A Systematic Review of Oral Pre-exposure Prophylaxis HIV Adherence Interventions.

IF 1.6 4区 医学 Q2 NURSING Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI:10.1097/JNC.0000000000000460
Marlene Haines, Amanda Vandyk, Becky Skidmore, Lauren Orser, Patrick O'Byrne
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Abstract

Abstract: Clinical trials of pre-exposure prophylaxis (PrEP) to prevent HIV infection have established its efficacy as upwards of 99%. Despite this, the effectiveness of this medication has been shown to be diminished by individual factors, such as medication adherence. We completed a systematic review to identify and describe interventions to improve oral PrEP adherence. Overall, 16 articles were located. Two of the articles reported on results from the same trial and were collapsed for analysis, bringing the total to 15 studies. Twelve unique PrEP adherence interventions were tested, with the most common intervention being the use of mobile phone technology, which was used in 7 (46%) of the studies. Ten (67%) studies found that medication adherence improved when participants received an intervention to support adherence. Adherence intervention strategies effectively improved PrEP adherence. Further research into PrEP adherence interventions is warranted, particularly among diverse groups.

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关于口服暴露前预防艾滋病干预措施的系统性综述。
摘要:通过接触前预防疗法(PrEP)预防艾滋病病毒感染的临床试验证实,其有效率高达 99%。尽管如此,这种药物的有效性已被证明会因个人因素(如服药依从性)而降低。我们完成了一项系统性综述,以确定并描述改善口服 PrEP 依从性的干预措施。总共找到了 16 篇文章。其中有两篇文章报告了来自同一试验的结果,我们将其合并进行了分析,因此文章总数达到了 15 篇。有 12 项独特的 PrEP 坚持干预措施接受了测试,其中最常见的干预措施是使用手机技术,有 7 项(46%)研究使用了该技术。10项(67%)研究发现,如果参与者接受了支持坚持用药的干预措施,坚持用药的情况就会得到改善。坚持干预策略有效地提高了 PrEP 的坚持率。有必要对 PrEP 的依从性干预措施进行进一步研究,尤其是在不同群体中。
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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
120
期刊介绍: The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.
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