{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:06:57Z","timestamp":1760144817114,"version":"build-2065373602"},"reference-count":19,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Chicago Pritzker School of Medicine","award":["1K23MH121190-01"],"award-info":[{"award-number":["1K23MH121190-01"]}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["1K23MH121190-01"],"award-info":[{"award-number":["1K23MH121190-01"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Retention in care for people living with HIV (PLWH) is important for individual and population health. Preemptive identification of PLWH at high risk of lapsing in care may improve retention efforts. We surveyed providers at nine institutions throughout Chicago about their perspectives on using an electronic health record (EHR) tool to predict the risk of lapsing in care. Sixty-three percent (20\/32) of providers reported currently assessing patients\u2019 risk for lapsing in care, and 91% (29\/32) reported willingness to implement an EHR tool. When compared to those with other job roles, prescribers agreed (vs. neutral) that the tool would be less biased than personal judgment (OR 13.33, 95% CI 1.05, 169.56). Prescribers were also more likely to identify community health workers as persons who should deliver these interventions (OR 10.50, 95% CI 1.02, 108.58). Transportation, housing, substance use, and employment information were factors that providers wanted to be included in an EHR-based tool. Social workers were significantly more likely to indicate the inclusion of employment information as important (OR 10.50, 95% CI 1.11, 98.87) when compared to other participants. Acceptability of an EHR tool was high; future research should investigate barriers and evaluate the effectiveness of such a tool.<\/jats:p>","DOI":"10.3390\/ijerph21060671","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T06:59:04Z","timestamp":1716533944000},"page":"671","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Feasibility of an Electronic Tool for Predicting Retention in HIV Care: Provider Perspectives"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2944-7513","authenticated-orcid":false,"given":"Jacqueline","family":"Kromash","sequence":"first","affiliation":[{"name":"Pritzker School of Medicine, University of Chicago, 924 E. 57th Street, Suite 104, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5840-9763","authenticated-orcid":false,"given":"Eleanor E.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2090-9620","authenticated-orcid":false,"given":"Samantha A.","family":"Devlin","sequence":"additional","affiliation":[{"name":"Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5125-7808","authenticated-orcid":false,"given":"Jessica","family":"Schmitt","sequence":"additional","affiliation":[{"name":"Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2323-1453","authenticated-orcid":false,"given":"John M.","family":"Flores","sequence":"additional","affiliation":[{"name":"Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica P.","family":"Ridgway","sequence":"additional","affiliation":[{"name":"Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"ref_1","unstructured":"(2024, May 21). HIV Care Continuum. HIV.gov, Available online: https:\/\/www.hiv.gov\/federal-response\/policies-issues\/hiv-aids-care-continuum."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"6421","DOI":"10.1038\/s41598-020-62729-x","article-title":"Predictive analytics for retention in care in an urban HIV clinic","volume":"10","author":"Ramachandran","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2490","DOI":"10.1007\/s10461-019-02491-y","article-title":"Predictors of successful HIV care re-engagement among persons poorly engaged in HIV care","volume":"23","author":"Chang","year":"2019","journal-title":"AIDS Behav."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3279","DOI":"10.1007\/s10461-022-03672-y","article-title":"Multicenter development and validation of a model for predicting retention in care among people with HIV","volume":"26","author":"Ridgway","year":"2022","journal-title":"AIDS Behav."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/COH.0000000000000578","article-title":"Can the United States achieve 90-90-90?","volume":"14","author":"Hall","year":"2019","journal-title":"Curr. Opin. HIV AIDS"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1080\/09540121.2021.1906401","article-title":"Association between patient-reported barriers and HIV clinic appointment attendance: A prospective cohort study","volume":"34","author":"Judd","year":"2022","journal-title":"AIDS Care"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1089\/apc.2020.0144","article-title":"Cumulative effects of stigma experiences on retention in HIV care among men and women in the rural Southeastern United States","volume":"34","author":"Kalichman","year":"2020","journal-title":"AIDS Patient Care STDS"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1089\/apc.2011.0407","article-title":"For the Never in Care Project. Medication-related barriers to entering HIV care","volume":"26","author":"Beer","year":"2012","journal-title":"AIDS Patient Care STDs"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1007\/s10461-018-2215-1","article-title":"Who will show? Predicting missed visits among patients in routine HIV primary care in the United States","volume":"23","author":"Pence","year":"2019","journal-title":"AIDS Behav."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1089\/apc.2012.0423","article-title":"Linking and retaining HIV patients in care: The importance of provider attitudes and behaviors","volume":"27","author":"Magnus","year":"2013","journal-title":"AIDS Patient Care STDS"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"S192","DOI":"10.1097\/QAI.0000000000002205","article-title":"Data for Care (D4C) Alabama: Clinic-wide risk stratification with enhanced personal contacts for retention in HIV care via the Alabama Quality Management Group","volume":"82","author":"Sohail","year":"2019","journal-title":"J. Acquir. Immune Defic. Syndr."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"12715","DOI":"10.1038\/s41598-022-16062-0","article-title":"Applying machine learning and predictive modeling to retention and viral suppression in South African HIV treatment cohorts","volume":"12","author":"Maskew","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Wohlfeiler, M.B., Weber, R.P., Brunet, L., Fusco, J.S., Uranaka, C., Cochran, Q., Palma, M., Evans, T., Millner, C., and Fusco, G.P. (2022). HIV retention in care: Results and lessons learned from the Positive Pathways Implementation Trial. BMC Prim. Care., 23.","DOI":"10.1186\/s12875-022-01909-2"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2159","DOI":"10.1007\/s10461-021-03561-w","article-title":"Cost-effectiveness of HIV renteion and re-engagement interventions in high-income countries: A systematic literature review","volume":"26","author":"Wheatley","year":"2022","journal-title":"AIDS Behav."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/1748-5908-4-50","article-title":"Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science","volume":"4","author":"Damschroder","year":"2009","journal-title":"Implement. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Mengelkoch, S., Espinosa, M., Butler, S.A., Prieto, L.J., Russell, E., Ramshaw, C., Nahavandi, S., and Hill, S.E. (2023). Tuuned in: Use of an online contraceptive decision aid for women increases reproductive self-efficacy and knowledge; Results of an experimental clinical trial. BMC Digit. Health, 1.","DOI":"10.1186\/s44247-023-00034-z"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.7326\/M16-0125","article-title":"Changes in hospital-physician affiliations in U.S. Hospitals and their effect on quality of care","volume":"166","author":"Scott","year":"2017","journal-title":"Ann. Intern. Med."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Gallagher, D., Zhao, C., Brucker, A., Massengill, J., Kramer, P., Poon, E.G., and Goldstein, B.A. (2020). Implementation and continuous monitoring of an electronic health record embedded readmissions clinical decision support tool. J. Pers. Med., 10.","DOI":"10.3390\/jpm10030103"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"3651","DOI":"10.1007\/s10461-021-03252-6","article-title":"Primary care providers\u2019 perspectives on using automated HIV risk prediction models to identify potential candidates for pre-exposure prophylaxis","volume":"25","author":"Powell","year":"2021","journal-title":"AIDS Behav."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/6\/671\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:48:01Z","timestamp":1760107681000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/6\/671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,24]]},"references-count":19,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["ijerph21060671"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21060671","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2024,5,24]]}}}