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. Author manuscript; available in PMC: 2020 Jun 21.
Published before final editing as: AIDS. 2018 Dec 21:10.1097/QAD.0000000000002125. doi: 10.1097/QAD.0000000000002125

Table 4.

Characteristics of interventions based in other settings (n=5).

Added intervention First author(s) (or study name) and country Study design Intervention description Number of patients in intervention Key findings
HIV screening Edelman 2013
USA [56]
Randomized trial People with OUD already receiving buprenorphine/naloxone randomized to HIV testing with brief sexual risk management (2 sessions) or enhanced sexual risk management (4 sessions) in a primary care clinic 15 brief sexual risk management; 15 enhanced sexual risk management Compared with brief sexual risk management, enhanced sexual risk management did not lead to differences in process (retention in OUD treatment) or clinical outcomes (health-related quality of life, sexual risk)
HIV care Altice 2003
USA [16]
Cohort PLWH with OUD offered HIV medication management in a syringe exchange van 13 From before intervention to 12-months after:
  • 54% of participants had an undetectable HIV-1 RNA level

  • net increase in CD4 cell count was 150 cells/mm3.

OUD care Springer 2010
USA [69]
Cohort PLWH with OUD were offered medications for OUD following release from prison out of a group already engaging in directly-observed medications for HIV 30 Compared with baseline, participants:
  • had reduced opioid cravings

  • high satisfaction

  • no changes in non-detectable HIV-1 RNA level or CD4 cell count

Springer 2012
USA [70]
Cohort PLWH with OUD offered medications or OUD after prison release out of a group already receiving directly-observed medications for HIV 50 Retention on buprenorphine/naloxone for 24 months correlated with maximum viral suppression, while the receipt of directly-observed medications for HIV or methadone did not.
HIV care and OUD care Hung 2016
Vietnam [57]
Cohort PLWH with OUD offered HIV testing, HIV treatment, and methadone maintenance at outpatient clinics 7,395 In sites that integrated methadone, HIV testing, and HIV treatment:
  • More clients sought testing

  • More clients initiated medications for HIV

  • No change in mortality was observed