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Table 3 PROs and Honest Disclosure of SU/MH – Patient Viewpoints

From: A qualitative study examining the benefits and challenges of incorporating patient-reported outcome substance use and mental health questionnaires into clinical practice to improve outcomes on the HIV care continuum

Qualitative Theme

Exemplar Quotation(s)

Less Willing to Honestly Disclose SU/MH with PROs

 Harder to disclose to computer

“It takes a lot for a person to express how they feel when you can be face to face with somebody. Emotionally and physically...being face to face with her ... It’s easier.” (Patient 20, Not Retained, MH only)

 Fear of Provider Judgement

“Other patients see [will start] missing their appointments because they ashamed of what the doctor seen. Especially when you bring it to their attention...They’ll start shying away from the clinic” (Patient, Retained, SU only).

More Willing to Honestly Disclose SU/MH with PROs

 Easier to disclose to computer

“That would give the doctor herself an extra little something that well, I can read this and maybe they don’t want to open to me, but they’ll open up to this. So I think that’d be real good.” (Patient 19, Retained, SU only)