Challenges in the Evaluation of Interventions to Improve Engagement Along the HIV Care Continuum in the United States: A Systematic Review
Abstract In the United States (US), there are high levels of disengagement along the HIV care continuum. We sought to characterize the heterogeneity in research studies and interventions to improve care engagement among people living with diagnosed HIV infection. We performed a systematic literature search for interventions to improve HIV linkage to care, retention in care, reengagement in care and adherence to antiretroviral therapy (ART) in the US published from 2007-mid 2015. Study designs and outcomes were allowed to vary in included studies. We grouped interventions into categories, target populations, and whether results were significantly improved. We identified 152 studies, 7 (5%) linkage studies, 33 (22%) retention studies, 4 (3%) reengagement studies, and 117 (77%) adherence studies. ‘Linkage’ studies utilized 11 different outcome definitions, while ‘retention’ studies utilized 39, with very little consistency in effect measurements. The majority (59%) of studies reported significantly improved outcomes, but this proportion and corresponding effect sizes varied substantially across study categories. This review highlights a paucity of assessments of linkage and reengagement interventions; limited generalizability of results; and substantial heterogeneity in intervention types, outcome definitions, and effect measures. In order to make strides against the HIV epidemic in the US, care continuum research must be improved and benchmarked against an integrated, comprehensive framework..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2017 |
|---|---|
| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
|---|---|
| Enthalten in: |
Aids and behavior - 21(2017), 7 vom: 24. Jan., Seite 2101-2123 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Risher, Kathryn A. [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| Themen: |
HIV adherence |
|---|
| Anmerkungen: |
© Springer Science+Business Media New York 2017 |
|---|
| doi: |
10.1007/s10461-017-1687-8 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
OLC2038340749 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | OLC2038340749 | ||
| 003 | DE-627 | ||
| 005 | 20230511193648.0 | ||
| 007 | tu | ||
| 008 | 200820s2017 xx ||||| 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s10461-017-1687-8 |2 doi | |
| 035 | |a (DE-627)OLC2038340749 | ||
| 035 | |a (DE-He213)s10461-017-1687-8-p | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q VZ |
| 100 | 1 | |a Risher, Kathryn A. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Challenges in the Evaluation of Interventions to Improve Engagement Along the HIV Care Continuum in the United States: A Systematic Review |
| 264 | 1 | |c 2017 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a © Springer Science+Business Media New York 2017 | ||
| 520 | |a Abstract In the United States (US), there are high levels of disengagement along the HIV care continuum. We sought to characterize the heterogeneity in research studies and interventions to improve care engagement among people living with diagnosed HIV infection. We performed a systematic literature search for interventions to improve HIV linkage to care, retention in care, reengagement in care and adherence to antiretroviral therapy (ART) in the US published from 2007-mid 2015. Study designs and outcomes were allowed to vary in included studies. We grouped interventions into categories, target populations, and whether results were significantly improved. We identified 152 studies, 7 (5%) linkage studies, 33 (22%) retention studies, 4 (3%) reengagement studies, and 117 (77%) adherence studies. ‘Linkage’ studies utilized 11 different outcome definitions, while ‘retention’ studies utilized 39, with very little consistency in effect measurements. The majority (59%) of studies reported significantly improved outcomes, but this proportion and corresponding effect sizes varied substantially across study categories. This review highlights a paucity of assessments of linkage and reengagement interventions; limited generalizability of results; and substantial heterogeneity in intervention types, outcome definitions, and effect measures. In order to make strides against the HIV epidemic in the US, care continuum research must be improved and benchmarked against an integrated, comprehensive framework. | ||
| 650 | 4 | |a HIV care continuum | |
| 650 | 4 | |a HIV linkage to care | |
| 650 | 4 | |a HIV retention in care | |
| 650 | 4 | |a HIV reengagement | |
| 650 | 4 | |a HIV adherence | |
| 700 | 1 | |a Kapoor, Sunaina |4 aut | |
| 700 | 1 | |a Daramola, Alice Moji |4 aut | |
| 700 | 1 | |a Paz-Bailey, Gabriela |4 aut | |
| 700 | 1 | |a Skarbinski, Jacek |4 aut | |
| 700 | 1 | |a Doyle, Kate |4 aut | |
| 700 | 1 | |a Shearer, Kate |4 aut | |
| 700 | 1 | |a Dowdy, David |4 aut | |
| 700 | 1 | |a Rosenberg, Eli |4 aut | |
| 700 | 1 | |a Sullivan, Patrick |4 aut | |
| 700 | 1 | |a Shah, Maunank |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Aids and behavior |d Springer US, 1997 |g 21(2017), 7 vom: 24. Jan., Seite 2101-2123 |w (DE-627)216697107 |w (DE-600)1339885-4 |w (DE-576)9216697105 |x 1090-7165 |7 nnns |
| 773 | 1 | 8 | |g volume:21 |g year:2017 |g number:7 |g day:24 |g month:01 |g pages:2101-2123 |
| 856 | 4 | 1 | |u https://doi.org/10.1007/s10461-017-1687-8 |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a SSG-OLC-PHA | ||
| 912 | |a SSG-OLC-DE-84 | ||
| 912 | |a GBV_ILN_11 | ||
| 912 | |a GBV_ILN_4219 | ||
| 951 | |a AR | ||
| 952 | |d 21 |j 2017 |e 7 |b 24 |c 01 |h 2101-2123 | ||