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Universal HIV Testing and Treatment With Patient-Centered Care Improves ART Uptake and Viral Suppression Among Adults Reporting Hazardous Alcohol Use in Uganda and Kenya.

Author: AyiekoJames, BalzerLaura B, BukusiElizabeth A, ChamieGabriel, CharleboisEdwin D, CohenCraig R, HahnJudith A, HavlirDiane V, KamyaMoses R, KwarisiimaDalsone, MucunguziAtukunda, OwaraganiseAsiphas, PetersenMaya L, PuryearSarah B, SchwabJoshua

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, N.I.H., ExtramuralResearch funding provided by the NIH to external research institutions and researchers.

Overview

This community cluster-randomized trial investigated the impact of patient-centered HIV care on antiretroviral therapy (ART) uptake and viral suppression in people with HIV (PWH) reporting hazardous alcohol use. The intervention arm, which included annual population HIV testing, universal ART, and patient-centered care, resulted in higher ART uptake and suppression among PWH with hazardous alcohol use compared to the control arm. The patient-centered approach may effectively decrease barriers to HIV care for PWH with hazardous alcohol use.
Paper Details　
Original Abstract of the Article :
OBJECTIVES: Determine whether patient-centered, streamlined HIV care achieves higher antiretroviral therapy (ART) uptake and viral suppression than the standard treatment model for people with HIV (PWH) reporting hazardous alcohol use. DESIGN: Community cluster-randomized trial. METHODS: The Susta...See full text at original site
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引用元：
https://pubmed.ncbi.nlm.nih.gov/37220015

データ提供：米国国立医学図書館（NLM）

Patient-Centered Care: A Oasis in the Desert of HIV Care

The global fight against [HIV] continues, with efforts to improve [antiretroviral therapy (ART) uptake] and [viral suppression] being paramount. This [community cluster-randomized trial] investigates the impact of [patient-centered, streamlined HIV care] on these crucial outcomes, particularly in individuals with [hazardous alcohol use]. The study, conducted in [Uganda and Kenya], compared an intervention arm utilizing [annual population HIV testing, universal ART, and patient-centered care] with a control arm receiving [baseline population testing with ART by country standard].

A Paradigm Shift in HIV Care for Those with Hazardous Alcohol Use

The results demonstrate a significant improvement in both [ART uptake] and [viral suppression] among individuals reporting [hazardous alcohol use] in the intervention arm. The intervention group exhibited a [28% increase in ART uptake] and a [20% increase in viral suppression] compared to the control group. These findings highlight the transformative potential of [patient-centered care] in addressing the unique challenges faced by [individuals with hazardous alcohol use] in accessing and adhering to HIV care.

Breaking Down Barriers to HIV Care

This study, like a refreshing spring in the arid landscape of [HIV care], emphasizes the importance of [patient-centered approaches]. By addressing the specific needs and challenges of [individuals with hazardous alcohol use], this intervention has achieved remarkable success in improving [ART uptake] and [viral suppression]. This research serves as a powerful reminder that tailoring care to the individual can yield significant benefits, ultimately leading to better outcomes for patients living with [HIV].

Dr.Camel's Conclusion

This research, like a beacon of hope in the desert of [HIV care], demonstrates the transformative power of patient-centered care. By addressing the specific needs of those with [hazardous alcohol use], the intervention was successful in improving [ART uptake] and [viral suppression]. This research inspires us to continue seeking innovative approaches to provide compassionate and effective care for all individuals living with [HIV], no matter their circumstances.

Date :
  1. Date Completed 2023-08-17
  2. Date Revised 2023-10-03
Further Info :

Pubmed ID

37220015

DOI: Digital Object Identifier

NIHMS1900991

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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