Abstract
The Transcultural Case Management (TCM) intervention utilizing community health-care wotkets-Promotores-was designed to increase adherence to Highly Active Anti-Retroviral Therapy (HAART) treatment. The TCM model was also expected to help reduce the use of hospital emergency rooms, the number of hospitalization days, and consequently to lower treatment costs among Hispanic HIV-positive male patients. The intervention results, although not statistically significant because of a higher than expected attrition rate and difficulties in accessing patients for follow-up, were in the expected direction. Furthermore, the self-reported quality of life of the patients increased by the development of social networks among patients and by an increased sense of self-reliance and empowerment. Problems encountered in fulfilling the goals of the research protocol, and recommendations on how to improve research in HIV care organizations are also discussed.
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