I’m over the moon!’: patient-perceived outcomes of hepatitis C treatment
Davoud Pourmarzi, Andrew Smirnov, Lisa Hall, Gerard FitzGerald, and Tony Rahman
Australian Journal of Primary Health 26(4) 319-324 https://doi.org/10.1071/PY20013
Submitted: 22 January 2020 Accepted: 29 April 2020 Published: 25 June 2020
Understanding patient-perceived outcomes is crucial for assessing the effectiveness and acceptability of hepatitis C virus (HCV) treatment. This study aimed to explore patient-perceived outcomes of receiving direct-acting antivirals (DAAs). This study was a part of a mixed-methods case study of the Prince Charles Hospital program for improving access to HCV treatment in community settings. Data were collected using semi-structured interviews with nine patients who were in different stages of their treatment for HCV. The participants were recruited using purposive sampling. All interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Patients emphasised ‘having more energy’ when reporting improvements in their physical health following treatment. They also reported a newly developed sense of freedom and hope. Improved physical and mental health empowered them to start a healthy lifestyle and to practise self-protection from the risk of re-infection. Patients highlighted their desire to help other patients to receive treatment, which was connected to their experience of the services that they received and their perceived health outcomes. Patients expect and experience various outcomes that are related to the physical, psychological and social aspects of living with, and being cured of HCV. Emphasis on the short-term outcomes of receiving HCV treatment may improve HCV treatment uptake and adherence rates.
Rosie, a national harm prevention initiative by the Dugdale Trust for Women & Girls.
Rosie in the Classroom is an educational program based on the original Rosie Videos, created to assist teachers in talking about difficult but important topics.
Topics like sexting or respect in relationships should be incorporated into the curriculum so that all teenagers are aware of their rights and can encourage respect within their school community. Each module includes a downloadable lesson plan and video which can be screened in class.
These lesson plans have been written by Briony O’Keeffe, lead teacher at Fitzroy High School and facilitator of the Fitzroy High School Feminist Collective.
Despite effective treatment for recent hepatitis C (HCV) infection, side-effects and adherence concerns limit its use among people who inject drugs (PWID).
This study evaluated health-related quality of life (HRQoL) and social functioning following infection and during recent HCV treatment.
Social functioning can predict recent HCV treatment uptake and SVR. Efforts to maximise social stability may improve treatment response. Pegylated-interferon treatment is associated with reduced HRQoL on-treatment in an already vulnerable population of PWID that would be better served by interferon-free regimens particularly in treated target at PWID to prevent transmission