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

Medley, Amy; Bachanas, Pamela; Grillo, Michael; Hasen, Nina; Amanyeiwe, Ugochukwu

doi:10.1097/qai.0000000000000520

Cited by 26 publications

(32 citation statements)

References 103 publications

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“…A previous systematic review highlighted similar findings that evidence was limited to assess the impact of intervention on quality of life [17]. Our findings from the meta-analyses indicated a significant improvement in general health, mental health and physical health domains of quality of life.…”

Section: Discussionsupporting

confidence: 84%

Social and behavioral interventions for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis

Bhatta

Liabsuetrakul

McNeil

2017

Health Qual Life Outcomes

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BackgroundImprovement in quality of life is crucial for HIV infected people. Social and behavioral interventions have been implemented in different contexts to improve the quality of life among HIV infected people. This review appraises the evidence for available interventions that focused on quality of life of HIV infected people receiving antiretroviral therapy (ART).MethodsWe searched electronic databases for randomized controlled trials of interventions to improve the quality of life of HIV infected people receiving ART. We searched PUBMED and the Cochrane Centre Register of Controlled Trials (CENTRAL) with the terms “social”, “behavioral”, “educational”, “quality of life”, “HIV”, and “RCT”. Searches were conducted for articles published from 1980 to December 16, 2015. Standardized data abstraction methods and searching steps were applied.ResultsTwenty-eight studies reported the impact of social or behavioral interventions in quality of life among HIV infected people, of which 15 were conducted in United States of America. A total of 4136 participants were enrolled. Of the 28 studies, four studies included females, two studies included males and remaining studies excluded both males and females. The overall reported methodological quality of the studies was subject to a high risk of bias and the study criteria were unclear in most studies. Twenty-one studies reported a significant intervention effect on at least one quality of life domain. Meta-analyses showed significant improvement in general health, mental health, physical function and environment domains of quality of life among intervention groups. However, the expected impact of the intervention was low to moderate because the rigorousness of the studies was low, information was limited, the sample sizes were small and other the quality of the study designs were poor.ConclusionsAlthough the available evidence suggests that existing social and behavioral interventions can improve some quality of life domains, the quality of evidence was insufficient to support the notion that these interventions can improve the overall quality of life of HIV infected people receiving ART. Well-designed and rigorous randomized controlled trials with high methodological quality are required.

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Section: Discussionsupporting

confidence: 84%

Social and behavioral interventions for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis

Bhatta

Liabsuetrakul

McNeil

2017

Health Qual Life Outcomes

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“…; Medley et al. ). Finally, we conducted secondary reference searching on all studies included in our review to identify any remaining articles we might have missed.…”

Section: Methodsmentioning

confidence: 98%

“…Integrating these FP services with HIV services has been one approach to make both services more accessible to women and couples living with HIV. Since the Glion Call to Action linking FP and HIV (UNFPA and WHO 2004), significant progress has been made toward the integration of FP and HIV at multiple levels, from advocacy, policy planning, and funding to the integrated delivery of services in health facilities and communities (WHO, UNFPA, IPPF, and UNAIDS 2005;Farrell 2007;Medley et al 2015).…”

mentioning

confidence: 99%

Integration of Family Planning Services into HIV Care and Treatment Services: A Systematic Review

Haberlen¹,

Narasimhan²,

Beres³

et al. 2017

Studies in Family Planning

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Evidence on the feasibility, effectiveness, and cost‐effectiveness of integrating family planning (FP) and HIV services has grown significantly since the 2004 Glion Call to Action. This systematic review adds to the knowledge base by characterizing the range of models used to integrate FP into HIV care and treatment, and synthesizing the evidence on integration outcomes among women living with HIV. Fourteen studies met our inclusion criteria, eight of which were published after the last systematic review on the topic in 2013. Overall, integration was associated with higher modern method contraceptive prevalence and knowledge, although there was insufficient evidence to evaluate its effects on unintended pregnancy or achieving safe and healthy pregnancy. Evidence for change in unmet need for FP was limited, although two of the three evaluations that measured unmet need suggested possible improvements associated with integrated services. However, improving access to FP services through integration was not always sufficient to increase the use of more effective (noncondom) modern methods among women who wanted to prevent pregnancy. Integration efforts, particularly in contexts where contraceptive use is low, must address community‐wide and HIV‐specific barriers to using effective FP methods alongside improving access to information, commodities, and services within routine HIV care.

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“…Less research has assessed condom effectiveness in Africa (Ahmed et al, 2001;Eaton, & Hoesley, 2014;Hearst, Ruark, Hudes, Goldsmith, & Green, 2013;Hughes et al, 2012;Medley, Bachanas, Grillo, Hasen, & Amanyeiwe, 2015;Mindel, & Sawleshwarkar, 2013;Peltzer, 2012;). A study carried out at 14 sites in Eastern/Southern Africa, in which serodiscordant couples received free condoms, found a per-act-risk relative reduction of 78% (Hughes et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

Carlos

Burgueño

et al. 2016

AIDS Care

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In the Democratic Republic of Congo no previous studies have assessed the factors associated with different patterns of condom use and with multiple sexual partners and the association between condom use simultaneously taking into account multiple sexual partnerships, and HIV infection. We carried out a prospective case-control study. From December 2010 until June 2012, 1,630 participants aged 15-49 getting HIV Voluntary Counseling and Testing in a hospital in Kinshasa were selected. Cases were new HIV diagnosis and controls were HIVnegative participants detected along the study period. We recruited 274 cases and 1,340 controls that were interviewed about HIV-related knowledge, attitudes and behaviours.Among cases there was a high prevalence of multiple lifetime and concurrent sexual partnerships (89.8% and 20.4%, respectively) and most cases never used condoms with only 1.5% using them consistently. Condom use and multiple partnerships were associated with male, single and high-educated participants. An association was found between multiple lifetime partners and `any condom use´ (OR=2.99; 95%CI: 2.14-4.19) but not with consistent use. Both having two or more multiple concurrent sexual partners or not using condoms were variables similarly and highly associated to HIV risk. The association found between having two or more concurrent sexual partners and HIV was slightly higher (OR=3.58, 95%CI:2.31-5-56) than the association found between never condom use and HIV (OR=3.38, 95%CI:1.15-9.93). We found a high prevalence of multiple lifetime sexual partners and an extremely high prevalence of inconsistent condom use, both strongly associated with HIV seropositivity.Local programs would benefit from comprehensive interventions targeting all behavioural and sociocultural determinants.

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

Cited by 26 publications

References 103 publications

Social and behavioral interventions for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis

Social and behavioral interventions for improving quality of life of HIV infected people receiving antiretroviral therapy: a systematic review and meta-analysis

Integration of Family Planning Services into HIV Care and Treatment Services: A Systematic Review

Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

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