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Interventions to Improve Treatment Outcomes among Adolescents on Antiretroviral Therapy with Unsuppressed Viral Loads: A Systematic Review

Author

Listed:
  • Farai Kevin Munyayi

    (School of Public Health, University of the Western Cape, Cape Town 7535, South Africa)

  • Brian van Wyk

    (School of Public Health, University of the Western Cape, Cape Town 7535, South Africa)

  • Yolanda Mayman

    (Department of Psychology, University of the Western Cape, Cape Town 7535, South Africa)

Abstract

Adolescents living with HIV (ALHIV) face unique developmental challenges that increase the risk of unsuppressed viral loads. Current reviews present a need for proven interventions to improve viral suppression among ALHIV on ART, who have a history of unsuppressed viral loads. This systematic review aims to synthesize and appraise evidence of the effectiveness of interventions to improve treatment outcomes among ALHIV with unsuppressed viral loads. Six bibliographic databases were searched for published studies and gray literature from 2010 to 2021. The risk of bias and certainty of evidence was assessed using the ROBINS-I tool, CASP checklists and GRADE. A total of 28 studies were eligible for full-text screening; and only three were included in the qualitative synthesis. In addition, two studies were included from website searches. Four types of interventions to improve viral suppression were identified, namely: intensive adherence counselling; community- and facility-based peer-led differentiated service delivery (DSD); family based economic empowerment; and conditional economic incentives and motivational interviewing. We strongly recommend peer-led community-based DSD interventions, intensive adherence counselling, and family-based economic empowerment as potential interventions to improve viral suppression among ALHIV.

Suggested Citation

  • Farai Kevin Munyayi & Brian van Wyk & Yolanda Mayman, 2022. "Interventions to Improve Treatment Outcomes among Adolescents on Antiretroviral Therapy with Unsuppressed Viral Loads: A Systematic Review," IJERPH, MDPI, vol. 19(7), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3940-:d:779810
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