Table 4.
Intervention characteristics of good-evidence interventions (n = 10): 1996–2011
Source | Intervention name | Type of setting | Unit of delivery | Deliverer | No. of sessions and duration | Session duration | Intervention effects |
---|---|---|---|---|---|---|---|
Altice et al. [40] | DAARTa for drug users | Mobile community health care van | Individual | DAART specialist, who is an outreach worker trained to supervise DAART | Every week day over 6 months | NR | Reduced viral load |
Johnson et al. [41] | Healthy Living Project | Private community based organizations and clinics | Individuaul | Ethnically diverse, gender-matched facilitators | Fifteen sessions grouped into three modules of five sessions each | 90 min each | Achieved medication adherence
(self-report) Decrease in HIV risk behaviors |
Kalichman et al. [42] | Integrated HIV risk reduction and adherence intervention | Community-based AIDS service provider | Individual and group | Trained male-female facilitator pairs | Seven sessions over 5 weeks | One 45-min session, five 2-h sessions, and one 1-h session | Achieved medication adherence (unannounced
pill counts and pharmacy prescription records) Decrease in HIV risk behaviors |
Koenig et al. [43] | Project HEARTb | Public HIV primary care outpatient clinic | Individual and group | A nurse interventionist, group discussion facilitator, and access to a peer advocate | Five sessions, with 5 support phone calls between sessions and a booster session at 6 months | Two 2–3 h sessions; three 1.5 h sessions, 1.5 h booster | Achieved medication adherence (MEMs caps) |
Lucas et al. [44] | DAARTa in a methadone clinic | Methadone clinic | Individual | Nurse or medical assistant | Every morning of methadone clinic visit, over at least one year | NR | Reduced viral load Achieved undetectable viral load |
Milam et al. [45] | Partnership for Health | HIV primary care outpatient clinics | Individual | Primary care provider (e.g., physician, physician assistant, nurse practitioner) | A session at each clinic visit over 10 to 11 months | 3- to 5-min | Maintained medication adherence
(self-report) Achieved undetectable viral load |
Remien et al. [46] | SMARTc couples | Public & private outpatient clinics | Group | Nurse practitioner | Four sessions over 5 weeks | 45–60 min | Increased medication adherence (MEMS caps) |
Simoni et al.e [47] | Pager messaging | Anywhere patient has pager access | Individual | 2-way pager | Daily customized pager messages over 3 months | NA | Reduced viral load |
Simoni et al.e [47] | Peer support | Public HIV primary care outpatient clinic | Individual and group | Peer and research staff | Six twice-monthly group meetings and weekly phone calls over 3 months | 1-h group meeting | Increased medication adherence (self-report) |
Williams et al. [48] | ATHENAd | Residence and community settings | Individual | Nurse and community/peer worker pair | Twenty-four home visits on a schedule of declining frequency over 12 months (weekly for 3 months, biweekly for 3 months, and monthly for 6 months) | NR | Increased medication adherence (MEMS caps) |
Additional information about the efficacy review and the interventions identified can be found at http://www.cdc.gov/hiv/dhap/prb/prs/index.html
NR not reported, NA not applicable
Directly Administered Antiretroviral Therapy (DAART)
Helping Enhance Adherence to antiretroviral Therapy (Project HEART)
Sharing Medical Adherence Responsibilities Together (SMART Couples)
Adherence through Home Education and Nursing Assessment (ATHENA)
One Study; two interventions