Contingency management for improving adherence to antiretroviral therapy

Summary of the evidence

Rating
  • Likely to be beneficial

Contingency management (CM) interventions for people with HIV and substance use disorder were found in a systematic review with meta-analysis (Ribeiro et al. 2023, five studies) to have a more positive effect when compared to control conditions in:

  • adherence to antiretroviral therapy during the intervention period (improved patient adherence by 2.69 (95% confidence interval: [0.08, 0.51]; p = .007)).

Adherence to antiretroviral therapy was measured by counting the increase in CD4 (a type of white blood cell).

Details

Note: this evidence summary is only valid for the outcomes, target groups, settings and substances/patterns of use described below.

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