A Systematic Review and Meta-analysis of Antiretroviral Therapy (ART) Adherence Interventions for Women Living with HIV.

Journal: AIDS and behavior

Volume: 23

Issue: 8

Year of Publication: 2019

Affiliated Institutions:  Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA. jennifer_pellowski@brown.edu. Hunter AIDS Research Team, Hunter College, New York, NY, USA. Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA. School of Nursing, University of California San Francisco, San Francisco, CA, USA. Division of Epidemiology and Biostatistics, and Center for Infectious Diseases Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa. International Health Institute, Brown University School of Public Health, Providence, RI, USA.

Abstract summary 

A systematic review and meta-analysis was conducted to determine the efficacy of women-focused ART adherence interventions. Included studies (a) reported on a behavioral ART adherence intervention for cis-women living with HIV, (b) measured ART adherence as an outcome, and (c) employed a randomized controlled trial design. Thirteen studies were included in the meta-analysis. Overall, interventions significantly improved ART adherence compared to control conditions (random-effects d = 0.82, 95% CI [0.18, 1.45], p = 0.01), however, this was largely driven by two studies that had effect sizes greater than 3 standard errors above the mean effect size. Key moderators were location, recruitment method, group-based intervention, and alteration of the healthcare system. Innovative behavioral interventions that focus on young women and adolescents, target the critical periods of pregnancy and postpartum and test the integration of multiple levels of intervention to create lasting effects on ART adherence are needed.

Authors & Co-authors:  Pellowski Jennifer A JA Price Devon M DM Harrison Abigail D AD Tuthill Emily L EL Myer Landon L Operario Don D Lurie Mark N MN

Study Outcome 

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Statistics
Citations :  Harrison A, Colvin CJ, Kuo C, Swartz A, Lurie M. Sustained High HIV Incidence in Young Women in Southern Africa: Social, Behavioral, and Structural Factors and Emerging Intervention Approaches. Curr HIV/AIDS Rep. 2015;12(2):207–15.
Authors :  7
Identifiers
Doi : 10.1007/s10461-018-2341-9
SSN : 1573-3254
Study Population
Women
Mesh Terms
Adolescent
Other Terms
ART adherence;Meta-analysis;Randomized controlled trials;Women
Study Design
Randomized Control Trial,Case Control Trial,Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Publication Country
United States