Impact of support groups for people living with HIV on clinical outcomes: a systematic review of the literature.
Impact of support groups for people living with HIV on clinical outcomes: a systematic review of the literature.
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DOI：
10.1097/qai.0000000000000519
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发表时间：
2015-04-15
期刊：
影响因子：
--
通讯作者：
Dong M
中科院分区：
文献类型：
--
作者：
Bateganya MH;Amanyeiwe U;Roxo U;Dong M
艾滋病毒感染者支助小组被纳入艾滋病毒护理和治疗方案，作为提高患者识字率的一种方式，并作为解决患者心理社会需求的一种干预措施。然而，支助团体对关键保健成果的影响尚未完全确定。我们检索了1995年1月至2014年5月的电子数据库，并回顾了支持团体对死亡率，发病率，艾滋病毒护理保留率，生活质量和持续的艾滋病毒传播以及其成本效益的影响的相关文献。在识别的1809篇引文中，20篇符合纳入标准。一份报告了死亡率，七份报告了发病率，五份报告了继续护理情况，七份报告了生活质量，七份报告了艾滋病毒的持续传播情况。18篇（90%）文章报告了支持小组干预对关键结果的影响的积极结果。支持团体与降低死亡率和发病率、增加护理保留率和改善生活质量有关。由于研究的局限性，总体证据质量在死亡率、发病率、护理保留率和生活质量方面被评为一般，在艾滋病毒传播方面被评为较差。作为一种干预措施，实施支助团体预计将对发病率和继续接受护理产生很大影响，对艾滋病毒感染者的死亡率和生活质量产生中等影响。支持团体改进披露，具有潜在的预防效益，但对正在进行的传播的影响尚不确定。鉴于这方面的研究很少，目前还不清楚这种干预措施是否具有成本效益。
Support groups for people living with HIV (PLHIV) are integrated into Human Immunodeficiency Virus (HIV) care and treatment programs as a modality for increasing patient literacy and as an intervention to address the psychosocial needs of patients. However, the impact of support groups on key health outcomes has not been fully determined. We searched electronic databases from January 1995 through May 2014 and reviewed relevant literature on the impact of support groups on mortality, morbidity, retention in HIV care, quality of life, and ongoing HIV transmission, as well as their cost effectiveness. Of 1809 citations identified, 20 met inclusion criteria. One reported on mortality, seven on morbidity, five on retention in care, seven on quality of life, and seven on ongoing HIV transmission. Eighteen (90%) of the articles reported largely positive results on the impact of support group interventions on key outcomes. Support groups were associated with reduced mortality and morbidity, increased retention in care and improved quality of life. Due to study limitations, the overall quality of evidence was rated as fair for mortality, morbidity, retention in care, and quality of life, and poor for HIV transmission. Implementing support groups as an intervention is expected to have a high impact on morbidity and retention in care and a moderate impact on mortality and quality of life of PLHIV. Support groups improve disclosure with potential prevention benefits but the impact on ongoing transmission is uncertain. It is unclear if this intervention is cost-effective given the paucity of studies in this area.