Feasibility of four interventions to improve treatment adherence in migrants living with hiv in the netherlands

We evaluated the feasibility and efficacy of four existing interventions to improve adherence to them in migrants living with HIV (MLWH): directly administered antiretroviral therapy (DAART), group medical appointments (GMA), early detection and treatment of psychological distress, and peer support by trained MLWH. At baseline and after the interventions, socio-demographic characteristics, psychosocial variables, and data on HIV treatment adherence were collected. The two questionnaires were completed by 234/301 (78%) MLWH included at baseline. Detectable HIV RNA decreased (from 10.3 to 6.8%)... Mehr ...

Verfasser: Been, Sabrina K.
van de Vijver, David A.M.C.
Smit, Jannigje
Bassant, Nadine
Pogány, Katalin
Stutterheim, Sarah E.
Verbon, Annelies
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Reihe/Periodikum: Been , S K , van de Vijver , D A M C , Smit , J , Bassant , N , Pogány , K , Stutterheim , S E & Verbon , A 2020 , ' Feasibility of four interventions to improve treatment adherence in migrants living with hiv in the netherlands ' , Diagnostics , vol. 10 , no. 11 , 980 . https://doi.org/10.3390/diagnostics10110980
Schlagwörter: /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / name=SDG 3 - Good Health and Well-being
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27616363
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://pure.eur.nl/en/publications/8d20a895-1c20-489b-bf66-8eb22732c1c2

We evaluated the feasibility and efficacy of four existing interventions to improve adherence to them in migrants living with HIV (MLWH): directly administered antiretroviral therapy (DAART), group medical appointments (GMA), early detection and treatment of psychological distress, and peer support by trained MLWH. At baseline and after the interventions, socio-demographic characteristics, psychosocial variables, and data on HIV treatment adherence were collected. The two questionnaires were completed by 234/301 (78%) MLWH included at baseline. Detectable HIV RNA decreased (from 10.3 to 6.8%) as did internalized HIV-related stigma (from 15 to 14 points), and self-reported adherence increased (between 5.5 and 8.3%). DAART and GMA were not feasible interventions. Screening of psychological distress was feasible; however, follow-up diagnostic screening and linkage to psychiatric services were not. Peer support for and by MLWH was feasible. Within this small intervention group, results on HIV RNA < 400 copies/mL (decrease of 23.6%) and outpatient clinic attendance (up to 20.4% kept more appointments) were promising.