Impact of a Psychoeducative Intervention on Adherence to HAART among Low-Literacy Patients in a Resource-Limited Setting: The Case of an Arab Country—Morocco

Khachani, Imane; Harmouche, H.; Ammouri, W.; Rhoufrani, F El; Zerouali, Latifa; Abouqal, Rédouane; Tazi-Mezalek, Z.; Adnaoui, M.; Aouni, M.; Maouni, Abdelaziz

doi:10.1177/1545109710397891

Cited by 13 publications

(18 citation statements)

References 19 publications

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“…9–31,93 Two of the studies reported mortality as an outcome, 9,10 22 reported morbidity, 9–30 1 on retention in care, 19 2 on quality of life, 15,20 and 1 on prevention of HIV transmission, 31 with some studies reporting on multiple outcomes. One article included information on the costs associated with providing adherence counseling and support.…”

Section: Resultsmentioning

confidence: 99%

“…10,12,13,15,17 Effective interventions include provider-delivered adherence counseling, 13,15,16,24 food supplementation, 11 treatment supporters, 10 adherence support from community health workers, 12,20,21 and mobile phone text messages. 17,23 The evidence for directly observed therapy was mixed with some studies finding a positive association with adherence and clinical outcomes 22,26 and other studies finding no association.…”

Section: Resultsmentioning

confidence: 99%

“…15,20 These studies provide a fair amount of evidence that adherence counseling can have a moderate impact on the quality of life among HIV-infected adults, although additional research is needed.…”

Section: Resultsmentioning

confidence: 99%

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Integrating Prevention Interventions for People Living With HIV Into Care and Treatment Programs

Medley

Bachanas

Grillo

et al. 2015

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Introduction This review assesses the impact of prevention interventions for people living with HIV on HIV-related mortality, morbidity, retention in care, quality of life, and prevention of ongoing HIV transmission in resource-limited settings (RLSs). Methods We conducted a systematic review of studies reporting the results of prevention interventions for people living with HIV in RLS published between January 2000 and August 2014. Standardized methods of searching and data abstraction were used. Results Ninety-two studies met the eligibility criteria: 24 articles related to adherence counseling and support, 13 on risk reduction education and condom provision, 19 on partner HIV testing and counseling, 14 on provision of family planning services, and 22 on assessment and treatment of other sexually transmitted infections. Findings indicate good evidence that adherence counseling and sexually transmitted infection treatment can have a high impact on morbidity, whereas risk reduction education, partner HIV testing and counseling, and family planning counseling can prevent transmission of HIV. More limited evidence was found to support the impact of these interventions on retention in care and quality of life. Most studies did not report cost information, making it difficult to draw conclusions about the cost-effectiveness of these interventions. Conclusions This evidence suggests that these prevention interventions, if brought to sufficient scale and coverage, can help support and optimize the impact of core treatment and prevention interventions in RLS. Further operational research with more rigorous study designs, and ideally with biomarkers and costing information, is needed to determine the best model for providing these interventions in RLS.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Integrating Prevention Interventions for People Living With HIV Into Care and Treatment Programs

Medley

Bachanas

Grillo

et al. 2015

JAIDS Journal of Acquired Immune Deficiency Syndromes

View full text Add to dashboard Cite

show abstract

“…In one study, a 3–5 session intervention aimed at providing educational and psychological support to low literacy patients, conducted in Morocco, showed no significant change in adherence, although there was a significant increase in CD4 T-cell counts and improved HIV suppression. 13 In Los Angeles, a small-scale randomized controlled trial was conducted to test an adherence enhancement program for low-income people living with HIV assumed to have lower health literacy. 14 This intervention consisted of small group sessions and one-on-one counseling to increase participants’ knowledge and communication skills.…”

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confidence: 99%

Optimal Treatment Adherence Counseling Outcomes for People Living with HIV and Limited Health Literacy

Pellowski

Kalichman

Grebler

2014

Behavioral Medicine

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Limited health literacy has been shown to contribute to poor health, including poor adherence to antiretroviral therapy (ART) in people living with HIV/AIDS, over and above other indicators of social disadvantage and poverty. Given the mixed results of previous interventions for people with HIV and low health literacy, investigating possible targets for improved adherence is warranted. The present study aims to identify the correlates of optimal and suboptimal outcomes among participants of a recent skills-based medication adherence intervention (Kalichman et al., 2013). Participants included in this secondary analysis were 188 men and women living with HIV who had low health literacy as determined by scoring ≤90% on a test of health literacy and had complete viral load data for baseline and follow-up. Participants completed physical, psychosocial and literacy measures using computerized interviews. Adherence was assessed by unannounced pill count and follow-up viral loads were assessed by blood draw. Results showed that higher levels of health literacy and lower levels of alcohol use were the strongest predictors of achieving HIV viral load optimal outcomes. The interplay between lower health literacy and alcohol use on adherence should be the focus of future research.

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“…Although risk perception was high, knowledge of available treatments and ART was low. Other studies from the region have also reported low awareness of ART within the general population and among PLWHA [36], but efforts to promote awareness and access to ART remain limited in Jordan and the wider MENA region [37]. …”

Section: Discussionmentioning

confidence: 99%

Condom use and HIV testing among men who have sex with men in Jordan

Alkaiyat¹,

Scheffold²,

Liswi³

et al. 2014

Journal of the International AIDS Society

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IntroductionTo identify sociocultural determinants of self-reported condom use and HIV testing and examine variables related to accessibility, motivation and obstacles among men who have sex with men (MSM) in Jordan.DesignCross-sectional study among MSM who were identified through services of a local non-governmental organization (NGO).MethodsRespondents were studied with a semi-structured interview based on the Explanatory Model Interview Catalogue (EMIC) framework. The vignette-based EMIC interview considered locally relevant HIV/AIDS-related knowledge, risk perception and perceived causes, as well as awareness of services and sources of support.ResultsOf the 97 respondents, 27% reported that they used a condom at last intercourse; 38% had been tested at least once for HIV. Positive determinants of condom use were higher education level, acknowledging MSM as a high-risk group, seeking advice from a medical doctor and the perceived causes “sex with prostitutes” and “sex with animals.” Awareness of available treatment was a positive determinant of HIV testing. Blood transfusion as a perceived cause and asking advice from friends were negative determinants.ConclusionsJordanian MSM seem to be aware of the risk of HIV infection and effective prevention methods, and they are willing to be tested for HIV. Our findings addressed the importance of the sexual meaning of HIV/AIDS on the control of HIV/AIDS among MSM. More effective engagement of NGOs and MSM in the prevention and control of HIV/AIDS is needed, enlisting the support of medical doctors and community health workers. Peer education should be strategically strengthened. Political commitment is needed to mitigate social stigma.

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Impact of a Psychoeducative Intervention on Adherence to HAART among Low-Literacy Patients in a Resource-Limited Setting: The Case of an Arab Country—Morocco

Cited by 13 publications

References 19 publications

Integrating Prevention Interventions for People Living With HIV Into Care and Treatment Programs

Integrating Prevention Interventions for People Living With HIV Into Care and Treatment Programs

Optimal Treatment Adherence Counseling Outcomes for People Living with HIV and Limited Health Literacy

Condom use and HIV testing among men who have sex with men in Jordan

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