Psychosocial support interventions for improved adherence and retention in ART care for young people living with HIV (10-24 years): a scoping review.

Journal: BMC public health

Volume: 20

Issue: 1

Year of Publication: 2021

Affiliated Institutions:  School of Public Health, University of the Western Cape, P Bag X , Bellville, Cape Town, , South Africa. emekaokonji@yahoo.com. School of Public Health, University of the Western Cape, P Bag X , Bellville, Cape Town, , South Africa.

Abstract summary 

Mental health disorders such as high levels of anxiety, isolation, depression and suicide ideation reported among young people living with HIV (10-24 years;YPLHIV) contribute significantly to poor medication adherence and retention in care. While there is evidence supporting the role of psychosocial support interventions in promoting adherence and retention in antiretroviral treatment (ART) among adults living with HIV, there is little evidence on the role of psychosocial support on medication adherence among YPLHIV. This scoping review was designed to identify and classify the types and effects of psychosocial support interventions designed to improve adherence and retention in ART among YPLHIV globally.We searched six electronic databases (i.e., Scopus, Pubmed and EBSCOHost (Academic Search Premier, CINAHL, Psycarticles and Medline). Six relevant articles published between 2011 and 2019 met our inclusion criteria. We extracted information relevant to the nature and outcomes of the reported interventions using thematic content analysis informed by the Population, Intervention, comparison, outcome, and time (PICOT) framework.Four distinctive treatment modalities that focused on improving ART adherence and retention in care were identified: individual counselling, support groups, family-centered services, and treatment supporters.There is a dearth of psychosocial support interventions to improve adherence and retention in ART amongst adolescents and young adults living with HIV. Future research and programming should seek to address psychosocial support interventions or approaches specifically designed to address the needs of YPLHIV.PROSPERO: Registration CRD42018105057 .

Authors & Co-authors:  Okonji Emeka F EF Mukumbang Ferdinand C FC Orth Zaida Z Vickerman-Delport Shelley A SA Van Wyk Brian B

Study Outcome 

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Statistics
Citations :  Hudelson C, Cluver L. Factors associated with adherence to antiretroviral therapy among adolescents living with HIV/AIDS in low- and middle-income countries: a systematic review. AIDS Care 2015;27:805–816. 10.1080/09540121.2015.1011073.
Authors :  5
Identifiers
Doi : 1841
SSN : 1471-2458
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adherence and retention;Adolescents;HIV and AIDS;Interventions;Psychosocial support
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England