{"doi":"10.1093/ofid/ofac103","title":"Formal Hepatitis C Education Increases Willingness to Receive Therapy in an On-site Shelter-Based HCV Model of Care in Persons Experiencing Homelessness","abstract":"Abstract Background The objective of this study was to evaluate the effectiveness of formal hepatitis C virus (HCV) education on engagement in therapy in persons experiencing homelessness in an on-site shelter-based model of care. As policies to eliminate Medicaid access restrictions to HCV treatment are expanded, patient education is paramount to achieving HCV elimination targets in difficult-to-engage populations including persons experiencing homelessness. Methods This prospective study was conducted at 4 shelters in San Francisco and Minneapolis from August 2018 to January 2021. Of the 162 HCV Ab–positive participants, 150 participated in a 30-minute HCV education session. Posteducation changes in knowledge, beliefs, barriers to care, and willingness to accept therapy scores were assessed. Results Following education, knowledge scores (mean change, 4.4 ± 4.4; P < .001) and willingness to accept therapy (70% to 86%; P = .0002) increased. Perceived barriers to HCV care decreased (mean change, –0.8 ± 5.2; P = .001). Higher baseline knowledge was associated with lesser gain in knowledge following education (coef., –0.7; P < .001). Posteducation knowledge (odds ratio, 1.2; P = .008) was associated with willingness to accept therapy. Conclusions An HCV educational intervention successfully increased willingness to engage in HCV therapy in persons experiencing homelessness in an on-site shelter-based HCV model of care.","journal":"Open Forum Infectious Diseases","year":2022,"id":256175,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":19,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9537,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":336585,"name":"Jesse Powell","orcid":"0000-0002-6827-680X","position":1,"is_corresponding":false},{"id":357545,"name":"Margaret Ricco","orcid":null,"position":2,"is_corresponding":false},{"id":781123,"name":"Jessica Naugle","orcid":null,"position":3,"is_corresponding":false},{"id":733296,"name":"Catherine Magee","orcid":null,"position":4,"is_corresponding":false},{"id":338224,"name":"Barry Zevin","orcid":null,"position":5,"is_corresponding":false},{"id":336582,"name":"Carmen L. Masson","orcid":"0000-0002-1153-7132","position":6,"is_corresponding":false},{"id":336583,"name":"J. Konadu Fokuo","orcid":"0000-0003-4299-689X","position":7,"is_corresponding":false},{"id":905054,"name":"Daniel González","orcid":"0000-0002-7913-3513","position":8,"is_corresponding":false},{"id":336587,"name":"Mandana Khalili","orcid":"0000-0001-9178-9139","position":9,"is_corresponding":false},{"id":905053,"name":"Diana Partida","orcid":"0000-0002-7949-9806","position":0,"is_corresponding":true}],"reference_count":36,"raw_metadata":null,"created_at":"2026-07-19T00:25:21.336200Z","pmid":"35369281","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}