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A Systematic Review of Nurse-Led Antiretroviral Medication Adherence Intervention Trials: How Nurses Have Advanced the Science

Research output: Contribution to journal › Review article › peer-review

Abstract

Antiretroviral therapy (ART) is essential to achieving viral suppression and improving health and clinical outcomes in persons living with HIV. Despite the effectiveness of ART and many promising evidence-based ART adherence interventions, viral suppression rates continue to be less than optimal. Nurses play pivotal roles in HIV care management, yet their role in the development and delivery of evidence-based adherence interventions has received little attention. Therefore, this review examined the contributions of nurses to ART adherence research and delivery. We found that nurse-led and nurse-facilitated interventions can be effective in fostering ART adherence in persons living with HIV. Considering the role nurses play in HIV care management and the effectiveness of interventions involving nurses, more nurse-led and nurse-facilitated interventions to address ART adherence are indicated. However, there is a need for further research to examine multilevel interventions and comparative cost and effectiveness of nurse-delivered ART interventions with other forms of delivery.

Original languageEnglish (US)
Pages (from-to)347-372
Number of pages26
JournalJournal of the Association of Nurses in AIDS Care
Volume32
Issue number3
DOIs
StatePublished - 2021

Keywords

  • HIV
  • adherence
  • antiretroviral therapy
  • review

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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