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 language | English (US) |
|---|---|
| Pages (from-to) | 1-12 |
| Number of pages | 12 |
| Journal | AIDS and Behavior |
| DOIs | |
| State | Accepted/In press - Feb 2 2018 |
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Keywords
- Adolescents
- HIV
- Medication adherence
ASJC Scopus subject areas
- Social Psychology
- Public Health, Environmental and Occupational Health
- Infectious Diseases
Cite this
Project ACCEPT : Evaluation of a Group-Based Intervention to Improve Engagement in Care for Youth Newly Diagnosed with HIV. / Hosek, Sybil G.; Harper, Gary W.; Lemos, Diana; Burke-Miller, Jane; Lee, Sonia; Friedman, Lawrence B; Martinez, Jaime.
In: AIDS and Behavior, 02.02.2018, p. 1-12.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Project ACCEPT
T2 - Evaluation of a Group-Based Intervention to Improve Engagement in Care for Youth Newly Diagnosed with HIV
AU - Hosek, Sybil G.
AU - Harper, Gary W.
AU - Lemos, Diana
AU - Burke-Miller, Jane
AU - Lee, Sonia
AU - Friedman, Lawrence B
AU - Martinez, Jaime
PY - 2018/2/2
Y1 - 2018/2/2
N2 - 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.
AB - 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.
KW - Adolescents
KW - HIV
KW - Medication adherence
UR - http://www.scopus.com/inward/record.url?scp=85045058760&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85045058760&partnerID=8YFLogxK
U2 - 10.1007/s10461-018-2034-4
DO - 10.1007/s10461-018-2034-4
M3 - Article
C2 - 29396633
AN - SCOPUS:85045058760
SP - 1
EP - 12
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
ER -