Community-based accompaniment for adolescents transitioning to adult HIV care in urban Peru: a pilot study

We piloted a community-based intervention to improve outcomes among adolescents living with HIV who were transitioning to adult-oriented care in Lima, Peru. We assessed feasibility and potential effectiveness, including within-person changes in self-reported adherence, psychosocial metrics (NIH Tool...

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Bibliographic Details
Published in:AIDS and behavior 2022-12, Vol.26 (12), p.3991-4003
Main Authors: Vargas, Valentina, Wong, Milagros, Rodriguez, Carly A., Sanchez, Hugo, Galea, Jerome, Ramos, Alicia, Senador, Liz, Kolevic, Lenka, Matos, Eduardo, Sanchez, Eduardo, Errea, Renato A., Ramos, Karen, Beckhorn, Catherine, Lindeborg, Andrew, Benites, Carlos, Lecca, Leonid, Shin, Sonya, Franke, Molly F.
Format: Article
Language:English
Subjects:
Adolescents
Continuity of care
Feasibility
Health care delivery
Health Psychology
HIV
Human immunodeficiency virus
Infectious Diseases
Intervention
Medical personnel
Medicine
Medicine & Public Health
Original Paper
Pilot projects
Public Health
Social interactions
Social support
Stress
Teenagers
Urban health care
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Summary:We piloted a community-based intervention to improve outcomes among adolescents living with HIV who were transitioning to adult-oriented care in Lima, Peru. We assessed feasibility and potential effectiveness, including within-person changes in self-reported adherence, psychosocial metrics (NIH Toolbox), and transition readiness (“Am I on TRAC” questionnaire, “Got Transition” checklist). From October 2019 to January 2020, we enrolled 30 adolescents (15–21 years). The nine-month intervention consisted of logistical, adherence and social support delivered by entry-level health workers and group sessions to improve health-related knowledge and skills and social support. In transition readiness, we observed within-person improvements relative to baseline. We also observed strong evidence of improvements in adherence, social support, self-efficacy, and stress, which were generally sustained three months post-intervention. All participants remained in treatment after 12 months. The intervention was feasible and potentially effective for bridging the transition to adult HIV care. A large-scale evaluation, including biological endpoints, is warranted.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-022-03725-2