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Peer-reviewedCC BY 4.0Journal of the International Association of Providers of AIDS Care

HIV Care for Adolescents and Young Adults: A Cross-Sectional Comparison of Nurse Practitioner and Physician Roles in Engagement in Care, Trust, and Clinical Outcomes

  • Emily Anne Barr1,2,3
  • Suzanne E. Courtwright4
  • Sheryl Malone-Thomas2
  • Lori Silveira5
  • Deborah Kacanek6
  • Paul Cook1
  • Sean M. Reed1
  • Hillary Dunlevy7
7 affiliations
  1. 1College of Nursing, University of Colorado, Aurora, CO, USA
  2. 2Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, USA
  3. 3Department of Research, University at Buffalo School of Nursing, Buffalo, NY, USA
  4. 4Center for Healthcare Delivery Research & Innovation, Columbia University School of Nursing, New York, NY, USA
  5. 5Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA
  6. 6Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA, USA
  7. 7Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA
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Abstract

Background: Nurse practitioners (NPs) may help address HIV workforce shortages, but evidence comparing health outcomes in youth remains limited. This study compared clinical and patient-reported outcomes among adolescents and young adults with HIV (AYA-WH) receiving NP versus physician care.

Methods: In this cross-sectional study, health record and survey data from AYA-WH (N=109) receiving care in Colorado, USA (June 2019–November 2020) were analyzed. Outcomes included viral suppression, care engagement, telehealth use, trust, adherence, and HIV stigma.

Results: Viral suppression and engagement in care were comparable between NP and physician groups. Youth receiving NP care had more visits, greater telehealth use, higher CD4 counts, and were more likely to report higher patient-provider trust. Adherence and stigma did not differ by provider type.

Conclusions: NPs are well-positioned to expand access to youth-focused HIV care while maintaining outcomes comparable to physician providers.

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Cite

BibTeXRIS
BibTeX
@article{barr2026care,
  title = {{HIV Care for Adolescents and Young Adults: A Cross-Sectional Comparison of Nurse Practitioner and Physician Roles in Engagement in Care, Trust, and Clinical Outcomes}},
  author = {Emily Anne Barr and Suzanne E. Courtwright and Sheryl Malone-Thomas and Lori Silveira and Deborah Kacanek and Paul Cook and Sean M. Reed and Hillary Dunlevy},
  journal = {Journal of the International Association of Providers of AIDS Care},
  year = {2026},
  month = oct,
  doi = {10.1177/23259582261485418},
  url = {https://doi.org/10.1177/23259582261485418},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - HIV Care for Adolescents and Young Adults: A Cross-Sectional Comparison of Nurse Practitioner and Physician Roles in Engagement in Care, Trust, and Clinical Outcomes
AU  - Emily Anne Barr
AU  - Suzanne E. Courtwright
AU  - Sheryl Malone-Thomas
AU  - Lori Silveira
AU  - Deborah Kacanek
AU  - Paul Cook
AU  - Sean M. Reed
AU  - Hillary Dunlevy
PY  - 2026
DA  - 2026/10/01
JO  - Journal of the International Association of Providers of AIDS Care
DO  - 10.1177/23259582261485418
UR  - https://doi.org/10.1177/23259582261485418
AB  - Background: Nurse practitioners (NPs) may help address HIV workforce shortages, but evidence comparing health outcomes in youth remains limited. This study compared clinical and patient-reported outcomes among adolescents and young adults with HIV (AYA-WH) receiving NP versus physician care.  Methods: In this cross-sectional study, health record and survey data from AYA-WH (N=109) receiving care in Colorado, USA (June 2019–November 2020) were analyzed. Outcomes included viral suppression, care engagement, telehealth use, trust, adherence, and HIV stigma.  Results: Viral suppression and engagement in care were comparable between NP and physician groups. Youth receiving NP care had more visits, greater telehealth use, higher CD4 counts, and were more likely to report higher patient-provider trust. Adherence and stigma did not differ by provider type.  Conclusions: NPs are well-positioned to expand access to youth-focused HIV care while maintaining outcomes comparable to physician providers.
SN  - 2325-9574
SN  - 2325-9582
ER  -