Evidence map›Paper›PMID 27582088›Full record

ArticleAIDS and behavior2017

Barriers and Facilitators to Interventions Improving Retention in HIV Care: A Qualitative Evidence Meta-Synthesis.

Brian J Hall, Ka-Lon Sou, Rachel Beanland, Mellanye Lacky, Lai Sze Tso, Qingyan Ma, Meg Doherty, Joseph D Tucker

Abstract read
In one paragraph

Article in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  16. An integrated support model for lay health care workers to improve clients' retention in HIV care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  17. Review
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Brian J HallGlobal and Community Mental Health Research Group, Department of Psychology, University of Macau, E21-3040, Avenida da Universidade, Taipa, Macau (SAR), People's Republic of China. brianhall@umac.mo.
Ka-Lon SouGlobal and Community Mental Health Research Group, Department of Psychology, University of Macau, E21-3040, Avenida da Universidade, Taipa, Macau (SAR), People's Republic of China.
Rachel BeanlandHIV/AIDS Department, World Health Organization, Geneva, Switzerland.
Mellanye LackyUniversity of North Carolina Chapel Hill Project-China, No. 2 Lujing Road, Guangzhou, 510095, People's Republic of China.
Lai Sze TsoUniversity of North Carolina Chapel Hill Project-China, No. 2 Lujing Road, Guangzhou, 510095, People's Republic of China.
Qingyan MaUniversity of North Carolina Chapel Hill Project-China, No. 2 Lujing Road, Guangzhou, 510095, People's Republic of China.
Meg DohertyHIV/AIDS Department, World Health Organization, Geneva, Switzerland.
Joseph D TuckerUniversity of North Carolina Chapel Hill Project-China, No. 2 Lujing Road, Guangzhou, 510095, People's Republic of China.

Funding

Spurring Innovation in HIV Testing and Linkage: A Crowdsourcing Approach -Diversity SupplementR01AI114310 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TUCKER, JOSEPH DAVID, WEI, CHONGYI · 2014 to 2018
$3.3M
UNC-South China STD Research Training CenterD43TW009532 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COHEN, MYRON SCOTT, TUCKER, JOSEPH DAVID · 2013 to 2017
$1.3M
FIC NIH HHS D43 TW009532NIAID NIH HHS R01 AI114310World Health Organization 001
6 · The paper itself

Abstract

Retention in HIV care is vital to the HIV care continuum. The current review aimed to synthesize qualitative research to identify facilitators and barriers to HIV retention in care interventions. A qualitative evidence meta-synthesis utilizing thematic analysis. Prospective review registration was made in PROSPERO and review procedures adhered to PRISMA guidelines. Nineteen databases were searched to identify qualitative research conducted with individuals living with HIV and their caregivers. Quality assessment was conducted using CASP and the certainty of the evidence was evaluated using CERQual. A total of 4419 citations were evaluated and 11 were included in the final meta-synthesis. Two studies were from high-income countries, 3 from middle-income countries, and 6 from low-income countries. A total of eight themes were identified as facilitators or barriers for retention in HIV care intervention: (1) Stigma and discrimination, (2) Fear of HIV status disclosure, (3) task shifting to lay health workers, (4) Human resource and institutional challenges, (5) Mobile Health (mHealth), (6) Family and friend support, (7) Intensive case management, and, (8) Relationships with caregivers. The current review suggests that task shifting interventions with lay health workers were feasible and acceptable. mHealth interventions and stigma reduction interventions appear to be promising interventions aimed at improving retention in HIV care. Future studies should focus on improving the evidence base for these interventions. Additional research is needed among women and adolescents who were under-represented in retention interventions.

Indexed as

Discrimination, PsychologicalSocial StigmaTelemedicineAdolescentAttitude of Health PersonnelContinuity of Patient CareFearFemaleHealth FacilitiesHealth Services AccessibilityHIV InfectionsHumansSocial SupportARVCare continuumHIVMeta-synthesisRetention

Identifiers

PMID27582088
PMCPMC5332336

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.