing homelessness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This prospective study was conducted at 4 shelters in San Francisco and Minneapolis from August 2018 to January 2021. Of the 162 HCV Ab\u2013positive participants, 150 participated in a 30-minute HCV education session. Posteducation changes in knowledge, beliefs, barriers to care, and willingness to accept therapy scores were assessed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Following education, knowledge scores (mean change, 4.4\u2005\u00b1\u20054.4; P\u2005&amp;lt;\u2005.001) and willingness to accept therapy (70% to 86%; P\u2005=\u2005.0002) increased. Perceived barriers to HCV care decreased (mean change, \u20130.8\u2005\u00b1\u20055.2; P\u2005=\u2005.001). Higher baseline knowledge was associated with lesser gain in knowledge following education (coef., \u20130.7; P\u2005&amp;lt;\u2005.001). Posteducation knowledge (odds ratio, 1.2; P\u2005=\u2005.008) was associated with willingness to accept therapy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>An HCV educational intervention successfully increased willingness to engage in HCV therapy in persons experiencing homelessness in an on-site shelter-based HCV model of care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ofid\/ofac103","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T18:01:55Z","timestamp":1646157715000},"source":"Crossref","is-referenced-by-count":9,"title":["Formal Hepatitis C Education Increases Willingness to Receive Therapy in an On-site Shelter-Based HCV Model of Care in Persons Experiencing Homelessness"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7949-9806","authenticated-orcid":false,"given":"Diana","family":"Partida","sequence":"first","affiliation":[{"name":"Department of Medicine, University of California San Francisco, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6827-680X","authenticated-orcid":false,"given":"Jesse","family":"Powell","sequence":"additional","affiliation":[{"name":"Hennepin Healthcare, Minneapolis, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Ricco","sequence":"additional","affiliation":[{"name":"Hennepin Healthcare, Minneapolis, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Naugle","sequence":"additional","affiliation":[{"name":"Street Medicine and Shelter Health, San Francisco Department of Public Health, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Magee","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, Zuckerberg San Francisco General Hospital, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry","family":"Zevin","sequence":"additional","affiliation":[{"name":"Street Medicine and Shelter Health, San Francisco Department of Public Health, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen L","family":"Masson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of California San Francisco, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Konadu Fokuo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of California San Francisco, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"University of California San Francisco Liver Center, San Francisco, California, USA"},{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9178-9139","authenticated-orcid":false,"given":"Mandana","family":"Khalili","sequence":"additional","affiliation":[{"name":"University of California San Francisco Liver Center, San Francisco, California, USA"},{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, California, 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