Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022

Joshua Dawe; Megan Hughes; Shannon Christensen; Louisa Walsh; Jacqueline A. Richmond; Alisa Pedrana; Anna L. Wilkinson; Louise Owen; Joseph S. Doyle; Margaret Hellard; Mark Stoove; Nick Scott; Jess Howell; Linda Selvey; Jessica Michaels; Sione Crawford; Carrie Fowlie; Shweta Singhal; Jane Davies; Geoff Manu; James Ward; Geoff Drenkhahn; Lisa Bastian; Greg Dore; Mellissa Bryant; Catherine Marshall; Andrew Llyod; Maria McMahon; Garry Sattell; Dawn Casey; David Shaw; Tom Rees; Alex Thompson; on behalf of the EC Australia Partnership

doi:10.1186/s12889-023-17066-9

Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022

Joshua Dawe, Megan Hughes, Shannon Christensen, Louisa Walsh, Jacqueline A. Richmond, Alisa Pedrana, Anna L. Wilkinson, Louise Owen, Joseph S. Doyle, Margaret Hellard, Mark Stoove, Nick Scott, Jess Howell, Linda Selvey, Jessica Michaels, Sione Crawford, Carrie Fowlie, Shweta Singhal, Jane Davies, Geoff ManuJames Ward, Geoff Drenkhahn, Lisa Bastian, Greg Dore, Mellissa Bryant, Catherine Marshall, Andrew Llyod, Maria McMahon, Garry Sattell, Dawn Casey, David Shaw, Tom Rees, Alex Thompson, on behalf of the EC Australia Partnership

Research output: Contribution to journal › Article (Academic Journal) › peer-review

3 Citations (Scopus)

Abstract

Introduction: Australia has experienced sustained reductions in hepatitis C testing and treatment and may miss its 2030 elimination targets. Addressing gaps in community-based hepatitis C prescribing in priority settings that did not have, or did not prioritise, hepatitis C testing and treatment care pathways is critical. Methods: The Tasmanian Eliminate Hepatitis C Australia Outreach Project delivered a nurse-led outreach model of care servicing hepatitis C priority populations in the community through the Tasmanian Statewide Sexual Health Service, supported by the Eliminating Hepatitis C Australia partnership. Settings included alcohol and other drug services, needle and syringe programs and mental health services. The project provided clients with clinical care across the hepatitis C cascade of care, including testing, treatment, and post-treatment support and hepatitis C education for staff. Results: Between July 2020 and July 2022, a total of 43 sites were visited by one Clinical Nurse Consultant. There was a total of 695 interactions with clients across 219 days of service delivery by the Clinical Nurse Consultant. A total of 383 clients were tested for hepatitis C (antibody, RNA, or both). A total of 75 clients were diagnosed with hepatitis C RNA, of which 95% (71/75) commenced treatment, 83% (62/75) completed treatment and 52% (39/75) received a negative hepatitis C RNA test at least 12 weeks after treatment completion. Conclusions: Providing outreach hepatitis C services in community-based services was effective in engaging people living with and at-risk of hepatitis C, in education, testing, and care. Nurse-led, person-centred care was critical to the success of the project. Our evaluation underscores the importance of employing a partnership approach when delivering hepatitis C models of care in community settings, and incorporating workforce education and capacity-building activities when working with non-specialist healthcare professionals.

Original language	English
Journal	BMC Public Health
DOIs	https://doi.org/10.1186/s12889-023-17066-9
Publication status	Published - 20 Nov 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Access to Document

10.1186/s12889-023-17066-9

Handle.net

Persistent link

Fingerprint

Dive into the research topics of 'Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022'. Together they form a unique fingerprint.

Cite this

Dawe, J., Hughes, M., Christensen, S., Walsh, L., Richmond, J. A., Pedrana, A., Wilkinson, A. L., Owen, L., Doyle, J. S., Hellard, M., Stoove, M., Scott, N., Howell, J., Selvey, L., Michaels, J., Crawford, S., Fowlie, C., Singhal, S., Davies, J., ... Partnership, O. B. O. T. EC. A. (2023). Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022. BMC Public Health. https://doi.org/10.1186/s12889-023-17066-9

