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AIDS and Behavior

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24.09.2015 | Substantive Review

Identifying Best Practices for Increasing Linkage to, Retention, and Re-engagement in HIV Medical Care: Findings from a Systematic Review, 1996–2014

verfasst von: Darrel H. Higa, Nicole Crepaz, Mary M. Mullins, The Prevention Research Synthesis Project

Erschienen in: AIDS and Behavior | Ausgabe 5/2016

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Abstract

A systematic review was conducted to identify best practices for increasing linkage, retention and re-engagement in HIV care (LRC) for persons living with HIV (PLWH). Our search strategy consisted of automated searches of electronic databases and hand searches of journals, reference lists and listservs. We developed two sets of criteria: evidence-based to identify evidence-based interventions (EBIs) tested with a comparison group and evidence-informed to identify evidence-informed interventions (EIs) tested with a one-group design. Eligible interventions included being published between 1996 and 2014, U.S.-based studies with a comparison or one-group designs with pre-post data, international randomized controlled trials, and having objective measures of LRC-relevant outcomes. We identified 10 best practices: 5 EBIs and 5 EIs. None focused on re-engagement. Providers and prevention planners can use the review findings to identify best practices suitable for their clinics, agencies, or communities to increase engagement in care for PLWH, ultimately leading to viral suppression.

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Although initiating ART is dependent on a health care professional, this element is an important step in the care continuum and demonstrates additional evidence of engagement in care.

Given that viral load suppression is considered the ultimate goal in the continuum of care, interventions demonstrating evidence of improvements in viral load suppression may be more effective than studies that do not.

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Titel: Identifying Best Practices for Increasing Linkage to, Retention, and Re-engagement in HIV Medical Care: Findings from a Systematic Review, 1996–2014
verfasst von: Darrel H. Higa
Nicole Crepaz
Mary M. Mullins
The Prevention Research Synthesis Project
Publikationsdatum: 24.09.2015
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 5/2016
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-015-1204-x

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