{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:07:59Z","timestamp":1777853279009,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","award":["IN-US-380-5507"],"award-info":[{"award-number":["IN-US-380-5507"]}],"id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early initiation of antiretroviral therapy improves human immunodeficiency virus (HIV) outcomes. However, achieving earlier treatment initiation is challenging for many reasons including provider awareness and clinic barriers; this study sought to understand perceptions of an early initiation program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We interviewed 10 providers from 3 HIV clinics in North Carolina (October-November 2020). We asked providers about overall perceptions of early initiation and the pilot program. We developed narrative summaries to understand individual contexts and conducted thematic analysis using NVivo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Providers believed earlier initiation would signal an \u201cextra sense of urgency\u201d about the importance of antiretroviral therapy\u2014a message not currently reflected in standard of care. Safety was a consistent concern. Cited implementation barriers included transportation assistance, medication sustainability, and guidance to address increased staff time and appointment availability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our qualitative findings highlight the need for training on the safety of early initiation and addressing staffing needs to accommodate quicker appointments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582241269919","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T00:31:22Z","timestamp":1725669082000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Provider Perspectives on Rapid Treatment Initiation Among People Newly Diagnosed With HIV: A New Message of \u201cUrgency\u201d?"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6046-6353","authenticated-orcid":false,"given":"Breana J.","family":"Uhrig Castonguay","sequence":"first","affiliation":[{"name":"Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4442-9293","authenticated-orcid":false,"given":"Noah","family":"Mancuso","sequence":"additional","affiliation":[{"name":"Research Triangle Institute (RTI) International, Research Triangle Park, NC, USA"},{"name":"Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA"},{"name":"Queer Health Collaborative (QHC), Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9800-4789","authenticated-orcid":false,"given":"Sarah","family":"Hatcher","sequence":"additional","affiliation":[{"name":"Department of Medicine, Section on Infectious Diseases, Wake Forest University School of Medicine, Wake Forest, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sable","family":"Watson","sequence":"additional","affiliation":[{"name":"Center for AIDS Research (CFAR), University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eunice","family":"Okumu","sequence":"additional","affiliation":[{"name":"Center for AIDS Research (CFAR), University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rica","family":"Abbott","sequence":"additional","affiliation":[{"name":"Department of Medicine, Section on Infectious Diseases, Wake Forest University School of Medicine, Wake Forest, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol E.","family":"Golin","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Center for AIDS Research (CFAR), University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Mobley","sequence":"additional","affiliation":[{"name":"Division of Public Health, Communicable Disease Branch, North Carolina Department of Health and Human Services, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Samoff","sequence":"additional","affiliation":[{"name":"Division of Public Health, Communicable Disease Branch, North Carolina Department of Health and Human Services, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi","family":"Swygard","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candice J.","family":"McNeil","sequence":"additional","affiliation":[{"name":"Department of Medicine, Section on Infectious Diseases, Wake Forest University School of Medicine, Wake Forest, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia L.","family":"Gay","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,5]]},"reference":[{"key":"bibr1-23259582241269919","unstructured":"Global HIV & AIDS statistics \u2014 Fact sheet [Internet]. cited 2022 Sep 28. Available from: https:\/\/www.unaids.org\/en\/resources\/fact-sheet."},{"key":"bibr2-23259582241269919","unstructured":"JC2225_UNAIDS_datatables_en_1.pdf [Internet]. cited 2022 Sep 28. Available from: https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/JC2225_UNAIDS_datatables_en_1.pdf."},{"key":"bibr3-23259582241269919","unstructured":"World Health Organization. 2017 [cited 2023 Sep 20]. Guidelines for managing advanced HIV disease and rapid initiation of antiretroviral therapy [Internet]. Available from: https:\/\/www.who.int\/publications-detail-redirect\/9789241550062."},{"key":"bibr4-23259582241269919","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1507198"},{"key":"bibr5-23259582241269919","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0005575"},{"key":"bibr6-23259582241269919","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1506816"},{"key":"bibr7-23259582241269919","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"bibr8-23259582241269919","unstructured":"Centers for Disease Control and Prevention. 2018 [cited 2019 Jul]. Understanding the HIV care continuum [Internet]. Available from: https:\/\/www.cdc.gov\/hiv\/pdf\/library\/factsheets\/cdc-hiv-care-continuum.pdf."},{"key":"bibr9-23259582241269919","unstructured":"HIVinfo.NIH.gov [Internet]. cited 2022 Sep 30. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. Available from: https:\/\/clinicalinfo.hiv.gov\/en\/guidelines\/hiv-clinical-guidelines-adult-and-adolescent-arv\/early-acute-and-recent-hiv-infection."},{"key":"bibr10-23259582241269919","unstructured":"CDC. Centers for Disease Control and Prevention. [cited 2022 Sep 28]. HIV in the Southern United States. 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