TY - JOUR
T1 - Feasibility of four interventions to improve treatment adherence in migrants living with hiv in the netherlands
AU - Been, Sabrina K.
AU - van de Vijver, David A.M.C.
AU - Smit, Jannigje
AU - Bassant, Nadine
AU - Pogány, Katalin
AU - Stutterheim, Sarah E.
AU - Verbon, Annelies
N1 - Funding Information:
Funding: This study was supported by a grant from the Dutch Aids Fonds (grant number: 2011107).
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2020/11/20
Y1 - 2020/11/20
N2 - We evaluated the feasibility and efficacy of four existing interventions to improve adherence to them in migrants living with HIV (MLWH): directly administered antiretroviral therapy (DAART), group medical appointments (GMA), early detection and treatment of psychological distress, and peer support by trained MLWH. At baseline and after the interventions, socio-demographic characteristics, psychosocial variables, and data on HIV treatment adherence were collected. The two questionnaires were completed by 234/301 (78%) MLWH included at baseline. Detectable HIV RNA decreased (from 10.3 to 6.8%) as did internalized HIV-related stigma (from 15 to 14 points), and self-reported adherence increased (between 5.5 and 8.3%). DAART and GMA were not feasible interventions. Screening of psychological distress was feasible; however, follow-up diagnostic screening and linkage to psychiatric services were not. Peer support for and by MLWH was feasible. Within this small intervention group, results on HIV RNA < 400 copies/mL (decrease of 23.6%) and outpatient clinic attendance (up to 20.4% kept more appointments) were promising.
AB - We evaluated the feasibility and efficacy of four existing interventions to improve adherence to them in migrants living with HIV (MLWH): directly administered antiretroviral therapy (DAART), group medical appointments (GMA), early detection and treatment of psychological distress, and peer support by trained MLWH. At baseline and after the interventions, socio-demographic characteristics, psychosocial variables, and data on HIV treatment adherence were collected. The two questionnaires were completed by 234/301 (78%) MLWH included at baseline. Detectable HIV RNA decreased (from 10.3 to 6.8%) as did internalized HIV-related stigma (from 15 to 14 points), and self-reported adherence increased (between 5.5 and 8.3%). DAART and GMA were not feasible interventions. Screening of psychological distress was feasible; however, follow-up diagnostic screening and linkage to psychiatric services were not. Peer support for and by MLWH was feasible. Within this small intervention group, results on HIV RNA < 400 copies/mL (decrease of 23.6%) and outpatient clinic attendance (up to 20.4% kept more appointments) were promising.
UR - http://www.scopus.com/inward/record.url?scp=85106287745&partnerID=8YFLogxK
U2 - 10.3390/diagnostics10110980
DO - 10.3390/diagnostics10110980
M3 - Article
C2 - 33233835
AN - SCOPUS:85106287745
SN - 2075-4418
VL - 10
JO - Diagnostics
JF - Diagnostics
IS - 11
M1 - 980
ER -
