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Effectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization Among Pre-antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: A Randomized Trial

442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62 % reported previously visiting an HIV clinic, 45 % reported taking cotrimoxazole prophylaxis, a... Full description

Journal Title: AIDS and behavior 2015, Vol.19 (10), p.1742-1751
Main Author: Chang, Larry W
Other Authors: Nakigozi, Gertrude , Billioux, Veena G , Gray, Ronald H , Serwadda, David , Quinn, Thomas C , Wawer, Maria J , Bollinger, Robert C , Reynolds, Steven J
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Publisher: New York: Springer US
ID: ISSN: 1090-7165
Link: https://www.ncbi.nlm.nih.gov/pubmed/26271815
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title: Effectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization Among Pre-antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: A Randomized Trial
format: Article
creator:
  • Chang, Larry W
  • Nakigozi, Gertrude
  • Billioux, Veena G
  • Gray, Ronald H
  • Serwadda, David
  • Quinn, Thomas C
  • Wawer, Maria J
  • Bollinger, Robert C
  • Reynolds, Steven J
subjects:
  • Acquired immune deficiency syndrome
  • Adult
  • Adults
  • AIDS
  • Ambulatory Care - statistics & numerical data
  • Ambulatory Care - utilization
  • Anti-HIV Agents - therapeutic use
  • Antiretroviral agents
  • Antiretroviral therapy
  • Antiviral agents
  • Article
  • Attendance
  • Care and treatment
  • Clinical trials
  • Complications and side effects
  • Cotrimoxazole
  • Drug therapy
  • Drugs
  • Effectiveness studies
  • Follow-Up Studies
  • Health aspects
  • Health Psychology
  • Health services utilization
  • HIV
  • HIV infection
  • HIV Infections - drug therapy
  • House Calls - statistics & numerical data
  • House Calls - utilization
  • Human immunodeficiency virus
  • Humans
  • implementation science
  • Infectious Diseases
  • Intervention
  • Kaplan-Meier Estimate
  • linkage
  • Male
  • Medicine
  • Medicine & Public Health
  • Methodology (Data collection)
  • Office Visits - statistics & numerical data
  • Original Paper
  • Outcome and Process Assessment (Health Care)
  • Patient Acceptance of Health Care - ethnology
  • Patient Acceptance of Health Care - psychology
  • Patient Acceptance of Health Care - statistics & numerical data
  • Peer Group
  • Peer relationships
  • peer support
  • Prevention programs
  • Preventive Health Services - utilization
  • Prophylaxis
  • Public Health
  • Randomization
  • randomized controlled trial
  • Social Support
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Uganda
  • Usage
  • Water supply
ispartof: AIDS and behavior, 2015, Vol.19 (10), p.1742-1751
description: 442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62 % reported previously visiting an HIV clinic, 45 % reported taking cotrimoxazole prophylaxis, and 31 % were “care-naïve” (no previous clinic visit and not on cotrimoxazole). After 1 year, intervention participants were more likely to report being in care (92 vs 84 %; PRR 1.09, p = 0.039), on cotrimoxazole (89 vs 81 %; PRR 1.10, p = 0.047), and safe water vessel adherence (23 vs 14 %; PRR 1.64, p = 0.024). The effect was observed only among care-naïve participants (n = 139) with 83 % intervention versus 56 % controls reporting being in HIV care (PRR 1.47, p = 0.006), 78 versus 58 % on cotrimoxazole (PRR 1.35, p = 0.04), and 20 versus 4 % safe water vessel adherence (PRR 5.78, p = 0.017). Peer support may be an effective intervention to facilitate pre-ART care compliance in this important population.
language: eng
source:
identifier: ISSN: 1090-7165
fulltext: no_fulltext
issn:
  • 1090-7165
  • 1573-3254
url: Link


