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Adherence to ART

This policy brief provides guidance and resources for implementing recommendations to integrate community health workers (CHWs) into community-based efforts to prevent chronic disease.  It contains evidence that demonstrates the value and impact of CHWs in preventing and managing a variety of chronic diseases and examples of programs that engage CHWs, needed legislation, and recommendations for comprehensive policies to build capacity for an integrated and sustainable CHW public health workforce. Resources to assist state health departments and others in making progress with CHWs are also included.
 

Audience - Clinician, Non-clinician
Media Type: Document
Component(s): Linkage to Care, Retention in Care, Adherence to ART
 
 

This webpage provides guidance and recommendations from the Centers for Disease Control and Prevention (CDC) for using antiretroviral treatment (ART) not only to improve health outcomes for people living with HIV but also for HIV prevention.  It also provides guidance for clinicians and community-based HIV prevention providers about regularly assessing and supporting ART adherence.

Audience - Clinician, Non-clinician
Component(s): ART for HIV Prevention, Adherence to ART
 
 

This document details the benefits of antiretroviral therapy as HIV prevention, including the importance of HIV testing, linkage to and retention in medical care for persons diagnosed with HIV, and adherence to prescribed HIV treatment regimens.  It puts treatment as prevention in perspective and looks at challenges and the future of HIV prevention.  The document also details how CDC funding supports and expands prevention services for persons living with HIV and lists a variety of related references.

Audience - Clinician, Non-clinician
Media Type: Document
Component(s): Linkage to Care, Retention in Care, ART for HIV Prevention, Adherence to ART
 
 

In this downloadable slide set Clinical Care Options’ Program Director, Daniel R. Kuritzkes, MD, and faculty members, Judith S. Currier, MD, MSc; Eric S. Daar, MD; Paul E. Sax, MD; and Kimberly Y. Smith, MD, MPH, review clinical trial data and treatment guideline recommendations that contribute to decision-making regarding choices and management of first-line antiretroviral therapy (ART).   Topics covered include: initial therapy: US guidelines and recent clinical trials; individualizing the choice of first-line ART; and managing patients receiving first-line ART.

Audience - Clinician
Provider(s) - Clinical Care Options
Media Type: Slides
Component(s): ART for HIV Prevention, Adherence to ART
 
 

This document reviews information about the number of people in the United States engaged in five stages of HIV care from a comprehensive analysis released by the Centers for Disease Control and Prevention in July 2012 based on HIV prevalence data from 2009 and other data sources.  The document also includes charts showing HIV care by race/ethnicity, age, risk group, and gender.

Audience - Clinician, Non-clinician
Component(s): Linkage to Care, Retention in Care, ART for HIV Prevention, Adherence to ART
 
 

The goal of this train-the-trainer activity, developed in partnership between IAPAC and the National Minority AIDS Council, is to train and certify peer educators on evidence-based interventions (EBIs) to assist people living with HIV/AIDS (PLWHA) to optimally adhere to ART and remain engaged in HIV care in a variety of clinical settings.  The training defines barriers to optimal engagement in HIV care; outlines strategies to improve timely linkage to and retention in care as an effective means of assuring successful antiretroviral therapy (ART) initiation and adherence; reviews evidence-based education and counseling interventions for helping PLWHA engage in HIV care and achieve HIV treatment success; and looks at the challenges faced by special populations and EBIs to provide patient-centered care in a variety of settings.

Audience - Clinician, Non-clinician
Provider(s) -
Media Type: Document
Component(s): Linkage to Care, Retention in Care, Adherence to ART
 
 

Explore these many slide presentations of various HIV clinical topics at this site for healthcare professionals.  Topics include the role of antiretroviral therapy in HIV prevention, challenges of managing care for HIV-positive patients as they age, strategies for engaging HIV patients in care, cultural and socioeconomic barriers to care, and many more.  Free membership required to access the educational content.
 

Audience - Clinician
Media Type: Slides
Component(s): Linkage to Care, Retention in Care, Risk Screening and Reduction, ART for HIV Prevention, Adherence to ART, Reproductive Health Care, Mother-to-Child HIV Prevention, General PwP
 
 

The Common Patient Assistance Program (PAP) Application can be used to apply for any pharmaceutical assistance program (PAP) offered by pharmaceutical companies. The application was developed collaboratively by the Department of Health and Human Services, nine pharmaceutical companies, the National Alliance of State and Territorial AIDS Directors, and community stakeholders.

Audience - Clinician, Non-clinician
Provider(s) - Target Center
Media Type: Document
Component(s): Retention in Care, Adherence to ART
 
 

This chapter from the CDC’s compendium focuses on evidence-based behavioral interventions that address medication adherence behaviors among persons living with HIV and are identified as either best-evidence or good-evidence through a literature efficacy review. 

