{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:07:43Z","timestamp":1777399663005,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,10,15]],"date-time":"2019-10-15T00:00:00Z","timestamp":1571097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Achieving hepatitis C virus (HCV) elimination by 2030 requires an increased linkage to care for people who inject drugs (PWID). Project ITTREAT was established to mitigate barriers to HCV care by providing an integrated service within a local drug and alcohol treatment centre. This study aimed to explore the experiences of clients and staff involved in Project ITTREAT and assess the facilitators and barriers to a community\u2010based HCV service. Between October 2014 and April 2016, drug and alcohol treatment attendees were interviewed using one\u2010to\u2010one semi\u2010structured interviews. Drug and alcohol treatment staff took part in focus groups. All data were recorded, transcribed verbatim and analysed using thematic content analysis. Fifteen drug and alcohol treatment attendees with current\/previous HCV infection were interviewed, and 15 staff members contributed across two focus groups. Drug and alcohol treatment staff and attendees reported that Project ITTREAT facilitated access to HCV care by mitigating previous negative hospital\u2010based experiences. Other key facilitators were positive narratives around HCV care, and drug and alcohol treatment attendees being well engaged in their drug\/alcohol recovery. Barriers included a lack of stability in drug and alcohol treatment attendees, negative discourse around testing\/treatment and stigma associated with attending the drug and alcohol treatment to access HCV treatment in some who had successfully achieved drug rehabilitation. Our findings indicate the positive impact of an integrated and personalized community\u2010based service delivered by a dedicated hepatitis nurse. This played a crucial role in reducing barriers to HCV care for PWID. Our work also highlights areas for future investment including non\u2013DAT\u2010based community services and increasing awareness of new treatments amongst this cohort.<\/jats:p>","DOI":"10.1111\/jvh.13214","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T04:19:29Z","timestamp":1569903569000},"page":"176-187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Improving access to care for people who inject drugs: Qualitative evaluation of project ITTREAT\u2014An integrated community hepatitis C service"],"prefix":"10.1111","volume":"27","author":[{"given":"Clare","family":"Phillips","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Brighton and Sussex University Hospital NHS Trust Brighton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6335-6691","authenticated-orcid":false,"given":"Jasmine","family":"Schulkind","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine Brighton and Sussex Medical School Brighton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Brighton and Sussex University Hospital NHS Trust Brighton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Edelman","sequence":"additional","affiliation":[{"name":"Department of Primary Care &amp; Public Health Brighton &amp; Sussex Medical School Brighton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen E.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Primary Care &amp; Public Health Brighton &amp; Sussex Medical School Brighton UK"},{"name":"Family Medicine and Primary Care Lee Kong Chian School of Medicine Nanyang Technological University Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7021-8409","authenticated-orcid":false,"given":"Sumita","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Brighton and Sussex University Hospital NHS Trust Brighton UK"},{"name":"Department of Clinical and Experimental Medicine Brighton and Sussex Medical School Brighton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3672-6631","authenticated-orcid":false,"given":"Christina J.","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Psychology University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10,15]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organisation.Hepatitis C [internet]. 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