{
  "abstract": "Introduction: Mobile populations experience difficulties maintaining antiretroviral therapy (ART) adherence and HIV care engagement. We sought to explore participant perceptions of a patient-centred model aimed at enhancing care engagement through ‘dynamic choice’ treatment services for mobile individuals. Methods: We conducted 23 qualitative interviews with participants (N = 18) and healthcare providers (N = 5) from eight communities in southwest Uganda and western Kenya enrolled in a dynamic choice intervention that provided six-month and community ART refills; a “travel pack” with a travel checklist, discreetly packed ART, and an emergency supply of ART; phone access to a mobility coordinator; and facilitated transfers to distal clinics. Interviews explored participant life and mobility contexts, intervention experiences and preferences (as recipient or provider), and patient-provider relations. We employed a framework analysis of selected codes to identify emergent themes around intervention components and recommendations for improvement. Results: Participants liked all options, the travel pack being most preferred. Longer times between refills allowed participants to concentrate on ART adherence, rather than on managing clinic appointments in the context of uncertain mobility. Viral load counselling was appreciated for explaining the relationship between medication adherence, viral load, and opportunistic infections. Poverty and food insecurity remain obstacles to ideal ART adherence. Recommendations: Participants suggested scaling up these support services to the whole community, incorporating services to treat additional diseases, and food or employment support to help improve overall health outcomes. Care providers also recommended strengthening supply chains and deploying electronic medical records country-wide to facilitate care for mobile individuals.",
  "abstract_shown": true,
  "affiliations": [
    "Division of Prevention Sciences, University of California, San Francisco (UCSF), San Francisco, California, United States of America",
    "Kenya Medical Research Institute (KEMRI), Kisumu, Kenya",
    "Infectious Diseases Research Collaboration, Kampala, Uganda",
    "University of California, Berkeley, Biostatistics, Epidemiology, and Computational Precision Health, Berkeley, California, United States of America",
    "Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda",
    "University of California, San Francisco (UCSF), Medicine, San Francisco, California, United States of America"
  ],
  "article_type": "Research Article",
  "arxiv": null,
  "author_total": 17,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Jason Johnson-Peretz"
    },
    {
      "affs": [
        1
      ],
      "name": "James Ayieko"
    },
    {
      "affs": [
        2
      ],
      "name": "Lawrence Owino"
    },
    {
      "affs": [
        3
      ],
      "name": "Cecilia Akatukwasa"
    },
    {
      "affs": [
        4
      ],
      "name": "Anjeline Onyango"
    },
    {
      "affs": [
        5
      ],
      "name": "Fred Atwine"
    },
    {
      "name": "Titus O. Arunga"
    },
    {
      "name": "Colette Aoko"
    },
    {
      "name": "Laura B. Balzer"
    },
    {
      "name": "Moses R. Kamya"
    },
    {
      "name": "Edwin Charlesbois"
    },
    {
      "name": "Jane Kabami"
    },
    {
      "name": "Maya L. Petersen"
    },
    {
      "name": "Gabriel Chamie"
    },
    {
      "name": "Diane V. Havlir"
    },
    {
      "name": "Elijah Kakande"
    },
    {
      "name": "Carol S. Camlin"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3x0tdghmqwerp.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pone.0356605",
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  "id": "3x0tdghmqwerp",
  "issns": [
    "1932-6203"
  ],
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  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
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    ],
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      "/Medicine and health sciences/Nutrition/Diet/Food"
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      "/Medicine and health sciences/Pathology and laboratory medicine/Pathogens/Microbial pathogens/Viral pathogens/Immunodeficiency viruses/HIV"
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      "/Medicine and health sciences/Pathology and laboratory medicine/Pathogens/Microbial pathogens/Viral pathogens/Retroviruses/Lentivirus/HIV"
    ],
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      "/Medicine and health sciences/Public and occupational health/Preventive medicine/Vaccination and immunization/Antiviral therapy/Antiretroviral therapy"
    ],
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      "/People and places/Geographical locations/Africa/Uganda"
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  "pdf_url": "https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0356605&type=printable",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-03",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/3x0tdghmqwerp.ris",
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    {
      "first_seen": "2026-10-30T12:17:56Z",
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      "url": "https://doi.org/10.1371/journal.pone.0356605"
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  "subjects": [
    {
      "field": "biology",
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      "subfield": "immunology"
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      "origin": "plos:microbiology",
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  "title": "Participant perspectives on a person-centred care model for mobile individuals in HIV care from the SEARCH Dynamic Choice Treatment trial in rural Kenya and Uganda",
  "title_text": "Participant perspectives on a person-centred care model for mobile individuals in HIV care from the SEARCH Dynamic Choice Treatment trial in rural Kenya and Uganda",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:56Z",
  "url": "https://research.draconitic.com/paper/3x0tdghmqwerp",
  "venue": "PLOS One",
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