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 B Friedman, Jaime Martinez

Research output: Contribution to journalArticle

3 Citations (Scopus)

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)1-12
Number of pages12
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Feb 2 2018

Fingerprint

HIV
Medication Adherence
Disclosure
Viral Load
Health Education
Odds Ratio
Health

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 journalArticle

Hosek, Sybil G. ; Harper, Gary W. ; Lemos, Diana ; Burke-Miller, Jane ; Lee, Sonia ; Friedman, Lawrence B ; Martinez, Jaime. / Project ACCEPT : Evaluation of a Group-Based Intervention to Improve Engagement in Care for Youth Newly Diagnosed with HIV. In: AIDS and Behavior. 2018 ; pp. 1-12.
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