Effectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization among Pre-Antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: a Randomized Trial
Identifieur interne : 001731 ( Main/Merge ); précédent : 001730; suivant : 001732Effectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization among Pre-Antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: a Randomized Trial
Auteurs : Larry W. Chang [États-Unis] ; Gertrude Nakigozi [Ouganda] ; Veena G. Billioux [États-Unis] ; Ronald H. Gray [États-Unis] ; David Serwadda [Ouganda] ; Thomas C. Quinn [États-Unis] ; Maria J. Wawer [États-Unis] ; Robert C. Bollinger [États-Unis] ; Steven J. Reynolds [États-Unis]Source :
- AIDS and behavior [ 1090-7165 ] ; 2015.
Abstract
442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62% reported previously visiting an HIV clinic, 45% reported taking cotrimoxazole prophylaxis, and 31% were “care-naïve” (no previous clinic visit and not on cotrimoxazole). After one year, intervention participants were more likely to report being in care (92% vs 84%; PRR 1.09, p=0.039), on cotrimoxazole (89%
Url:
DOI: 10.1007/s10461-015-1159-y
PubMed: 26271815
PubMed Central: 4567424
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<front><div type="abstract" xml:lang="en"><p id="P1">442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62% reported previously visiting an HIV clinic, 45% reported taking cotrimoxazole prophylaxis, and 31% were “care-naïve” (no previous clinic visit and not on cotrimoxazole). After one year, intervention participants were more likely to report being in care (92% vs 84%; PRR 1.09, p=0.039), on cotrimoxazole (89% <italic>vs</italic>
81%; PRR 1.10, p=0.047), and safe water vessel adherence (23% <italic>vs</italic>
14%; PRR 1.64, p=0.024). The effect was observed only among care-naïve participants (n=139) with 83% intervention vs 53% controls reporting being in HIV care (PRR 1.47, p=0.006), 78% vs 58% on cotrimoxazole (PRR 1.35, p=0.04), and 20% vs 4% safe water vessel adherence (PRR 5.78, p=0.017). Peer support may be an effective intervention to facilitate pre-ART care compliance in this important population.</p>
</div>
</front>
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