scholarly journals Counselling, Case Management and Health Promotion for People Living with HIV/AIDS: An Overview of Systematic Reviews

2012 ◽  
Vol 17 (5) ◽  
pp. 1612-1625 ◽  
Author(s):  
Michael G. Wilson ◽  
Winston Husbands ◽  
Lydia Makoroka ◽  
Sergio Rueda ◽  
Nicole R. Greenspan ◽  
...  
Keyword(s):  
Health Promotion ◽  
Case Management ◽  
Systematic Reviews ◽  
People Living With Hiv ◽  
Overview Of Systematic Reviews ◽  
Living With Hiv ◽  
Hiv Aids

Healthcare Utilization, Unmet Service Needs, and Medication Adherence Among People Living with HIV/AIDS

2020 ◽  
Vol 18 (6) ◽  
pp. 436-442
Author(s):  
Xiangjun Zhang ◽  
Roy F. Oman ◽  
Trudy A. Larson ◽  
Elizabeth J. Christiansen ◽  
Michelle L. Granner ◽  
...  
Keyword(s):  
Health Promotion ◽  
Service Utilization ◽  
Medical Service ◽  
Outcome Variable ◽  
People Living With Hiv ◽  
Service Needs ◽  
Art Adherence ◽  
Living With Hiv ◽  
Adherence Group ◽  
Hiv Aids

Background: Comorbidity rates and service needs are high among people living with HIV/AIDS (PLWHA). The effects of service utilization and unmet service needs on antiretroviral therapy (ART) adherence are not well understood. The purpose of this study was to investigate associations among PLWHA’s service utilization, unmet service needs, and ART adherence. Methods: PLWHA (N=162) 18 years or older were recruited from a Nevada statewide needs assessment project in 2016. Participants completed a self-administered questionnaire on paper or online. The independent variables were service utilization and unmet service needs. The outcome variable was ART adherence. Multivariable logistic regression analyses were conducted to examine associations between the amount of utilized services and unmet service needs with ART adherence. Results: Only 12 (7.5%) participants reported they received all needed services. The ART non-adherence group showed significantly higher unmet medical service needs compared to the ART adherence group (p=0.007). Unmet medical service needs (Adjusted Odds Ratio (AOR) 0.69, CI 0.53-0.90) and unmet support service needs (AOR 0.68, CI 0.48-0.97) were negatively associated with ART adherence. However, utilizing medical services (AOR 1.06, CI 0.87-1.30) and support services (AOR 0.88, CI 0.74-1.04) in the current year were not significantly associated with ART adherence. Conclusion: The results of this study indicate that health promotion programming should focus not only on introducing new services at the community level, but also work to optimize the availability and awareness of current services. Furthermore, health promotion programs should focus on filling service coverage gaps and improving the facilitation of services.

Satisfaction with Dental Case Management Among People Living with HIV/AIDS

2009 ◽  
Vol 35 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Celeste A. Lemay ◽  
Myrtise Kretsedemas ◽  
John R. Graves
Keyword(s):  
Case Management ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

Case management community care for people living with HIV/AIDS (PLHAs)

AIDS Care ◽  
2007 ◽  
Vol 19 (8) ◽  
pp. 1065-1072 ◽  
Author(s):  
W. Husbands ◽  
G. Browne ◽  
J. Caswell ◽  
K. Buck ◽  
D. Braybrook ◽  
...  
Keyword(s):  
Case Management ◽  
Community Care ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Overview of systematic reviews on strategies to improve treatment initiation, adherence to antiretroviral therapy and retention in care for people living with HIV: part 1

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034793
Author(s):  
Lawrence Mbuagbaw ◽  
Anisa Hajizadeh ◽  
Annie Wang ◽  
Dominik Mertz ◽  
Daeria O Lawson ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Vulnerable Populations ◽  
Systematic Reviews ◽  
Retention In Care ◽  
Research Quality ◽  
Cochrane Library ◽  
People Living With Hiv ◽  
Community Based ◽  
Overview Of Systematic Reviews ◽  
Living With Hiv

