scholarly journals Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Adolescents and Young People Living with HIV: A Scoping Review

2020 ◽  
Author(s):  
Emeka Francis Okonji ◽  
Ferdinand C. Mukumbang ◽  
Zaida Orth ◽  
Shelley A. Vickerman-Delport ◽  
Brian Van Wyk
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Young People ◽  
Scoping Review ◽  
Psychosocial Support ◽  
Retention In Care ◽  
Adolescents And Young Adults ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Background: Mental health disorders such as high levels of anxiety, isolation, depression and suicide reported among adolescents and young people living with HIV contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among adolescents living with HIV. This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among adolescents and young people living with HIV globally. Method: We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework. Results: Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters. Conclusion: There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of adolescents and young adults living with HIV.

scholarly journals Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Young People Living with HIV: A Scoping Review

2020 ◽  
Author(s):  
Emeka Francis Okonji ◽  
Ferdinand C. Mukumbang ◽  
Zaida Orth ◽  
Shelley A. Vickerman-Delport ◽  
Brian Van Wyk
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Young People ◽  
Scoping Review ◽  
Psychosocial Support ◽  
Retention In Care ◽  
Adolescents And Young Adults ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Background: Mental health disorders such as high levels of anxiety, isolation, depression and suicide ideation reported among young people living with HIV (10-24; YPLWH) contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among YPLWH . This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among adolescents and young people living with HIV globally. Method: We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework. Results: Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters. Conclusion: There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of adolescents and young adults living with HIV.PROSPERO: Registration CRD42018105057

scholarly journals Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Young People Living with HIV (10-24 years): A Scoping Review

2020 ◽  
Author(s):  
Emeka Francis Okonji ◽  
Ferdinand C. Mukumbang ◽  
Zaida Orth ◽  
Shelley A. Vickerman-Delport ◽  
Brian Van Wyk
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Young People ◽  
Scoping Review ◽  
Psychosocial Support ◽  
Retention In Care ◽  
Adolescents And Young Adults ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Background: Mental health disorders such as high levels of anxiety, isolation, depression and suicide ideation reported among young people living with HIV (10-24 years; YPLWH) contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among YPLWH . This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among adolescents and young people living with HIV globally.Method: We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework.Results: Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters.Conclusion: There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of adolescents and young adults living with HIV.PROSPERO: Registration CRD42018105057

scholarly journals Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Young People Living with HIV (10-24 years): A Scoping Review

2020 ◽  
Author(s):  
Emeka Francis Okonji ◽  
Ferdinand C. Mukumbang ◽  
Zaida Orth ◽  
Shelley A. Vickerman-Delport ◽  
Brian Van Wyk
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Young People ◽  
Scoping Review ◽  
Psychosocial Support ◽  
Retention In Care ◽  
Adolescents And Young Adults ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Background: Mental health disorders such as high levels of anxiety, isolation, depression and suicide ideation reported among young people living with HIV (10-24 years; YPLWH) contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among YPLWH. This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among adolescents and young people living with HIV globally.Method: We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework.Results: Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters.Conclusion: There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of adolescents and young adults living with HIV.PROSPERO: Registration CRD42018105057

scholarly journals Psychosocial support interventions for improved adherence and retention in ART care for young people living with HIV (10–24 years): a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emeka F. Okonji ◽  
Ferdinand C. Mukumbang ◽  
Zaida Orth ◽  
Shelley A. Vickerman-Delport ◽  
Brian Van Wyk
Keyword(s):  
Medication Adherence ◽  
Young People ◽  
Scoping Review ◽  
Suicide Ideation ◽  
Psychosocial Support ◽  
Retention In Care ◽  
Treatment Modalities ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Background Mental health disorders such as high levels of anxiety, isolation, depression and suicide ideation reported among young people living with HIV (10–24 years;YPLHIV) contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among YPLHIV. This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among YPLHIV globally. Method We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework. Results Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters. Conclusion There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of YPLHIV. Trial registration PROSPERO: Registration CRD42018105057.

scholarly journals Effectiveness of Peer Support Interventions for Adolescents and Young Adults Living with HIV Globally

2020 ◽  
Vol 3 ◽  
Author(s):  
Helen Hernandez ◽  
Hanna Craven ◽  
Judith Toromo ◽  
Leslie Enane
Keyword(s):  
Young Adults ◽  
Peer Support ◽  
Retention In Care ◽  
Small Sample ◽  
Adolescents And Young Adults ◽  
Favorable Effect ◽  
Current Evidence ◽  
Current Evidence Base ◽  
Living With Hiv ◽  
Peer Interventions

Background: Adolescents and young adults living with HIV (AYALHIV, ages 10-24) have poorer outcomes in care compared to other age groups. The global Treat All strategy aims to extend antiretroviral therapy (ART) to all individuals living with HIV. Efforts to improve outcomes in the AYALHIV population are essential to successfully achieving viral suppression and improving the long-term health outcomes of young people, and ultimately to ending the HIV pandemic. Peer support interventions are increasingly implemented by care programs, and are broadly favored by AYALHIV. This systematic review will evaluate the current evidence for quantitative effects of peer support interventions on AYALHIV treatment outcomes.   Methods:  We searched MEDLINE, Embase, Global Health, CINAHL Complete, Cochrane, and Scopus databases for papers published between 1994 and October 2019, in all languages and regions. Studies of the effect of peer support interventions for AYALHIV on measures of adherence or retention in care were included. Solely qualitative studies and those without a comparator or control were excluded. Three researchers screened the papers independently, and those meeting criteria were included. Abstracted variables included study characteristics, participant population, peer intervention characteristics, and outcomes.   Results: The current evidence base for the effect of peer interventions for AYALHIV is very limited. Included studies were of small sample size, and primarily consisted of observational cohort studies with imperfect comparators. In initial analyses we find that studies of peer interventions have had mixed findings regarding the effect of such interventions on adherence to ART. By contrast, studies have consistently reported a favorable effect of peer interventions on increased retention in care among AYALHIV.   Conclusion/Implications: Rigorous studies of interventions to improve outcomes among AYALHIV are urgently needed. Further analyses in this review will examine differences according to study population, design, or intervention characteristics, which may underlie variable effects identified. 

