Today's topic will be on challenges in the evaluation of interventions to improve engagement along the HIV care continuum in the United States.
Kathryn Risher, Ph.D, M.H.S
London School of Hygiene & Tropical Medicine
In the United States (US), a high proportion of individuals living with HIV remain unlinked to care, disengaged from care, or incompletely adherent to antiretroviral therapy (ART). We conducted a systematic review of interventions to improve linkage to care, retention in care, re-engagement among those disengaged from care, and adherence to ART in the US. We find that the bulk of evidence (117/152 included studies) addresses adherence interventions, while a very small minority address linkage or reengagement interventions (7/152 and 4/152, respectively). There was tremendous heterogeneity in measures used to evaluate interventions. We found that most (59%) of studies report significantly improved outcomes, but the effect size was variable across studies and populations. The presentation will additionally include recommendations to address the challenges identified by the systematic review.
Ce-PIM‘s Prevention Science and Methodology Group (PSMG) is a virtual network of more than 480 empirical researchers and methodologists aimed to advance the field of prevention science and support the implementation of evidence-based prevention programs. The PSMG grand rounds are now conducted virtually over the internet, allowing the members to view, question, and comment live from their own computer with leading scientists and methodologists at no cost. Access to live presentations is restricted to PSMG members. However, PSMG presentations are recorded and will be publicly accessible on our website two weeks after the presentation date on the archive page.
The PSMG will host sessions devoted specifically to HIV Prevention (chaired by Nanette Benbow and Gregory Phillips) as well as Implementation Science (chaired by J D Smith), Agent-Based Modeling (chaired by Wouter Vermeer), and Innovations in Research Designs (chaired by Booil Jo).