Feasibility of Four Interventions to Improve Treatment Adherence in Migrants Living with HIV in The Netherlands

Sabrina K. Been*, David A. M. C. van de Vijver, Jannigje Smit, Nadine Bassant, Katalin Pogany, Sarah E. Stutterheim, Annelies Verbon*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

We evaluated the feasibility and efficacy of four existing interventions to improve adherence to them in migrants living with HIV (MLWH): directly administered antiretroviral therapy (DAART), group medical appointments (GMA), early detection and treatment of psychological distress, and peer support by trained MLWH. At baseline and after the interventions, socio-demographic characteristics, psychosocial variables, and data on HIV treatment adherence were collected. The two questionnaires were completed by 234/301 (78%) MLWH included at baseline. Detectable HIV RNA decreased (from 10.3 to 6.8%) as did internalized HIV-related stigma (from 15 to 14 points), and self-reported adherence increased (between 5.5 and 8.3%). DAART and GMA were not feasible interventions. Screening of psychological distress was feasible; however, follow-up diagnostic screening and linkage to psychiatric services were not. Peer support for and by MLWH was feasible. Within this small intervention group, results on HIV RNA < 400 copies/mL (decrease of 23.6%) and outpatient clinic attendance (up to 20.4% kept more appointments) were promising
Original languageEnglish
Article number980
Number of pages13
JournalDiagnostics
Volume10
Issue number11
DOIs
Publication statusPublished - Nov 2020

Keywords

  • HIV/AIDS
  • migrants
  • treatment adherence
  • interventions
  • HIGH-INCOME COUNTRIES
  • ANTIRETROVIRAL THERAPY
  • PEER SUPPORT
  • PSYCHOLOGIC DISTRESS
  • DEPRESSIVE SYMPTOMS
  • SOCIAL SUPPORT
  • ANXIETY
  • OUTCOMES
  • POPULATION
  • METAANALYSIS

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