Associations Between Internalized HIV Stigma and Tobacco Smoking Among Adolescents and Young Adults Living with HIV: The Moderating Role of Future Orientations

2019 ◽  
Vol 24 (1) ◽  
pp. 165-172
Author(s):  
Kristi E. Gamarel ◽  
Zoe Finer ◽  
Kenneth Resnicow ◽  
Monique Green-Jones ◽  
Erica Kelley ◽  
...  
Keyword(s):  
Young Adults ◽  
Tobacco Smoking ◽  
Adolescents And Young Adults ◽  
Hiv Stigma ◽  
Future Orientations ◽  
Living With Hiv ◽  
Moderating Role

scholarly journals 940. Impact of Using Arts Programming to Support Treatment in Adolescents Living with HIV in Eswatini

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S503-S503
Author(s):  
Vedika Agrawal ◽  
Tara Ness ◽  
Amanda Small ◽  
Tandzile T Simelane ◽  
Bhekemusa Lukhele ◽  
...  
Keyword(s):  
Young Adults ◽  
Medication Adherence ◽  
Sense Of Community ◽  
Community Building ◽  
Adolescents And Young Adults ◽  
Hiv Positive ◽  
Creative Arts ◽  
Age Group ◽  
Personal Stigma ◽  
Living With Hiv

Abstract Background Adolescents and young adults with HIV are a unique population given the distinct psychosocial challenges of their age-group coupled with having a stigmatizing disease. In 2018, approximately 1.6 million adolescents were living with HIV worldwide, with the highest HIV prevalence found in Eswatini. As this group struggles more than any other age-group with medication adherence, novel interventions that are peer-inclusive and empowering should be explored to support their treatment. Methods We piloted a theater camp to determine the impact of fostering creative expression amongst adolescents and young adults enrolled at our HIV clinic in Mbabane, Eswatini. A two-week camp was conducted in collaboration with a non-profit organization of professional teachers, actors, and musicians. We emphasized enrollment of patients struggling with medication adherence, teen mothers, and those on second-line antiretroviral treatment. Twenty individuals (ages 12-23) participated in self-expression activities, story development, and a final play performed for the community. To assess impact, we compared viral loads pre- and post- camp as well as surveyed participants on effect of participation on areas such as personal stigma, sense of community, and confidence. Results Of those who participated, 25% showed a substantial decrease and 10% a substantial increase in viral load after the camp (>0.1 log10 change). Those who completed the survey (n=18) felt the camp helped them with confidence (13/18), teamwork (13/18), and friendships (11/18). Quotes from participants reinforced this growing sense of community, confidence, and decreased personal stigma. One wrote “theater camp helped me know that I can do a lot of things in life to achieve my future goals although I am HIV positive” and another stated “it made me not feel sorry for being an HIV positive person.” Conclusion Our pilot program demonstrates creative arts programming has beneficial psychosocial effects, aids in community building, and potentially enhances the effectiveness of medical treatment. Further programs and studies should continue to investigate creative arts as an avenue for treatment support, self-expression, and community building among vulnerable populations such as adolescents and young adults with HIV. Disclosures All Authors: No reported disclosures

scholarly journals Pharmacist Contributions

2018 ◽  
Author(s):  
MIDWEST SAPH 2018
Keyword(s):  
Diabetes Management ◽  
Care Transitions ◽  
Community Pharmacists ◽  
Retention In Care ◽  
People Living With Hiv ◽  
Occupational Fatigue ◽  
Living With Hiv ◽  
Article 5

Faculty Discussant: Andrea Kjos, PharmD, PhD Article 1: The Evolution of the Field Of Social and Administrative Pharmacy: Past, Present, and Future: A Network Perspective Daniel Ricci, PharmD, MS; Betty Chewning, PhD Article 2: The Developing Role of Community Pharmacists in Facilitating Care Transitions Kooyman Chase; Matthew J. Witry, PharmD, PhD Article 3: Exploring the Utilization of Community Pharmacists to Facilitate Linkage and Retention in Care of People Living with HIV Adati Tarfa, PharmD, RPh; Olayinka Shiyanbola, PhD, BPharm Article 4: The Roles of Clinical Pharmacists in Diabetes Management: What Do Minority Patients with Uncontrolled Type 2 Diabetes Have to Say? Nadia A. Nabulsi, MPH; Connie H. Yan, PharmD; Ben S. Gerber, MD, MPH; Lisa K. Sharp, PhD Article 5: An Ethical Case Study of PBM Practices’ Impact on Providers Jacob J. Drettwan, Graduate Student; Andrea L. Kjos, PhD, PharmD Article 6: Operationalizing Occupational Fatigue in Wisconsin Pharmacists Taylor Watterson, PharmD; Kevin Look, PharmD, PhD; Michelle Chui, PharmD, PhD

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