Counseling for improving adherence to antiretroviral treatment: a systematic review
Autor: | Yesenia Musayón-Oblitas, Sarah Gimbel, Cesar Carcamo |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Counseling
Health (social science) health promotion psychosocial care Psychological intervention Hispanic clinical outcome HIV Infections motivational interviewing patient education 0302 clinical medicine problem solving systematic review Antiretroviral Therapy Highly Active middle aged Medicine text messaging 030212 general & internal medicine adherence Hiv treatment gender identity antiretrovirus agent medication compliance Human immunodeficiency virus infected patient Hispanic or Latino Middle Aged highly active antiretroviral therapy Anti-Retroviral Agents priority journal coping behavior anti human immunodeficiency virus agent Hispanic Americans 0305 other medical science Adult medicine.medical_specialty Social Psychology Adolescent antiretroviral therapy Health Promotion psychology purl.org/pe-repo/ocde/ford#3.03.08 [https] patient compliance Article Medication Adherence 03 medical and health sciences Young Adult Telephone counseling Human immunodeficiency virus infection Intervention (counseling) Antiretroviral treatment Humans human procedures patient counseling social problem Sexual identity 030505 public health purl.org/pe-repo/ocde/ford#3.03.12 [https] business.industry Public Health Environmental and Occupational Health Art adherence Family medicine conceptual framework business Individual counseling |
Popis: | One-on-one counseling can be an effective strategy to improve patient adherence to HIV treatment, however a definitive systematic review demonstrating the critical components of one-on-one counselling for HIV treatment adherence has not been conducted. The aim of this systematic review is to examine articles with one-on-one counseling-based interventions, review their components and effectiveness in improving antiretroviral treatment adherence in HIV-infected patients. A systematic review, using the following criteria was performed: (i) experimental studies; (ii) published in Spanish, English or Portuguese; (iii) with interventions consisting primarily of counseling; (iv) adherence as the main outcome; (v) published between 2005 and 2016; (vi) targeted 18 to 60 year old, independent of gender or sexual identity. The author reviewed bibliographic databases: Literatura Peruana en Ciencias de la Salud (LIPECS), Literatura Latinoamericana en Ciencias de la Salud (LILACS), LATINDEX, Scientific Library online (Scielo), Virtual Health Library (VHL), CUIDEN, US National Library of Medicine (PubMed, PubMed Central), the Cochrane Library, and Google Scholar. Articles were analyzed according to the type of study, type of intervention, period of intervention, theoretical basis for intervention, time used in each counseling session and its outcomes. A total of 1790 records were identified. Nine studies were selected for the review, these applied different types of individual counseling interventions and were guided by different theoretical frameworks. Counseling was applied lasting between 4 to 18 months and these were supervised through three to six sessions over the study period. Individual counseling sessions lasted from 7.5 to 90 minutes (Me. 37.5). Six studies demonstrated significant improvement in treatment. Counseling is effective in improving adherence to ART, but methods vary. Face-to-face and computer counseling showed efficacy in improving the adherence, but not the telephone counseling. More evidence that can determine a basic counseling model without losing the individualized intervention for people with HIV is required. |
Databáze: | OpenAIRE |
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