Project ACCEPT: Evaluation of a Group-Based Intervention to Improve Engagement in Care for Youth Newly Diagnosed with HIV.

TitleProject ACCEPT: Evaluation of a Group-Based Intervention to Improve Engagement in Care for Youth Newly Diagnosed with HIV.
Publication TypePublication
Year of Publication2018
AuthorsHosek SG, Harper GW, Lemos D, Burke-Miller J, Lee S, Friedman L, Martinez J
JournalAIDS Behav
Volume22
Issue8
Pagination2650-2661
Date Published2018 Aug
ISSN1573-3254
KeywordsAdolescent, Anti-Retroviral Agents, Disclosure, Female, Healthy Lifestyle, HIV Infections, Humans, Male, Medication Adherence, Patient Education as Topic, Patient Participation, Self Report, Social Stigma, Social Support, Substance-Related Disorders, Viral Load, Young Adult
Abstract

<p>ACCEPT is a gender-specific, group-based intervention aimed at addressing factors that impact engagement in care for youth newly diagnosed with HIV, including stigma, disclosure, healthy relationships, substance use, and future life planning. To test the efficacy of ACCEPT, we enrolled 103 youth and randomly assigned 57 to the ACCEPT condition and 46 to a health education control condition (HEALTH). Acceptability ratings were very high for both conditions. Over the 12 months post-intervention, the ACCEPT group was associated with an odds ratio of 2.33 greater likelihood of self-reported use of HIV medications compared to the HEALTH group (OR = 2.33 95% CI 1.29-4.21, p = 0.005) as well as declining viral load over time (- 0.14 (0.07), p = 0.041). The group-based ACCEPT intervention can improve engagement in care with corresponding positive health outcomes among HIV + youth. Despite the efficacy of ARV treatment, behavioral interventions are still valuable to promote engagement in care as well as adherence to medication.</p>

DOI10.1007/s10461-018-2034-4
Alternate JournalAIDS Behav
PubMed ID29396633
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD 040474 / / Eunice Kennedy Shriver National Institute of Child Health and Human Development /
U01 HD 040533 / / Eunice Kennedy Shriver National Institute of Child Health and Human Development /