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

Maribel Muñoz, Jaime Bayona, Eduardo Sanchez, Jorge Arevalo, Jose Luis Sebastian, Fernando Arteaga, Dalia Guerra, Jhon Zeladita, Betty Espiritu, Milagros Wong, Adolfo Caldas, Sonya Shin

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

40 Citas (Scopus)

Resumen

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.

Idioma originalInglés
Páginas (desde-hasta)1454-1464
Número de páginas11
PublicaciónAIDS and Behavior
Volumen15
N.º7
DOI
EstadoPublicada - oct. 2011
Publicado de forma externa

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