Can Contingency Management Solve the Problem of Adherence to Antiretroviral Therapy in Drug-Dependent Individuals?

Autor/inn/en	Ribeiro, Ariadne; Pinto, Denis Gomes Alves; Trevisol, Alisson Paulino; Tardelli, Vitor; Arcadepani, Felipe; Bosso, Rogério Adriano; Ribeiro, Marcelo; Fidalgo, Thiago Marques
Titel	Can Contingency Management Solve the Problem of Adherence to Antiretroviral Therapy in Drug-Dependent Individuals?
Quelle	In: Health Education & Behavior, 50 (2023) 6, S.738-747 (10 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Ribeiro, Ariadne)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/10901981221148966
Schlagwörter	Drug Abuse; Drug Therapy; Contingency Management; Compliance (Psychology); Acquired Immunodeficiency Syndrome (AIDS); At Risk Persons; Program Effectiveness; Health Behavior; Substance Abuse + Suchen Sie Ihr Suchwort? Krisenbewältigung; Risikogruppe; Health behaviour; Gesundheitsverhalten; Drug use; Drug consomption; Drogenkonsum
Abstract	Drug misuse among people living with HIV (human immunodeficiency virus) is associated with higher mortality. It is a frequently observed reason for treatment abandonment, with people who misuse drugs showing a 10 to 25 times higher risk of HIV than the general population. The authors conducted a systematic review and meta-analysis to assess the efficacy of contingency management (CM) to improve adherence to antiretroviral therapy in people living with HIV and substance use disorder (SUD). The inclusion criteria consisted of studies written in English, Italian, Spanish, German, and French; studies conducted with humans; and clinical trials that combined SUD treatment with CM for people living with HIV. Two hundred twenty-two articles were identified, five met all inclusion criteria, and three provided enough data to perform the meta-analysis. We considered treatment adherence by measuring the increase in the CD4 count as our primary outcome. We found a significant increase in treatment adherence in the patient group compared with the control groups during the intervention phase. Positive findings did not persist after the cessation of the incentives. The meta-analysis showed that the intervention improved patient adherence by 2.69 (95% confidence interval: [0.08, 0.51]; p = 0.007) compared with the control group during the intervention period. All short-term CM studies converged on a positive result for adherence to antiretroviral therapy. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01