Adolescents, Social support, Adherence, Differentiated care, HIV care continuum
Digital Object Identifier (DOI)
We piloted a community-based intervention to improve outcomes among adolescents living with HIV who were transitioning to adult-oriented care in Lima, Peru. We assessed feasibility and potential effectiveness, including within-person changes in self-reported adherence, psychosocial metrics (NIH Toolbox), and transition readiness (“Am I on TRAC” questionnaire, “Got Transition” checklist). From October 2019 to January 2020, we enrolled 30 adolescents (15–21 years). The nine-month intervention consisted of logistical, adherence and social support delivered by entry-level health workers and group sessions to improve health-related knowledge and skills and social support. In transition readiness, we observed within-person improvements relative to baseline. We also observed strong evidence of improvements in adherence, social support, self-efficacy, and stress, which were generally sustained three months post-intervention. All participants remained in treatment after 12 months. The intervention was feasible and potentially effective for bridging the transition to adult HIV care. A large-scale evaluation, including biological endpoints, is warranted.
This work is licensed under a Creative Commons Attribution 4.0 License.
Was this content written or created while at USF?
Citation / Publisher Attribution
AIDS and Behavior, in press
Scholar Commons Citation
Vargas, Valentina; Wong, Milagros; Rodriguez, Carly A.; Sanchez, Hugo; Galea, Jerome T.; Ramos, Alicia; Senador, Liz; Kolevic, Lenka; Matos, Eduardo; Sanchez, Eduardo; Errea, Renato A.; Ramos, Karen; Beckhorn, Catherine; Lindeborg, Andrew; Benites, Carlos; Lecca, Leonid; Shin, Sonya; and Franke, Molly F., "Community-based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: a Pilot Study" (2022). Social Work Faculty Publications. 198.