Are patient outcomes improved by models of professionally-led community HIV management which aim to be person-centred? A systematic review of the evidence.
Saved in:
| Title: | Are patient outcomes improved by models of professionally-led community HIV management which aim to be person-centred? A systematic review of the evidence. |
|---|---|
| Authors: | Abboah-Offei, M., Bristowe, K., Harding, R. |
| Source: | AIDS Care. Sep2021, Vol. 33 Issue 9, p1107-1117. 11p. 1 Diagram, 5 Charts. |
| Subjects: | HIV prevention, CINAHL database, Online information services, Psychology information storage & retrieval systems, Medical information storage & retrieval systems, Systematic reviews, Patient-centered care, Health outcome assessment, Community-based social services, MEDLINE |
| Abstract: | UNAIDS advocates person-centred care (PCC) for people living with HIV/AIDS (PLWHA) to improve outcomes and wellbeing. We appraised the evidence of person-centred models of community HIV care delivered or led by trained healthcare professionals and its impact on care outcomes. A systematic review was conducted in line with PRISMA guidance. Six electronic databases (CINAHL, Embase, PubMed, Medline, PsycINFO and Web of Science) were searched from January 1980 to April 2019. We included primary studies of any design of PCC models; for adults aged ≥15 years; that were delivered or led by trained HCP. Data were extracted including study location, design, quality, outcomes measured and effectiveness. Five out of 1393 studies met the inclusion criteria, of which four were from a high-income country and one a lower-middle income country. Of the PCC components (physical, psychological, social and spiritual wellbeing) delivered alongside HIV clinical management, one study delivered 2, two studies delivered 3 and two studies delivered all 4 components. This review highlights the lack of outcome evidence for person-centred HIV care, and of concurrent focus on all domains of concern for PLWHA within interventions. Clear articulation of the meaning, practice of PCC and implementation strategies are needed to meet policy recommendations. [ABSTRACT FROM AUTHOR] |
| Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 152168360 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Are patient outcomes improved by models of professionally-led community HIV management which aim to be person-centred? A systematic review of the evidence. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Abboah-Offei%2C+M%2E%22">Abboah-Offei, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Bristowe%2C+K%2E%22">Bristowe, K.</searchLink><br /><searchLink fieldCode="AR" term="%22Harding%2C+R%2E%22">Harding, R.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Sep2021, Vol. 33 Issue 9, p1107-1117. 11p. 1 Diagram, 5 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Community-based+social+services%22">Community-based social services</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: UNAIDS advocates person-centred care (PCC) for people living with HIV/AIDS (PLWHA) to improve outcomes and wellbeing. We appraised the evidence of person-centred models of community HIV care delivered or led by trained healthcare professionals and its impact on care outcomes. A systematic review was conducted in line with PRISMA guidance. Six electronic databases (CINAHL, Embase, PubMed, Medline, PsycINFO and Web of Science) were searched from January 1980 to April 2019. We included primary studies of any design of PCC models; for adults aged ≥15 years; that were delivered or led by trained HCP. Data were extracted including study location, design, quality, outcomes measured and effectiveness. Five out of 1393 studies met the inclusion criteria, of which four were from a high-income country and one a lower-middle income country. Of the PCC components (physical, psychological, social and spiritual wellbeing) delivered alongside HIV clinical management, one study delivered 2, two studies delivered 3 and two studies delivered all 4 components. This review highlights the lack of outcome evidence for person-centred HIV care, and of concurrent focus on all domains of concern for PLWHA within interventions. Clear articulation of the meaning, practice of PCC and implementation strategies are needed to meet policy recommendations. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=152168360 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09540121.2020.1798865 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 1107 Subjects: – SubjectFull: HIV prevention Type: general – SubjectFull: CINAHL database Type: general – SubjectFull: Online information services Type: general – SubjectFull: Psychology information storage & retrieval systems Type: general – SubjectFull: Medical information storage & retrieval systems Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: Patient-centered care Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Community-based social services Type: general – SubjectFull: MEDLINE Type: general Titles: – TitleFull: Are patient outcomes improved by models of professionally-led community HIV management which aim to be person-centred? A systematic review of the evidence. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Abboah-Offei, M. – PersonEntity: Name: NameFull: Bristowe, K. – PersonEntity: Name: NameFull: Harding, R. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 09540121 Numbering: – Type: volume Value: 33 – Type: issue Value: 9 Titles: – TitleFull: AIDS Care Type: main |
| ResultId | 1 |
