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Review
. 2022 Aug;69(4):759-777.
doi: 10.1016/j.pcl.2022.04.007.

Self-Management Frameworks for Youth Living with Human Immunodeficiency Virus

Karen Kolmodin MacDonell  1 , Sylvie Naar  2
Affiliations
Review

Self-Management Frameworks for Youth Living with Human Immunodeficiency Virus

Karen Kolmodin MacDonell et al. Pediatr Clin North Am. 2022 Aug.

Abstract

HIV is now a chronic condition that can be managed. Adolescents and emerging adults represent a large proportion of new diagnoses, but struggle with many aspects of HIV-related self-management. Self-management of HIV is critical to maintaining health and involves retention in HIV care, medication adherence to achieve viral suppression, managing substance use, and sexual and general health-related behaviors. This article describes theoretic frameworks for HIV self-management as adapted for youth and reviews self-management interventions developed to improve health outcomes in youth living with HIV identified from a recent systematic review.

Keywords: Adolescents and emerging adults; Behavioral interventions; Chronic disease management; HIV treatment cascade; Self-management.

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Conflict of interest statement

Disclosure Authors and research supported by grants from the National Institutes of Health (NIAAA, 1P01AA029547) (S. Naar/K.K. MacDonell), NICHD, 1U19HD089875 (S. Naar), and NIMH, 1R01MH108442 (S. Naar/Outlaw).

Figures

Figure 1.
Figure 1.
HIV treatment cascade
Figure 2.
Figure 2.
Five Components Model of HIV Self-Management
Figure 3.
Figure 3.
The Information-Motivation-Behavioral Skills (IMB) Model
Figure 4.
Figure 4.
Developmentally-Tailored IMB Model
See this image and copyright information in PMC

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