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titleEffectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization Among Pre-antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: A Randomized Trial
creatorChang, Larry W ; Nakigozi, Gertrude ; Billioux, Veena G ; Gray, Ronald H ; Serwadda, David ; Quinn, Thomas C ; Wawer, Maria J ; Bollinger, Robert C ; Reynolds, Steven J
creatorcontribChang, Larry W ; Nakigozi, Gertrude ; Billioux, Veena G ; Gray, Ronald H ; Serwadda, David ; Quinn, Thomas C ; Wawer, Maria J ; Bollinger, Robert C ; Reynolds, Steven J
description442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62 % reported previously visiting an HIV clinic, 45 % reported taking cotrimoxazole prophylaxis, and 31 % were “care-naïve” (no previous clinic visit and not on cotrimoxazole). After 1 year, intervention participants were more likely to report being in care (92 vs 84 %; PRR 1.09, p = 0.039), on cotrimoxazole (89 vs 81 %; PRR 1.10, p = 0.047), and safe water vessel adherence (23 vs 14 %; PRR 1.64, p = 0.024). The effect was observed only among care-naïve participants (n = 139) with 83 % intervention versus 56 % controls reporting being in HIV care (PRR 1.47, p = 0.006), 78 versus 58 % on cotrimoxazole (PRR 1.35, p = 0.04), and 20 versus 4 % safe water vessel adherence (PRR 5.78, p = 0.017). Peer support may be an effective intervention to facilitate pre-ART care compliance in this important population.
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subjectAcquired immune deficiency syndrome ; Adult ; Adults ; AIDS ; Ambulatory Care - statistics & numerical data ; Ambulatory Care - utilization ; Anti-HIV Agents - therapeutic use ; Antiretroviral agents ; Antiretroviral therapy ; Antiviral agents ; Article ; Attendance ; Care and treatment ; Clinical trials ; Complications and side effects ; Cotrimoxazole ; Drug therapy ; Drugs ; Effectiveness studies ; Follow-Up Studies ; Health aspects ; Health Psychology ; Health services utilization ; HIV ; HIV infection ; HIV Infections - drug therapy ; House Calls - statistics & numerical data ; House Calls - utilization ; Human immunodeficiency virus ; Humans ; implementation science ; Infectious Diseases ; Intervention ; Kaplan-Meier Estimate ; linkage ; Male ; Medicine ; Medicine & Public Health ; Methodology (Data collection) ; Office Visits - statistics & numerical data ; Original Paper ; Outcome and Process Assessment (Health Care) ; Patient Acceptance of Health Care - ethnology ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Peer Group ; Peer relationships ; peer support ; Prevention programs ; Preventive Health Services - utilization ; Prophylaxis ; Public Health ; Randomization ; randomized controlled trial ; Social Support ; Socioeconomic Factors ; Surveys and Questionnaires ; Uganda ; Usage ; Water supply
ispartofAIDS and behavior, 2015, Vol.19 (10), p.1742-1751
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7Bollinger, Robert C
8Reynolds, Steven J
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description442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62 % reported previously visiting an HIV clinic, 45 % reported taking cotrimoxazole prophylaxis, and 31 % were “care-naïve” (no previous clinic visit and not on cotrimoxazole). After 1 year, intervention participants were more likely to report being in care (92 vs 84 %; PRR 1.09, p = 0.039), on cotrimoxazole (89 vs 81 %; PRR 1.10, p = 0.047), and safe water vessel adherence (23 vs 14 %; PRR 1.64, p = 0.024). The effect was observed only among care-naïve participants (n = 139) with 83 % intervention versus 56 % controls reporting being in HIV care (PRR 1.47, p = 0.006), 78 versus 58 % on cotrimoxazole (PRR 1.35, p = 0.04), and 20 versus 4 % safe water vessel adherence (PRR 5.78, p = 0.017). Peer support may be an effective intervention to facilitate pre-ART care compliance in this important population.
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1Adult
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4Ambulatory Care - statistics & numerical data
5Ambulatory Care - utilization
6Anti-HIV Agents - therapeutic use
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20Health aspects
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23HIV
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25HIV Infections - drug therapy
26House Calls - statistics & numerical data
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28Human immunodeficiency virus
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32Intervention
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36Medicine
37Medicine & Public Health
38Methodology (Data collection)
39Office Visits - statistics & numerical data
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42Patient Acceptance of Health Care - ethnology
43Patient Acceptance of Health Care - psychology
44Patient Acceptance of Health Care - statistics & numerical data
45Peer Group
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51Public Health
52Randomization
53randomized controlled trial
54Social Support
55Socioeconomic Factors
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58Usage
59Water supply
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titleEffectiveness of Peer Support on Care Engagement and Preventive Care Intervention Utilization Among Pre-antiretroviral Therapy, HIV-Infected Adults in Rakai, Uganda: A Randomized Trial
authorChang, Larry W ; Nakigozi, Gertrude ; Billioux, Veena G ; Gray, Ronald H ; Serwadda, David ; Quinn, Thomas C ; Wawer, Maria J ; Bollinger, Robert C ; Reynolds, Steven J
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1Adult
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19Follow-Up Studies
20Health aspects
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22Health services utilization
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45Peer Group
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48Prevention programs
49Preventive Health Services - utilization
50Prophylaxis
51Public Health
52Randomization
53randomized controlled trial
54Social Support
55Socioeconomic Factors
56Surveys and Questionnaires
57Uganda
58Usage
59Water supply
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abstract442 pre-ART, HIV-infected adults were randomized to peer support consisting of structured home visits to promote clinic attendance and preventive care intervention use or standard of care. At baseline, 62 % reported previously visiting an HIV clinic, 45 % reported taking cotrimoxazole prophylaxis, and 31 % were “care-naïve” (no previous clinic visit and not on cotrimoxazole). After 1 year, intervention participants were more likely to report being in care (92 vs 84 %; PRR 1.09, p = 0.039), on cotrimoxazole (89 vs 81 %; PRR 1.10, p = 0.047), and safe water vessel adherence (23 vs 14 %; PRR 1.64, p = 0.024). The effect was observed only among care-naïve participants (n = 139) with 83 % intervention versus 56 % controls reporting being in HIV care (PRR 1.47, p = 0.006), 78 versus 58 % on cotrimoxazole (PRR 1.35, p = 0.04), and 20 versus 4 % safe water vessel adherence (PRR 5.78, p = 0.017). Peer support may be an effective intervention to facilitate pre-ART care compliance in this important population.
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