{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:35:20Z","timestamp":1789504520886,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,2,12]],"date-time":"2023-02-12T00:00:00Z","timestamp":1676160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1135247"],"award-info":[{"award-number":["APP1135247"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006483","name":"AbbVie","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006483","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017037","name":"Cepheid","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017037","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Hepatitis C virus (HCV) is highly prevalent within the prison setting. Although HCV testing and treatment are available within prisons, system barriers can impede progress along the HCV care cascade for those who are incarcerated. The PIVOT intervention used a \u2018one\u2010stop\u2010shop\u2018 model (i.e. point\u2010of\u2010care HCV RNA testing, Fibroscan\u2010based liver disease assessment and treatment) at a reception prison in New South Wales, Australia. This analysis sought to understand the role of point\u2010of\u2010care HCV RNA testing at intake in reducing barriers to the HCV care cascade within the male prison setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Setting<\/jats:title><jats:p>Qualitative analysis using semi\u2010structured interviews in a reception prison in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Twenty\u2010four men enrolled in the PIVOT study; all participants had undergone HCV point\u2010of\u2010care testing in the intervention arm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>H\u00f8j's Integrated Framework informed this analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Participants widely expressed the view that point\u2010of\u2010care HCV RNA testing on entry was beneficial for care engagement. Point\u2010of\u2010care testing was perceived as timely (compared with standard pathology) and reduced opportunities for adjudication by correctional officers due to fewer clinic visits for testing and results. Adoption of routine opt\u2010out testing at prison intake was regarded as an important strategy for normalising HCV testing (and likely to increase pathways to treatment uptake) and fostered patient candidacy (i.e. self\u2010perceived eligibility to access care).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Twenty\u2010four men in prison in New South Wales, Australia, who underwent opt\u2010out point\u2010of\u2010care HCV RNA testing on entry into prison, widely supported the programme as a means of overcoming barriers to HCV testing and treatment in the prison setting, as well as providing public health benefits through early detection of HCV infection among people entering into custody.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.16137","type":"journal-article","created":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T04:09:26Z","timestamp":1674446966000},"page":"1153-1160","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Reducing barriers to the hepatitis C care cascade in prison via point\u2010of\u2010care RNA testing: a qualitative exploration of men in prison using an integrated framework"],"prefix":"10.1111","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8533-2957","authenticated-orcid":false,"given":"Lise","family":"Lafferty","sequence":"first","affiliation":[{"name":"Centre for Social Research in Health UNSW Sydney  Sydney New South Wales Australia"},{"name":"The Kirby Institute UNSW Sydney  Sydney New South Wales 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South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8230-0386","authenticated-orcid":false,"given":"Carla","family":"Treloar","sequence":"additional","affiliation":[{"name":"Centre for Social Research in Health UNSW Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,12]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Interim guidance for country validation of viral hepatitis elimination","author":"World Health Organization","year":"2021"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(21)00472-6"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(16)30325-5"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30466-4"},{"key":"e_1_2_9_6_1","volume-title":"Combating hepatitis B and C to reach elimination by 2030","author":"World 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