Community-based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: a Pilot Study

Valentina Vargas; Milagros Wong; Carly A. Rodriguez; Hugo Sanchez; Jerome T. Galea; Alicia Ramos; Liz Senador; Lenka Kolevic; Eduardo Matos; Eduardo Sanchez; Renato A. Errea; Karen Ramos; Catherine Beckhorn; Andrew Lindeborg; Carlos Benites; Leonid Lecca; Sonya Shin; Molly F. Franke

doi:10.1007/s10461-022-03725-2

Community-based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: a Pilot Study

Valentina Vargas, Milagros Wong, Carly A. Rodriguez, Hugo Sanchez, Jerome T. Galea, Alicia Ramos, Liz Senador, Lenka Kolevic, Eduardo Matos, Eduardo Sanchez, Renato A. Errea, Karen Ramos, Catherine Beckhorn, Andrew Lindeborg, Carlos Benites, Leonid Lecca, Sonya Shin, Molly F. Franke

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Abstract

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.

Original language	American English
Journal	AIDS and Behavior
Volume	26
DOIs	https://doi.org/10.1007/s10461-022-03725-2
State	Published - Jan 1 2022

Keywords

Adolescents
Social support
Adherence
Differentiated care
HIV care continuum

Disciplines

Social and Behavioral Sciences
Social Work

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10.1007/s10461-022-03725-2License: CC BY

Community-based Accompaniment for Adolescents Transitioning to AdFinal published version, 1.21 MBLicense: CC BY

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Vargas, V., Wong, M., Rodriguez, C. A., Sanchez, H., Galea, J. T., Ramos, A., Senador, L., Kolevic, L., Matos, E., Sanchez, E., Errea, R. A., Ramos, K., Beckhorn, C., Lindeborg, A., Benites, C., Lecca, L., Shin, S., & Franke, M. F. (2022). Community-based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: a Pilot Study. AIDS and Behavior, 26. https://doi.org/10.1007/s10461-022-03725-2

Vargas, V, Wong, M, Rodriguez, CA, Sanchez, H, Galea, JT, Ramos, A, Senador, L, Kolevic, L, Matos, E, Sanchez, E, Errea, RA, Ramos, K, Beckhorn, C, Lindeborg, A, Benites, C, Lecca, L, Shin, S & Franke, MF 2022, 'Community-based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: a Pilot Study', AIDS and Behavior, vol. 26. https://doi.org/10.1007/s10461-022-03725-2

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title = "Community-based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: a Pilot Study",

abstract = " 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.",

keywords = "Adolescents, Social support, Adherence, Differentiated care, HIV care continuum",

author = "Valentina Vargas and Milagros Wong and Rodriguez, {Carly A.} and Hugo Sanchez and Galea, {Jerome T.} and Alicia Ramos and Liz Senador and Lenka Kolevic and Eduardo Matos and Eduardo Sanchez and Errea, {Renato A.} and Karen Ramos and Catherine Beckhorn and Andrew Lindeborg and Carlos Benites and Leonid Lecca and Sonya Shin and Franke, {Molly F.}",

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doi = "10.1007/s10461-022-03725-2",

language = "American English",

volume = "26",

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AU - Vargas, Valentina

AU - Wong, Milagros

AU - Rodriguez, Carly A.

AU - Sanchez, Hugo

AU - Galea, Jerome T.

AU - Ramos, Alicia

AU - Senador, Liz

AU - Kolevic, Lenka

AU - Matos, Eduardo

AU - Sanchez, Eduardo

AU - Errea, Renato A.

AU - Ramos, Karen

AU - Beckhorn, Catherine

AU - Lindeborg, Andrew

AU - Benites, Carlos

AU - Lecca, Leonid

AU - Shin, Sonya

AU - Franke, Molly F.

PY - 2022/1/1

Y1 - 2022/1/1

N2 - 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.

AB - 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.

KW - Adolescents

KW - Social support

KW - Adherence

KW - Differentiated care

KW - HIV care continuum

UR - https://digitalcommons.usf.edu/sok_facpub/198

U2 - 10.1007/s10461-022-03725-2

DO - 10.1007/s10461-022-03725-2

M3 - Article

C2 - 35788925

VL - 26

JO - AIDS and Behavior

JF - AIDS and Behavior

ER -

Community-based Accompaniment for Adolescents Transitioning to Adult HIV Care in Urban Peru: a Pilot Study

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