REACH: a mixed-methods study to investigate the measurement, prediction and improvement of retention and engagement in outpatient HIV care

Howarth A, Apea V, Michie S, Morris S, Sachikonye M, Mercer C, Evans A, Delpech V, Sabin C & Burns F
Record ID 32017000191
English
Authors' objectives: To explore, describe and understand human immunodeficiency virus (HIV) outpatient attendance in people living with human immunodeficiency virus (PLWH), in order to develop cost-effective interventions to optimise engagement in care. Antiretroviral therapy (ART) benefits individuals living with HIV through reduced morbidity and mortality, and brings public health gains through a reduction in HIV transmission. PLWH need to know their HIV status and engage in HIV care in order for these individual and public health benefits to be realised.
Authors' recommendations: The study shows the adverse health impacts of disengaging from HIV care and demonstrates the importance of the wider health and social context in managing HIV effectively. Although phase 1 analysis was based on UK data, phases 2 and 3 were limited to London. The interventions proposed are supported by the data but their cost-effectiveness requires testing. Future research is needed to evaluate the interventions, to validate our retention risk tool across populations and settings, and to fully analyse the economic costs of disengaging from HIV care.
Details
Project Status: Completed
Year Published: 2017
URL for published report: https://www.journalslibrary.nihr.ac.uk/hsdr/hsdr05130/#/abstract
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Ambulatory Care
  • HIV Infections
  • Humans
  • Outpatients
  • Patient Acceptance of Health Care
Contact
Organisation Name: NIHR Health Services and Delivery Research programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
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