Table 1.
Frequency of Observed Theoretical Content Across Retention-Related Discourse
| |
|
Frequency (%) of retention text segments |
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|---|---|---|---|---|
| Content codes | Code definitions | Facilitator (k=162) | Barrier (k=77) | Total (k=239) |
| Information | 34 (21%) | 10 (13%) | 44 (18.4%) | |
| Accurate information | Accurate knowledge of HIV disease, availability of care, HIV treatment recommendations/procedures/benefits/consequences. | 26 | 2 | 28 |
| Misinformation | Incorrect knowledge of HIV disease, availability of care, HIV treatment recommendations/procedures/benefits/consequences. | 1 | 3 | 4 |
| Cognitive heuristics | Accurate/inaccurate implicit theories common to the local/regional culture regarding reasons to access care or associated costs/consequences of care. | 7 | 5 | 12 |
| Motivation | 157 (97%) | 64 (83%) | 221 (92.5%) | |
| Personal attitudes/beliefs | Attitudes/beliefs toward having HIV or engaging in HIV care system related to one's previous experiences or cultural beliefs. | 27 | 7 | 34 |
| Perceived vulnerability | Attitudes/beliefs about the perceived personal benefit or positive/negative consequences of accessing available HIV care/treatment/medications. | 53 | 4 | 57 |
| Competing priorities | Attitudes/beliefs about engaging in HIV care in the context of daily hassles (work/child care) or comorbidities (depression). | 1 | 23 | 24 |
| Patient–provider relationships | Perceptions of trust in and positive/negative social interactions with available providers/clinic staff/systems of care. | 26 | 12 | 38 |
| Social norms and support | Perceptions of important other's attitudes/beliefs about HIV or medical care; social support or social costs for accessing care. | 50 | 18 | 68 |
| Behavioral skills | 95 (59%) | 32 (42%) | 127 (53.0%) | |
| Accessing ancillary services | Strategies or perceived ability/confidence to address unmet need (insurance/case management/transportation/locate care provider). | 13 | 5 | 18 |
| Addressing practical barriers | Strategies or perceived ability/confidence to attend HIV care appointments within the recommended intervals. | 17 | 5 | 22 |
| Daily hassles/comorbidities | Strategies or perceived ability/confidence to negotiate care in the context of daily hassles (work/child care) or comorbidities. | 2 | 13 | 15 |
| Planning/reminder strategies | Strategies or perceived ability/confidence to manage HIV care-related time commitments (scheduling/planning/long wait times). | 24 | 9 | 33 |
| Obtaining social support | Strategies or perceived ability/confidence to obtain support from important others (family/friends/service agency staff) for care. | 39 | 1 | 40 |
| sIMB contextual factors | 44 (27%) | 40 (52%) | 84 (35.0%) | |
| Affective factors | Positive or negative feelings about living with HIV including acceptance or denial of diagnosis, desire/no desire to live as HIV positive, HIV stigma. | 40 | 27 | 67 |
| Socio-cultural factors | Co-occurring experiences with acute substance use and mental health diagnosis (e.g., depression, anxiety), resource/housing instability. | 4 | 13 | 17 |