Matching social support to individual needs: a community-based intervention to improve HIV treatment adherence in a resource-poor setting.

Matching social support to individual needs: a community-based intervention to improve HIV treatment adherence in a resource-poor setting.
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DOI:
10.1007/s10461-010-9697-9
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发表时间:
2011-10
期刊:
影响因子:
4.4
通讯作者:
Shin S
Shin S
中科院分区:
医学2区
文献类型:
--
作者:
Muñoz M;Bayona J;Sanchez E;Arevalo J;Sebastian JL;Arteaga F;Guerra D;Zeladita J;Espiritu B;Wong M;Caldas A;Shin S

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从2005年12月到2007年4月,我们在秘鲁利马招募了60名开始抗逆转录病毒治疗(ART)的成年人,接受社区为基础的伴随着监督抗逆转录病毒药物(CASA)的治疗,包括12个月的DOT-HAART,以及根据个人需要提供小额贷款援助和/或心理社会支持小组。我们匹配了来自邻近地区的60名对照组,并在24个月时评估了最终的临床和心理社会结果。CASA支持与较高的病毒学抑制率和较低的死亡率相关。以以社区为基础的DOT-HAART和匹配的经济和心理社会支持的形式进行的全面、量身定制的遵守干预对资源匮乏环境中的某些个人来说是可行和有效的。
From December 2005 to April 2007, we enrolled 60 adults starting antiretroviral therapy (ART) in Lima, Peru to receive community-based accompaniment with supervised antiretrovirals (CASA), consisting of 12 months of DOT-HAART, as well as microfinance assistance and/or psychosocial support group according to individuals’ need. We matched 60 controls from a neighboring district, and assessed final clinical and psychosocial outcomes at 24 months. CASA support was associated with higher rates of virologic suppression and lower mortality. A comprehensive, tailored adherence intervention in the form of community-based DOT-HAART and matched economic and psychosocial support is both feasible and effective for certain individuals in resource-poor settings.
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