Counseling for improving adherence to antiretroviral treatment: a systematic review

Autor: Yesenia Musayón-Oblitas, Sarah Gimbel, Cesar Carcamo
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