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Table 1 Study details, organized alphabetically by author name

From: Understanding geriatric models of care for older adults living with HIV: a scoping review and qualitative analysis

Author (year), Country

Objective(s)

Sample Size, Time Period

Patient Sex (n)

Patient Ethnicity, n (%)

Patient Age, Median or Mean, Range in Years

Healthcare Professional Roles Involved in Care

Intervention (Program Name)

Bitas (2019), [39]

USA

To describe the recommendation patterns that arose from the CGA in a population of HIV-infected older adults, and to assess the adherence to recommendation during a 6-month follow-up

76 people, June 2013-July 2017

52 Male, 24 Female

40.8% African American

34.2% White

22.4% Latino

50 + 

Median age 67.2

HIV specialist (infectious diseases or internal medicine physician)

Social worker,

Psychiatrist

Dietician

Geriatrician

Comprehensive geriatric assessment (CGA) for older people at a HIV clinic

Cresswell [66] (2017), UK

To describe how widespread HIV services are in the UK and how they are organized

102 HIV clinics,

Time Period NR

N/A

N/A

N/A

Physician

HIV clinical nurse specialist

Clinical psychologist

Dietician

Social worker

Physiotherapist

Occupational therapist

Electronic survey of HIV clinics using SurveyMonkey

Davis (2022), [41] USA & UK

To describe strengths and weaknesses of various models of geriatric consultation for older adults living with HIV

NR

NR

NR

50 + 

Model 1: Geriatrician; HIV provider

Model 2: Physician; Geriatrician with HIV training

Model 3: Dual-trained provider with expertise in geriatrics & HIV

Model 1: Outpatient consultation

Model 2: Combined HIV/geriatric multidisciplinary clinic

Model 3: Dual-trained provider consultation

Garvey (1994), [59] USA

To describe issues in an existing model of care for elderly people with AIDS and suggest improvements

NR

NR

NR

50 + 

Registered nurse (case manager)

Social worker

Counselor

Therapist

Nutritionist

Home care aide

Medical director

Chaplain, volunteer(s)

Community-based delivery of hospice and home care with an on-call system. (AIDS home care and hospice model of Visiting Nurses and Hospice of San Francisco)

Greene (2018), [61] USA

To describe qualitative data from patients and providers that informed the development of a comprehensive care model for older people living with HIV

77 patients and 26 providers, March–April 2016

53 Male, 19 Female,

5 Transgender

50.6% Black

26% Non-Hispanic White

11.7% Latino

7.8% Other

50 + 

Median age 58

Range 50–77

Administration

Nurse

Medical assistant

Nurse practitioner

Physician

Focus groups and surveys to identify the most important health issues and/or needs facing older adults with HIV. (Golden Compass)

Greene (2020), USA

To evaluate the initial implementation of the Golden Compass program at San Francisco General Hospital

198 adults,

January 2017-June 2018

178 Male, 20 Female

39% White

22% Black

7% Asian

5% American Indian/Alaska Native

17% Hispanic

50 + 

Mean age 62

Physician

Medical director, Cardiologist

Geriatrician

Registered nurse

Pharmacist

Program coordinator Medical assistant

Implementation of a geriatric-HIV program using the RE-AIM framework (Golden Compass)

Heckman (2010), [60] USA

To test if a coping improvement group intervention could reduce depressive symptoms in persons over 50 years of age living with HIV/AIDS

295 patients, 12 × weekly sessions with 4 and 8 month follow up

197 Male, 96 Female

48% African American

50 + 

Mean age 55.3

NR

12 face-to-face group sessions on coping improvement

Heckman (2017), [62] USA

To determine trajectories of symptom change from two group tele-therapies for older people living with HIV and depression

105 patients, 12 week treatment period

Coping enhancement group: 28 Male, 26 Female

Supportive-expressive group: 22 Male, 27 Female

Coping enhancement group: 27.3% White, 72.7% Persons of color

Supportive-expressive group: 10.2% White, 89.8% Persons of color

Coping enhancement group: Mean age of 57.86

Supportive-expressive group: Mean age of 58.97

Therapist

12 weekly sessions of tele-therapy that were either 1) coping enhancement or 2) supportive-expressive

Levett (2020), UK

To describe the CGA approach used in a multidisciplinary HIV ageing clinic and the results of an initial evaluation of the clinic

52 patients, 2016–2019

47 Male, 5 Female

96% White

Mean age 67

Range 53–87

HIV physician

Geriatrician

HIV nurse specialist

HIV pharmacist

Comprehensive Geriatric Assessment (CGA) used in an outpatient clinic (Silver Clinic)

Ruiz (2010), [64] USA

To describe the development of a geriatrics HIV screening program for patients over 60 years in an urban clinic; to report its initial results; and to discuss options for further development

17 referred to the program. Evaluations were done from May 2007 to May 2009. Target group selected in July 2009. Further screenings done yearly

9 Male, 8 Female Referred to program

NR

60 + 

Mean age 62.6

Dual-trained geriatrician/HIV specialist

Social worker

Pharmacist

Nurse practitioner

Geriatric screening evaluations and subsequent referral to a geriatric HIV intervention program

Schmalzle (2022), [65] USA

To ​​describe the initiation and early outcomes of a new care geriatric model for older people with HIV

58 patients, March-June 2019

59% Male, 41% Female

95% African American

Mean age 59

Range 50–73

Social worker

Pharmacists

Physician

HIV primary and speciality care clinic in Baltimore, MD, USA (THRIVE Program)

Siegler (2018), [28] USA

To examine clinical programs for older people living with HIV internationally and compare their models

N/A

N/A

N/A

50 + 

N/A

Geriatrician

Psychologist

Pharmacist

N/A

Tan (2021), USA

To explore the impact of the Golden Compass program from the perspectives of both patients and primary care providers

13 patients, 11 primary care providers, October 2018-May 2019

Patients:

11 Male, 2 Female

Providers: NR

Patients: 46.2% Black, 23.1% Other, 23.1% White, 15.4% Latnix, 7.7% Native Hawaiian/Pacific Islander

Providers: NR

50 + 

\

HIV geriatrician

Cardiologist

Pharmacist

General practitioner

Implementation of a geriatric-HIV program using the RE-AIM framework (Golden Compass)