ObjectivesWe sought to map the evidence and identify interventions that increase initiation of antiretroviral therapy, adherence to antiretroviral therapy and retention in care for people living with HIV at high risk for poor engagement in care.MethodsWe conducted an overview of systematic reviews and sought for evidence on vulnerable populations (men who have sex with men (MSM), African, Caribbean and Black (ACB) people, sex workers (SWs), people who inject drugs (PWID) and indigenous people). We searched PubMed, Excerpta Medica dataBASE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science and the Cochrane Library in November 2018. We screened, extracted data and assessed methodological quality in duplicate and present a narrative synthesis.ResultsWe identified 2420 records of which only 98 systematic reviews were eligible. Overall, 65/98 (66.3%) were at low risk of bias. Systematic reviews focused on ACB (66/98; 67.3%), MSM (32/98; 32.7%), PWID (6/98; 6.1%), SWs and prisoners (both 4/98; 4.1%). Interventions were: mixed (37/98; 37.8%), digital (22/98; 22.4%), behavioural or educational (9/98; 9.2%), peer or community based (8/98; 8.2%), health system (7/98; 7.1%), medication modification (6/98; 6.1%), economic (4/98; 4.1%), pharmacy based (3/98; 3.1%) or task-shifting (2/98; 2.0%). Most of the reviews concluded that the interventions effective (69/98; 70.4%), 17.3% (17/98) were neutral or were indeterminate 12.2% (12/98). Knowledge gaps were the types of participants included in primary studies (vulnerable populations not included), poor research quality of primary studies and poorly tailored interventions (not designed for vulnerable populations). Digital, mixed and peer/community-based interventions were reported to be effective across the continuum of care.ConclusionsInterventions along the care cascade are mostly focused on adherence and do not sufficiently address all vulnerable populations.

scholarly journals Strategies to improve adherence to antiretroviral therapy and retention in care for people living with HIV in high-income countries: a protocol for an overview of systematic reviews

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022982 ◽  
Author(s):  
Lawrence Mbuagbaw ◽  
Dominik Mertz ◽  
Daeria O Lawson ◽  
Marek Smieja ◽  
Anita C Benoit ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
High Risk ◽  
Systematic Reviews ◽  
Retention In Care ◽  
High Income ◽  
Cochrane Library ◽  
People Living With Hiv ◽  
Adherence To Medication ◽  
Overview Of Systematic Reviews ◽  
Living With Hiv

IntroductionWhile access to antiretroviral therapy (ART) for people living with HIV has expanded in recent years, additional efforts are required to support adherence to medication and retention in care. Interventions should be applicable in real-world settings and amenable to widespread use. The objectives of this overview are to identify effective pragmatic interventions that increase adherence to ART and retention in care for people living with HIV at high risk for suboptimal adherence and retention in high-income countries.Methods and analysisWe will conduct an overview of systematic reviews of studies on interventions which target improved adherence to medication and retention in care among high-risk people living with HIV in high-income countries (men who have sex with men, African, Caribbean and black people, sex workers, people who inject drugs, indigenous people and other socially marginalised groups). We will search the following databases: PubMed, EMBASE (Exerpta Medica Database), CINAHL (Cumulative Index to Nursing and Allied Health Literature), PsycINFO, Web of Science and the Cochrane Library. We will conduct screening, data extraction and assessment of methodological quality of the systematic reviews. Analysis will be narrative. Our findings will be interpreted in light of the certainty of the evidence, level of pragmatism, setting and population of interest.Ethics and disseminationOnly published secondary data will be used in this study, and therefore ethics approval is not required. Our findings will be disseminated as peer-reviewed manuscripts, conference abstracts and through community activities. The findings from this overview will inform a mixed-methods study among people living with HIV and health workers in Ontario, Canada.

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