Psychosocial support interventions for improved adherence and retention in ART care for young people living with HIV (10

  • PDF / 848,389 Bytes
  • 11 Pages / 595.276 x 790.866 pts Page_size
  • 52 Downloads / 146 Views

DOWNLOAD

REPORT


RESEARCH ARTICLE

Open Access

Psychosocial support interventions for improved adherence and retention in ART care for young people living with HIV (10–24 years): a scoping review Emeka F. Okonji* , Ferdinand C. Mukumbang , Zaida Orth , Shelley A. Vickerman-Delport and Brian Van Wyk

Abstract Background: 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. Method: 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. Results: 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. Conclusion: 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. Trial registration: PROSPERO: Registration CRD42018105057. Keywords: Adolescents, Psychosocial support, Interventions, HIV and AIDS, Adherence and retention

* Correspondence: [email protected] School of Public Health, University of the Western Cape, P Bag X17 , Bellville, Cape Town 7535, South Africa © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly f