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Antiretroviral therapy adherence support: recommendations and future directions
K Rivet Amico1, Catherine Orrell
1Center for Health, Intervention and Prevention, University of Connecticut, Storrs, CT 06269, USA. rivetamico@comcast.net
Journal of the International Association of Providers of AIDS Care
|January 22, 2013
Summary
This review synthesizes evidence on intervention approaches for antiretroviral therapy (ART) adherence. It highlights the need to align research with practice by understanding intervention drivers and integrating real-world evidence.
Area of Science:
- Public Health
- Behavioral Science
- Health Services Research
Background:
- Growing evidence base for interventions supporting antiretroviral therapy (ART) adherence.
- Numerous reviews, syntheses, and guidelines exist, necessitating a literature characterization.
- Need to align current research and practice for effective ART adherence support.
Purpose of the Study:
- To characterize the current literature on ART adherence interventions.
- To identify research gaps and areas for targeted focus.
- To provide recommendations for intervention development and implementation.
Main Methods:
- Systematic literature review and synthesis of intervention approaches for ART adherence.
- Analysis of intervention outcomes and effect drivers from controlled research.
- Identification of strategies for individuals, communities, and systems.
Main Results:
- The literature on ART adherence interventions is extensive but requires focused direction.
- Understanding the 'drivers' of intervention effects is crucial for identifying optimal strategies.
- A gap exists in integrating evidence from practice into research agendas.
Conclusions:
- Aligning research and practice is critical for advancing ART adherence support.
- Future research should focus on intervention mechanisms and context-specific effectiveness.
- Integrating real-world evidence into research agendas will foster synergy between practice and research communities.
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