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Current HIV/AIDS Reports
Published in: Current HIV/AIDS Reports 4/2012

01-12-2012 | Behavioral Aspects of HIV Management (RJ DiClemente and JL Brown, Section Editors)

Interventions to Improve Retention in HIV Primary Care: A Systematic Review of U.S. Studies

Authors: Darrel H. Higa, Gary Marks, Nicole Crepaz, Adrian Liau, Cynthia M. Lyles

Published in: Current HIV/AIDS Reports | Issue 4/2012

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Abstract

Retaining HIV-diagnosed persons in care is a national priority, but little is known on what intervention strategies are most effective for promoting retention in care. We conducted a systematic search and qualitatively reviewed 13 published studies and three recent conference presentations to identify evidence-informed retention strategies. We extracted information on study design, methods, and intervention characteristics. Strengths-based case management that encourages clients to recognize and use their own internal abilities to access resources and solve problems offered strong evidence for retention in care. Other evidence-informed strategies included peer navigation, reducing structural- and system-level barriers, including peers as part of a health care team, displaying posters and brochures in waiting rooms, having medical providers present brief messages to patients, and having clinics stay in closer contact with patients across time. Opportunities for additional intervention strategies include using community-based organizations as a setting for engaging HIV-infected persons about the importance of regular care and involving patients’ significant others in retention in care interventions.
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Metadata
Title
Interventions to Improve Retention in HIV Primary Care: A Systematic Review of U.S. Studies
Authors
Darrel H. Higa
Gary Marks
Nicole Crepaz
Adrian Liau
Cynthia M. Lyles
Publication date
01-12-2012
Publisher
Current Science Inc.
Published in
Current HIV/AIDS Reports / Issue 4/2012
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-012-0136-6

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