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Clinical Encounters and Treatment Initiation for Chronic Hepatitis C Patients: Applications of Adaptive Leadership Framework for Chronic Illness

Author

Listed:
  • Donald E. Bailey Jr.
  • Andrew J. Muir
  • Judith A. Adams
  • N. Marcus Thygeson
  • Hants Williams
  • Michael P. Cary Jr.
  • Ruth A. Anderson

Abstract

Chronic hepatitis C (CHC) is the most common blood-borne infection in the United States. Patients with CHC undergoing treatment face many challenges including adherence to medications and management of symptoms; health care practitioners are well positioned to facilitate patients’ ability to address these challenges. We used the Adaptive Leadership for Chronic Illness Framework to investigate the difficulties inherent in affecting behavior change in patients undergoing treatment. We enrolled 11 patient participants and 10 provider participants. We used data from the first clinical encounter between patients and providers during which treatment was discussed. We found examples of adaptive leadership and categorized these behaviors into three themes: support for medication, coping with family/home life, and strategizing to manage employment. We also saw examples of what we termed missed opportunities for adaptive leadership. This study illustrates the contributions of adaptive leadership behaviors by health care providers and the potential risk to patients in their absence.

Suggested Citation

  • Donald E. Bailey Jr. & Andrew J. Muir & Judith A. Adams & N. Marcus Thygeson & Hants Williams & Michael P. Cary Jr. & Ruth A. Anderson, 2019. "Clinical Encounters and Treatment Initiation for Chronic Hepatitis C Patients: Applications of Adaptive Leadership Framework for Chronic Illness," SAGE Open, , vol. 9(1), pages 21582440188, January.
    • Handle: RePEc:sae:sagope:v:9:y:2019:i:1:p:2158244018824461
    DOI: 10.1177/2158244018824461
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    References listed on IDEAS

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    1. Haley, S.J. & Kreek, M.J., 2015. "A window of opportunity: Maximizing the effectiveness of new HCV regimens in the United States with the expansion of the affordable care act," American Journal of Public Health, American Public Health Association, vol. 105(3), pages 457-463.
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