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. 2011 Oct;15(7):1454-64.
doi: 10.1007/s10461-010-9697-9.

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

Maribel Muñoz  1 , Jaime Bayona, Eduardo Sanchez, Jorge Arevalo, Jose Luis Sebastian, Fernando Arteaga, Dalia Guerra, Jhon Zeladita, Betty Espiritu, Milagros Wong, Adolfo Caldas, Sonya Shin
Affiliations

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

Maribel Muñoz et al. AIDS Behav. 2011 Oct.

Abstract

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.

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Figures

Fig. 1
Fig. 1
Study flow
Fig. 2
Fig. 2
Matched support among intervention group, N = 60
Fig. 3
Fig. 3
Time to death by study status, N = 120
See this image and copyright information in PMC

References

    1. Chesney M Adherence to HAART regimens. AIDS Patient Care STDS. 2003;17(4):169–77. - PubMed
    1. de Olalla PG, Knobel H, Carmona A, Guelar A, Lopez-Colomes JL, Cayla JA. Impact of adherence and highly active antiretroviral therapy on survival in HIV-infected patients. J Acquir Immune Defic Syndr. 2002;30(1):105–10. - PubMed
    1. Ickovics JR, Meade CS. Adherence to antiretroviral therapy among patients with HIV: a critical link between behavioral and biomedical sciences. J Acquir Immune Defic Syndr. 2002;31 (Suppl3): S98–102. - PubMed
    1. Jain MK, Skiest DJ, Cloud JW, Jain CL, Burns D, Berggren RE. Changes in mortality related to human immunodeficiency virus infection: comparative analysis of inpatient deaths in 1995 and in 1999–2000. Clin Infect Dis. 2003;36(8):1030–8. - PubMed
    1. Munakata J, Benner JS, Becker S, Dezii CM, Hazard EH, Tierce JC. Clinical and economic outcomes of nonadherence to highly active antiretroviral therapy in patients with human immunodeficiency virus. Med Care. 2006;44(10):893–9. - PubMed

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