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

Sybil G. Hosek, Gary W. Harper, Diana Lemos, Jane Burke-Miller, Sonia Lee, Lawrence Friedman, Jaime Martinez

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2650-2661
Number of pages12
JournalAIDS and Behavior
Volume22
Issue number8
DOIs
StatePublished - Aug 1 2018

Keywords

  • Adolescents
  • HIV
  • Medication adherence

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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