Shannon van Hoorn

177 Patient experiences with VBHC interventions at the HIV outpatient clinic 6 clinic twice a year, a remote consultation was introduced to replace one of the face-to-face consultations. Secondly, to maximize the value of the patient visit to the outpatient clinic, the patient had a consultation with both the ID specialist and the nurse consultant/practitioner on the same day instead of visiting one of the two healthcare professionals. Preferably, the patient first visited the nurse consultant/practitioner immediately followed by a consultation with the ID specialist. Before this annual double consultation, patients are asked to complete the generic quality of life questionnaire as part of their standard care at the Erasmus MC. Participants and data collection Patients were recruited for this study using a mixture of convenience and purpose sampling between April 5th and June 21st 2022. The nurse consultant/ practitioner or ID specialist approached potential participants during a regularly scheduled visit at the HIV outpatient clinic asking them to participate in this study. Besides a verbal explanation of the study, potential participants received a patient information letter, which contained information about the goal and purpose of the study as well as information about anonymity and confidentiality. If the patient agreed to participate in the study, informed consent was signed and an appointment was made to conduct a telephone interview. This telephone interview occurred within one week after their visit to the HIV outpatient clinic to prevent recall bias. The telephone interview was expected to take approximately 15 minutes of the patients’ time. Patients eligible for this study were 18 years of age or older, English or Dutch speaking, able to give informed consent, and have been a patient for more than 5 years at the HIV outpatient clinic of the Erasmus MC, the Netherlands. The latter inclusion criterion ensured that patients were able to compare their experiences with the care provided before and after the implemented changes at the HIV outpatient clinic. There were no requirements for eligibility involving the reason for their visit to the outpatient clinic or if they completed the generic quality of life questionnaire before their visit. Patients were recruited until data saturation was reached. Data saturation was reached when no new information was obtained from the interviews on all three VBHC interventions. An interview protocol was developed by the research team based on the three main changes implemented at the HIV outpatient clinic. The interview guide included questions about the patients experience with 1) the generic quality of life questionnaire, 2) the changes in consultation schedule, and 3) the change

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