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. Author manuscript; available in PMC: 2019 Sep 3.
Published in final edited form as: AIDS Behav. 2016 May;20(5):951–966. doi: 10.1007/s10461-015-1204-x

Table 1.

Evidence-Based Interventions (EBIs) for Linkage to, Retention and Re-engagement in HIV Care

Author (Year) Locationa Intervention Name LRC Outcome Key Population Nb Sexc
M/F/T %
PoCd % Agee Intervention Delivererf:
Intervention Strategies;
Intervention Duration
Comparison Strategies
Gardner [19] (2005)
U.S.
ARTAS Linkage to care (1st visit in 6 months post enrollment)
Retention
(at least 1 visit in each of 2 consecutive 6-month follow-up periods)
Recently-diagnosed 273 71/29 93 18–39 (63%)
>40 (37%)
Linkage Coordinator:
  • Builds rapport

  • Encourages patient to use personal strengths to link to care

  • Coordinates and links patient to community resources

  • Advocates for medical care and other services

Up to 5 sessions in 90 days or until patient is linked, whichever happens first
  • Info on HIV and local resources

  • Referral to medical care provider

Gardner [20](2014)
U.S.
Retention through Enhanced Personal Contacts Retention
(visit constancy-keeping at least 1 visit with HIV primary doctor in 3 consecutive 4-month intervals; visit adherence - % kept visits; mean # of kept visits; mean # of missed visits in 12 months)
Clinic patients 1838 63/36/1 88 18–29 (11%)
30–39 (20%)
40–49 (34%)
50–59 (29%)
>60 (7%)
Interventionist:
  • Meets client at medical visits

  • Calls in between visits to encourage and respond to questions/concerns about medical visit

  • Builds skills in personal organization, communication with providers, and problem solving

  • Develops plan to address unmet needs

  • Helps client use personal strengths to accomplish goal behaviors

Brief face-to-face meetings (initial meeting 25–40 minutes; subsequent meetings 10–20 minutes each) and phone calls (12 minutes each) over 1 year
Automated and personal appointment reminder calls
Lucas [21](2010)
U.S.
Buprenorphine Treatment Retention
(number of kept visits in 12-months)
Opioid-dependent clinic patients 96 78/22 98 46 median Physician, nurse with substance use training:
  • Provides buprenorphine treatment in HIV primary care clinic

  • Observes BUP doses

  • Provides counseling

  • Conducts urine drug tests

2-day induction, followed by 3 10–40 minute sessions per week for 2–4 weeks, then on-going weekly to monthly 10–40 minute sessions
Drug treatment referrals
Case management
Muhamadi [18](2011)
Uganda
Extended Counseling Linkage
(1st visit within 5 months post enrollment)
Recently-diagnosed 400 36/64 NR 18–24 (17%)
25–34 (31%)
35–44 (28%)
45–70 (23%)
Trained counselor, community support workers:
  • Provides posttest counseling in HIV disclosure, healthy living with HIV, importance of medical care

  • Conduct home visits to encourage client to go to medical care

One HIV post-test counseling session and subsequent monthly 2-hour counseling sessions
Non-trained counselor provides post-test counseling
Robbins [22](2012)
U.S.
Virology Fasttrack Retention
(no arrived appointment for > 6 months) measured as events per 100 patient-years in 12 months)
HIV care providers and their clinic patients 1011 72/28 46 >40
(75%)
Clinical decision support system
  • Generates interactive alerts in health care provider’s electronic medical records (EMR) home page, patient-specific EMR, and biweekly emails to notify providers of missed appointments, virologic failure, and new laboratory toxicities

  • Allows providers to easily schedule follow-up appointments and lab tests

On-going intervention
Static alerts to patient-specific EMR
a

Study location

b

Total sample size

c

M=Males; F=Females; T=Transgendered persons

d

Persons of Color

e

Mean age unless specified as median or category. Totals may not sum to 100% due to rounding.

f

If Intervention not delivered by a person, intervention deliverer is not listed

NR = Not reported