Effect of a ward-based outreach team and adherence game on retention and viral load suppression
Southern African Journal of HIV Medicine
| Field | Value | |
| Title | Effect of a ward-based outreach team and adherence game on retention and viral load suppression | |
| Creator | Ngcobo, Sanele Olorunju, Steve Nkwenika, Tshifhiwa Rossouw, Theresa | |
| Description | Background: Only 66% of South African people living with HIV (PLWH) are virologically suppressed. Therefore, it is important to develop strategies to improve outcomes.Objectives: Assess the effect of interventions on 12-month retention in care and virological suppression in participants newly initiated on antiretroviral therapy.Method: Fifty-seven clinics were randomised into four arms: Ward-based primary health care outreach teams (WBPHCOTs); Game; WBPHCOT–Game in combination; and Control (standard of care). Sixteen clinics were excluded and four re-allocated because lay counsellors and operational team leaders failed to attend the required training. Seventeen clinics were excluded due to non-enrolment.Results: A total of 558 participants from Tshwane district were enrolled. After excluding ineligible participants, 467 participants were included in the analysis: WBPHCOTs (n = 72); Games (n = 126); WBPHCOT–Games (n = 85); and Control (n = 184). Retention in care at 12 months was evaluable in 340 participants (86.2%) were retained in care and 13.8% were lost to follow-up. The intervention groups had higher retention in care than the Control group, but this only reached statistical significance in the Games group (96.8% vs 77.8%; relative risk [RR] 1.25; 95% confidence interval [CI]: 1.13–1.38; P = 0.01). The 12 month virologic suppression rate was 75.3% and was similar across the four arms.Conclusion: This study demonstrated that an adherence game intervention could help keep PLWH in care.What this study adds: Evidence that interventions, especially Games, could improve retention in care. | |
| Publisher | AOSIS | |
| Date | 2022-12-07 | |
| Identifier | 10.4102/sajhivmed.v23i1.1446 | |
| Source | Southern African Journal of HIV Medicine; Vol 23, No 1 (2022); 9 pages 2078-6751 1608-9693 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2971
https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2972
https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2973
https://sajhivmed.org.za/index.php/hivmed/article/view/1446/2974
|
|
ADVERTISEMENT