@article{37c3c55f2bb64df7af4b2ba96456747c,

title = "Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022",

abstract = "Introduction: Australia has experienced sustained reductions in hepatitis C testing and treatment and may miss its 2030 elimination targets. Addressing gaps in community-based hepatitis C prescribing in priority settings that did not have, or did not prioritise, hepatitis C testing and treatment care pathways is critical. Methods: The Tasmanian Eliminate Hepatitis C Australia Outreach Project delivered a nurse-led outreach model of care servicing hepatitis C priority populations in the community through the Tasmanian Statewide Sexual Health Service, supported by the Eliminating Hepatitis C Australia partnership. Settings included alcohol and other drug services, needle and syringe programs and mental health services. The project provided clients with clinical care across the hepatitis C cascade of care, including testing, treatment, and post-treatment support and hepatitis C education for staff. Results: Between July 2020 and July 2022, a total of 43 sites were visited by one Clinical Nurse Consultant. There was a total of 695 interactions with clients across 219 days of service delivery by the Clinical Nurse Consultant. A total of 383 clients were tested for hepatitis C (antibody, RNA, or both). A total of 75 clients were diagnosed with hepatitis C RNA, of which 95\% (71/75) commenced treatment, 83\% (62/75) completed treatment and 52\% (39/75) received a negative hepatitis C RNA test at least 12 weeks after treatment completion. Conclusions: Providing outreach hepatitis C services in community-based services was effective in engaging people living with and at-risk of hepatitis C, in education, testing, and care. Nurse-led, person-centred care was critical to the success of the project. Our evaluation underscores the importance of employing a partnership approach when delivering hepatitis C models of care in community settings, and incorporating workforce education and capacity-building activities when working with non-specialist healthcare professionals. ",

author = "Joshua Dawe and Megan Hughes and Shannon Christensen and Louisa Walsh and Richmond, \{Jacqueline A.\} and Alisa Pedrana and Wilkinson, \{Anna L.\} and Louise Owen and Doyle, \{Joseph S.\} and Margaret Hellard and Mark Stoove and Nick Scott and Jess Howell and Linda Selvey and Jessica Michaels and Sione Crawford and Carrie Fowlie and Shweta Singhal and Jane Davies and Geoff Manu and James Ward and Geoff Drenkhahn and Lisa Bastian and Greg Dore and Mellissa Bryant and Catherine Marshall and Andrew Llyod and Maria McMahon and Garry Sattell and Dawn Casey and David Shaw and Tom Rees and Alex Thompson and Partnership, \{on behalf of the EC Australia\}",

year = "2023",

month = nov,

day = "20",

doi = "10.1186/s12889-023-17066-9",

language = "English",

journal = "BMC Public Health",

issn = "1471-2458",

publisher = "BioMed Central Ltd",

}

Dawe, J, Hughes, M, Christensen, S, Walsh, L, Richmond, JA, Pedrana, A, Wilkinson, AL, Owen, L, Doyle, JS, Hellard, M, Stoove, M, Scott, N, Howell, J, Selvey, L, Michaels, J, Crawford, S, Fowlie, C, Singhal, S, Davies, J, Manu, G, Ward, J, Drenkhahn, G, Bastian, L, Dore, G, Bryant, M, Marshall, C, Llyod, A, McMahon, M, Sattell, G, Casey, D, Shaw, D, Rees, T, Thompson, A & Partnership, OBOTECA 2023, 'Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022', BMC Public Health. https://doi.org/10.1186/s12889-023-17066-9

Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022. / Dawe, Joshua; Hughes, Megan; Christensen, Shannon et al.
In: BMC Public Health, 20.11.2023.

Research output: Contribution to journal › Article (Academic Journal) › peer-review

TY - JOUR

T1 - Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022

AU - Dawe, Joshua

AU - Hughes, Megan

AU - Christensen, Shannon

AU - Walsh, Louisa

AU - Richmond, Jacqueline A.

AU - Pedrana, Alisa

AU - Wilkinson, Anna L.

AU - Owen, Louise

AU - Doyle, Joseph S.

