{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T17:04:20Z","timestamp":1784221460067,"version":"3.55.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>\n                    Rapid start of antiretroviral therapy (ART) has been recommended by the World Health Organization since 2017 and is an important approach toward optimizing HIV care. Our objective was to understand the experiences of people with HIV (PWH) undergoing rapid start and to synthesize lessons learned to improve our program. This mixed-methods study recruited newly diagnosed patients establishing care at an urban safety-net clinic in Dallas, TX, between 2021 and 2022. Eligible PWH were ART-na\u00efve and diagnosed with HIV within 12 months prior to the rapid start visit. Participants completed baseline and follow-up surveys 3\u201312 months after enrollment. A subset of participants completed semi-structured interviews to capture their experiences with HIV and elucidate barriers and facilitators to rapid start. Interviews were evaluated using thematic analysis. Qualitative and quantitative findings were integrated to develop best practices. In total, 199 participants (35.5\u2009\u00b1\u200911.6 years; 73.9% men; 39.7% Black; 48.7% Hispanic; 38.2% heterosexual risk transmission of HIV) participated in the study. Completed surveys and interviews (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 20) centered around five themes: (1) social and emotional needs, (2) patient-centered approach, (3) cultural competence, (4) structural navigation, and (5) longitudinal support. Key elements of a rapid start program include evaluating and fostering support networks; emphasizing patient-centered care like tailored education on HIV; acknowledging distinctive cultural values and behaviors of the patients; improving structural factors, including support for insurance issues; and strengthening longitudinal support past the rapid start visit. Such lessons can serve as a blueprint for other practices, particularly in the US South, looking to establish or strengthen rapid start programs.\n                  <\/jats:p>","DOI":"10.1177\/10872914251364667","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T09:20:55Z","timestamp":1760520055000},"page":"405-417","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Patient Perspectives on Rapid Antiretroviral Treatment Initiation for HIV: Implications for Best Practices"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7030-8989","authenticated-orcid":false,"given":"Trevor","family":"Lee","sequence":"first","affiliation":[{"name":"Anne Burnett Marion School of Medicine, Texas Christian University, Fort Worth, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ank E.","family":"Nijhawan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Infectious Diseases and Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA."},{"name":"Peter O\u2019Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yordanos M.","family":"Tiruneh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Infectious Diseases and Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA."},{"name":"Department of Preventive Medicine and Population Health, School of Medicine, University of Texas Health Science Center at Tyler, Tyler, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3027-3806","authenticated-orcid":false,"given":"Jeremy Y.","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Infectious Diseases and Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA."},{"name":"Peter O\u2019Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002357"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002015"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.1818"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001134"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000002124"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofy104"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2017.0309"},{"key":"e_1_3_5_9_2","volume-title":"Guidelines for Managing Advanced HIV Disease and Rapid Initiation of Antiretroviral Therapy","author":"Global HIV, Hepatitis and STIs Programmes (HHS), Guidelines Review Committee","year":"2017","unstructured":"Global HIV, Hepatitis and STIs Programmes (HHS), Guidelines Review Committee. Guidelines for Managing Advanced HIV Disease and Rapid Initiation of Antiretroviral Therapy. World Health Organization: Geneva; 2017."},{"key":"e_1_3_5_10_2","unstructured":"Anonymous. Initiation of Antiretroviral Therapy | NIH. 2019. 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