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Interventions to Improve Retention in HIV Primary Care: A Systematic Review of U.S. Studies

  • Behavioral Aspects of HIV Management (RJ DiClemente and JL Brown, Section Editors)
  • Published:
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Abstract

Retaining HIV-diagnosed persons in care is a national priority, but little is known on what intervention strategies are most effective for promoting retention in care. We conducted a systematic search and qualitatively reviewed 13 published studies and three recent conference presentations to identify evidence-informed retention strategies. We extracted information on study design, methods, and intervention characteristics. Strengths-based case management that encourages clients to recognize and use their own internal abilities to access resources and solve problems offered strong evidence for retention in care. Other evidence-informed strategies included peer navigation, reducing structural- and system-level barriers, including peers as part of a health care team, displaying posters and brochures in waiting rooms, having medical providers present brief messages to patients, and having clinics stay in closer contact with patients across time. Opportunities for additional intervention strategies include using community-based organizations as a setting for engaging HIV-infected persons about the importance of regular care and involving patients’ significant others in retention in care interventions.

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No potential conflicts of interest relevant to this article were reported.

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Authors and Affiliations

  1. Prevention Research Branch, Division of HIV/AIDS Prevention, CDC, 1600 Clifton Road, NE, Mail Stop E-37, Atlanta, GA, 30333, USA

    Darrel H. Higa, Nicole Crepaz & Cynthia M. Lyles

  2. Epidemiology Branch, Division of HIV/AIDS Prevention, CDC, Atlanta, GA, USA

    Gary Marks

  3. Indiana University School of Medicine, Indianapolis, IN, USA

    Adrian Liau

Authors
  1. Darrel H. Higa
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  2. Gary Marks
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  3. Nicole Crepaz
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  4. Adrian Liau
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  5. Cynthia M. Lyles
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Correspondence to Darrel H. Higa.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the U.S. Centers for Disease Control and Prevention.

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Higa, D.H., Marks, G., Crepaz, N. et al. Interventions to Improve Retention in HIV Primary Care: A Systematic Review of U.S. Studies. Curr HIV/AIDS Rep 9, 313–325 (2012). https://doi.org/10.1007/s11904-012-0136-6

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  • DOI: https://doi.org/10.1007/s11904-012-0136-6

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