Peer Approaches to Improve HIV Care Cascade Outcomes: a Scoping Review Focused on Peer Behavioral Mechanisms

Tobin, Karin E.; Heidari, Omeid; Winiker, Abigail K.; Pollock, Sarah; Rothwell, Melissa Davey; Alexander, Kamila A.; Owczarzak, Jill; Latkin, Carl A.

doi:10.1007/s11904-022-00611-3

Cited by 11 publications

(7 citation statements)

References 65 publications

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“…As such, in the context of growing attention to the role of peer-led services in bridging connections to health, this study provides foundational knowledge regarding principles that can inform the evaluation of peer-led services and advocacy for expansion of these services, for people released from prison, but also for other groups (e.g. people with HIV, HCV, mental health or substance use needs) for whom peer-led services have been shown to play a role in bridging connections to care [ 37 – 39 ].…”

Section: Discussionmentioning

confidence: 99%

“Shared experience makes this all possible”: documenting the guiding principles of peer-led services for people released from prison

Palis,

Young,

Korchinski

et al. 2024

BMC Public Health

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Background There is a growing body of evidence demonstrating the effectiveness of peer-led services in supporting community reintegration for people released from prison. This study aims to document the guiding principle of a peer-led service for people released from prison, from the perspective of peer mentors. Methods Data were collected using focus groups (N = 10; 2 groups with 5 participants each) and one-on-one interviews (N = 5) including a total of 13 people, representing all UTGSS staff at the time of the study. An inductive thematic analysis was used to identify patterns in the data. Initial coding was done by using “in-vivo” codes (i.e. applying codes to terms used by participants). This informed the direction of the next stage of analysis, which focused on identifying categories that synthesized the codes and data across transcripts. In this stage, broad themes and sub-themes were developed. Findings Six themes were constructed to reflect the guiding principles of UTGSS staff. This includes four central themes: 1) Offering hope; 2) Building respectful relationships; 3) Providing consistent support; 4) Meeting people where they are at. Two connected themes are also reported: 1) Relying on shared experience, which participants reported serves as the foundation for practicing these guiding principles and 2) Bridging connections to services, which reflects the outcome of practicing these guiding principles. Conclusion The principles identified in this study can be used by UTGSS staff as a guide for checking-in on progress with clients and may be considered as a model for reflection on practice by staff providing similar peer-led services. These principles should not be applied in a prescriptive way, as relationship building is at the centre of peer support, and different applications will be required depending on clients’ goals and the range of supports available within their community.

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Section: Discussionmentioning

confidence: 99%

“Shared experience makes this all possible”: documenting the guiding principles of peer-led services for people released from prison

Palis,

Young,

Korchinski

et al. 2024

BMC Public Health

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“…[25][26][27][28][29] The social mechanisms underpinning peer support posit that individuals, in particular those who are hard to reach or feel stigmatized, tend to build trust and learn more easily by interacting and relating with those who are similar to them. 30,31 Recent peer support programs in Zambézia have used mothers living with HIV to support pregnant and postpartum women living with HIV and male community health workers to encourage men to participate in PMTCT services. 25,26 The HoPS+ intervention is unique in Zambézia in that it leveraged a peer couple to guide expectant seroconcordant couples through the pregnancy and postbirth process.…”

Section: Discussionmentioning

confidence: 99%

“If It Weren't for This, We'd Be Sick”—Perspectives From Participants of a Couple-Based HIV Treatment and Support Program During Prenatal and Postpartum Periods in Zambézia Province, Mozambique

Brooks,

Graves,

De Schacht

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: Engagement in HIV care and treatment services during pregnancy is key to eliminating vertical transmission. One barrier to retention of pregnant and lactating women is insufficient support from male partners. Reframing HIV services as couple-based may increase adherence among men and women. As part of a cluster randomized trial evaluating an intervention offering seroconcordant couples living with HIV joint follow-up in HIV services and sessions with a health counselor and couple peer educators, we assessed participants' perspectives and experiences regarding the intervention.Setting: Zambézia Province is a rural, low-income, and medically underserved region of central Mozambique. Methods:We conducted semistructured interviews with a subset of participants enrolled in the intervention arm. The objectives were to explore participants' (1) experiences with couples-based HIV care and the educational/support sessions; (2) perceived impacts of the intervention; and (3) suggestions for intervention improvement. Interviews conducted by experienced interviewers were audiorecorded, transcribed, and deductively coded.Results: Sixty-four participants were interviewed. Participants described the counselor and the peer educators as trustworthy and the sessions as improving their HIV-related knowledge. Receiving joint HIV services was convenient and motivated some participants to remain adherent to care. Participants provided few suggestions to improve the intervention, although a few female participants did state that they wished their male partners had participated more readily in the joint sessions and medication pick-ups at the health facilities.Conclusions: Participants described positive experiences with and perceived benefits from the intervention, making this intervention acceptable within the local context.

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“…Studies using the behavioural mechanism described very specific behavioural targets such as buying lower sodium food, avoiding places of alcohol use, condom use and smoking cessation. As building self-efficacy is a well-established theoretical construct necessary for behavioural change,24 future studies should include opportunities to watch the desired behaviours be role-modelled and practiced to enhance the efficacy of the geofencing intervention 52…”

Section: Discussionmentioning

confidence: 99%

Use of geofencing interventions in population health research: a scoping review

et al. 2023

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ObjectivesTechnological advancements that use global positioning system (GPS), such as geofencing, provide the opportunity to examine place-based context in population health research. This review aimed to systematically identify, assess and synthesise the existing evidence on geofencing intervention design, acceptability, feasibility and/or impact.DesignScoping review, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidance for reporting.Data sourcesPubMed, CINAHL, EMBASE, Web of Science, Cochrane and PsycINFO for articles in English published up to 31 December 2021.Eligibility criteriaArticles were included if geofencing was used as a mechanism for intervention delivery. Exclusion criteria: (1) a component or combination of GPS, geographical information system or ecological momentary assessment was used without delivery of an intervention; (2) did not include a health or health-related outcome from the geofencing intervention; or (3) was not a peer-reviewed study.Data extraction and synthesisSeveral researchers independently reviewed all abstracts and full-text articles for final inclusion.ResultsA total of 2171 articles were found; after exclusions, nine studies were included in the review. The majority were published in 5 years preceding the search (89%). Geofences in most studies (n=5) were fixed and programmed in the mobile application carried by participants without their input. Mechanisms of geofencing interventions were classified as direct or indirect, with five studies (56%) using direct interventions. There were several different health outcomes (from smoking to problematic alcohol use) across the five studies that used a direct geofencing intervention.ConclusionsThis scoping review found geofencing to be an emerging technology that is an acceptable and feasible intervention applied to several different populations and health outcomes. Future studies should specify the rationale for the locations that are geofenced and user input. Moreover, attention to mechanisms of actions will enable scientists to understand not only whether geofencing is an appropriate and effective intervention but why it works to achieve the outcomes observed.

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Peer Approaches to Improve HIV Care Cascade Outcomes: a Scoping Review Focused on Peer Behavioral Mechanisms

Cited by 11 publications

References 65 publications

“Shared experience makes this all possible”: documenting the guiding principles of peer-led services for people released from prison

“Shared experience makes this all possible”: documenting the guiding principles of peer-led services for people released from prison

“If It Weren't for This, We'd Be Sick”—Perspectives From Participants of a Couple-Based HIV Treatment and Support Program During Prenatal and Postpartum Periods in Zambézia Province, Mozambique

Use of geofencing interventions in population health research: a scoping review

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