AU - Hellard, Margaret

AU - Stoove, Mark

AU - Scott, Nick

AU - Howell, Jess

AU - Selvey, Linda

AU - Michaels, Jessica

AU - Crawford, Sione

AU - Fowlie, Carrie

AU - Singhal, Shweta

AU - Davies, Jane

AU - Manu, Geoff

AU - Ward, James

AU - Drenkhahn, Geoff

AU - Bastian, Lisa

AU - Dore, Greg

AU - Bryant, Mellissa

AU - Marshall, Catherine

AU - Llyod, Andrew

AU - McMahon, Maria

AU - Sattell, Garry

AU - Casey, Dawn

AU - Shaw, David

AU - Rees, Tom

AU - Thompson, Alex

AU - Partnership, on behalf of the EC Australia

PY - 2023/11/20

Y1 - 2023/11/20

N2 - Introduction: Australia has experienced sustained reductions in hepatitis C testing and treatment and may miss its 2030 elimination targets. Addressing gaps in community-based hepatitis C prescribing in priority settings that did not have, or did not prioritise, hepatitis C testing and treatment care pathways is critical. Methods: The Tasmanian Eliminate Hepatitis C Australia Outreach Project delivered a nurse-led outreach model of care servicing hepatitis C priority populations in the community through the Tasmanian Statewide Sexual Health Service, supported by the Eliminating Hepatitis C Australia partnership. Settings included alcohol and other drug services, needle and syringe programs and mental health services. The project provided clients with clinical care across the hepatitis C cascade of care, including testing, treatment, and post-treatment support and hepatitis C education for staff. Results: Between July 2020 and July 2022, a total of 43 sites were visited by one Clinical Nurse Consultant. There was a total of 695 interactions with clients across 219 days of service delivery by the Clinical Nurse Consultant. A total of 383 clients were tested for hepatitis C (antibody, RNA, or both). A total of 75 clients were diagnosed with hepatitis C RNA, of which 95% (71/75) commenced treatment, 83% (62/75) completed treatment and 52% (39/75) received a negative hepatitis C RNA test at least 12 weeks after treatment completion. Conclusions: Providing outreach hepatitis C services in community-based services was effective in engaging people living with and at-risk of hepatitis C, in education, testing, and care. Nurse-led, person-centred care was critical to the success of the project. Our evaluation underscores the importance of employing a partnership approach when delivering hepatitis C models of care in community settings, and incorporating workforce education and capacity-building activities when working with non-specialist healthcare professionals.

AB - Introduction: Australia has experienced sustained reductions in hepatitis C testing and treatment and may miss its 2030 elimination targets. Addressing gaps in community-based hepatitis C prescribing in priority settings that did not have, or did not prioritise, hepatitis C testing and treatment care pathways is critical. Methods: The Tasmanian Eliminate Hepatitis C Australia Outreach Project delivered a nurse-led outreach model of care servicing hepatitis C priority populations in the community through the Tasmanian Statewide Sexual Health Service, supported by the Eliminating Hepatitis C Australia partnership. Settings included alcohol and other drug services, needle and syringe programs and mental health services. The project provided clients with clinical care across the hepatitis C cascade of care, including testing, treatment, and post-treatment support and hepatitis C education for staff. Results: Between July 2020 and July 2022, a total of 43 sites were visited by one Clinical Nurse Consultant. There was a total of 695 interactions with clients across 219 days of service delivery by the Clinical Nurse Consultant. A total of 383 clients were tested for hepatitis C (antibody, RNA, or both). A total of 75 clients were diagnosed with hepatitis C RNA, of which 95% (71/75) commenced treatment, 83% (62/75) completed treatment and 52% (39/75) received a negative hepatitis C RNA test at least 12 weeks after treatment completion. Conclusions: Providing outreach hepatitis C services in community-based services was effective in engaging people living with and at-risk of hepatitis C, in education, testing, and care. Nurse-led, person-centred care was critical to the success of the project. Our evaluation underscores the importance of employing a partnership approach when delivering hepatitis C models of care in community settings, and incorporating workforce education and capacity-building activities when working with non-specialist healthcare professionals.

UR - http://dx.doi.org/10.1186/s12889-023-17066-9

U2 - 10.1186/s12889-023-17066-9

DO - 10.1186/s12889-023-17066-9

M3 - Article (Academic Journal)

C2 - 37985979

SN - 1471-2458

JO - BMC Public Health

JF - BMC Public Health

ER -

Evaluation of a person-centred, nurse-led model of care delivering hepatitis C testing and treatment in priority settings: a mixed-methods evaluation of the Tasmanian Eliminate Hepatitis C Australia Outreach Project, 2020–2022

Abstract

UN SDGs

Access to Document

Handle.net

Other files and links

Fingerprint

Cite this