Audience - Clinician, Non-clinician
Media Type: Document
Component(s): Adherence to ART
 
 

This curriculum focuses on botanicals commonly used by the Hispanic population.  After reviewing this slide set with speaker notes, participants should to be able to: 1) explain the interplay of HIV treatment, botanical remedies and spirituality in Latino patients; 2) describe some benefits and risks of common botanical remedies, and 3) encourage Latino patients to disclose botanical use through effective provider-patient communication techniques.

Audience - Clinician, Non-clinician
Component(s): Retention in Care, Adherence to ART
 
 

This article, written by a panel convened by the International Association of Physicians in AIDS Care, provides recommendations related to linkage of persons living with HIV to medical care, retention in care, and improved adherence to antiretroviral therapy (ART).  The recommendations cover specific issues such as substance use and mental health disorders and ones relevant to specific populations: pregnant women, incarcerated individuals, homeless and marginally housed individuals, and children and adolescents.

Audience - Clinician
Media Type: Document
Component(s): Linkage to Care, Retention in Care, ART for HIV Prevention, Adherence to ART
 
 

These slides from a webinar on January 16, 2013 address evidence-based recommendations for improving entry into and retention in care, and improving medication adherence for persons living with HIV infection. Topics include monitoring, successful intervention approaches, and review of practical resources.  There is also a link to the recorded webinar.

Audience - Clinician
Media Type: Slides
Component(s): Linkage to Care, Retention in Care, Adherence to ART
 
 

This table reviews a number of HIV medication adherence strategies and organizes them by the most appropriate provider types and settings.

Audience - Clinician, Non-clinician
Media Type: Document
Component(s): Adherence to ART
 
 

This site is a free resource for qualified healthcare providers, where they can create, print, and document personalized treatment plans for their patients in English or Spanish.  It also has a link to a tool designed for patients to create free medication schedules and receive reminders by text or email about taking and refilling medications. 

Audience - Clinician
Provider(s) - MedActionPlan.com, LLC
Media Type: Website
Component(s): Adherence to ART
 
 

This site allows registrants to create, read, print, and update free medication schedules in English or Spanish.  It also can be set to provide reminders by text or email about taking and refilling medications.  Options include a mobile application.

Audience - Clinician, Non-clinician
Provider(s) - MedActionPlan.com, LLC
Media Type: Website
Component(s): Adherence to ART
 
 

This document includes guidance, tools, and helpful hints for health care providers and staff who work with patients with chronic disease in various ambulatory care settings.  The Medication Adherence Project of the New York City Department of Health and Mental Hygiene with the assistance of medical care providers developed this guide in response to identified needs to help clinicians communicate more effectively with their patients about medical adherence. 

Audience - Clinician
Media Type: Document
Component(s): Adherence to ART
 
 

ART for HIV Prevention

This webpage provides guidance and recommendations from the Centers for Disease Control and Prevention (CDC) for using antiretroviral treatment (ART) not only to improve health outcomes for people living with HIV but also for HIV prevention.  It also provides guidance for clinicians and community-based HIV prevention providers about regularly assessing and supporting ART adherence.

Audience - Clinician, Non-clinician
Component(s): ART for HIV Prevention, Adherence to ART
 
 

This document details the benefits of antiretroviral therapy as HIV prevention, including the importance of HIV testing, linkage to and retention in medical care for persons diagnosed with HIV, and adherence to prescribed HIV treatment regimens.  It puts treatment as prevention in perspective and looks at challenges and the future of HIV prevention.  The document also details how CDC funding supports and expands prevention services for persons living with HIV and lists a variety of related references.

Audience - Clinician, Non-clinician
Media Type: Document
Component(s): Linkage to Care, Retention in Care, ART for HIV Prevention, Adherence to ART
 
 

In this downloadable slide set Clinical Care Options’ Program Director, Daniel R. Kuritzkes, MD, and faculty members, Judith S. Currier, MD, MSc; Eric S. Daar, MD; Paul E. Sax, MD; and Kimberly Y. Smith, MD, MPH, review clinical trial data and treatment guideline recommendations that contribute to decision-making regarding choices and management of first-line antiretroviral therapy (ART).   Topics covered include: initial therapy: US guidelines and recent clinical trials; individualizing the choice of first-line ART; and managing patients receiving first-line ART.

Audience - Clinician
Provider(s) - Clinical Care Options
Media Type: Slides
Component(s): ART for HIV Prevention, Adherence to ART
 
 

These slides were prepared to support recent CDC updates made to the Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis. This resource includes 45 slides with speaker notes.

Audience - Clinician
Media Type: Slides
Component(s): ART for HIV Prevention, General PwP
 
 

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