Title |
Facilitators of HCV treatment adherence among people who inject drugs: a systematic qualitative review and implications for scale up of direct acting antivirals
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Published in |
BMC Public Health, September 2016
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DOI | 10.1186/s12889-016-3671-z |
Pubmed ID | |
Authors |
Zachary C. Rich, Carissa Chu, Jessica Mao, Kali Zhou, Weiping Cai, Qingyan Ma, Paul Volberding, Joseph D. Tucker |
Abstract |
While the public health benefits of new HCV treatments depend on treatment adherence, particularly among people who inject drugs (PWID), several social and medical factors can jeopardize treatment adherence. The aim of this study is to examine the qualitative literature on facilitators to HCV treatment adherence among PWID. We searched six databases to identify qualitative research studies on HCV treatment adherence facilitators among PWID. Two reviewers independently extracted and analyzed data using PRISMA guidelines and the CASP tool to evaluate study quality. From ten studies representing data from 525 participants, three major themes emerged across studies: logistical facilitators within health systems enhanced HCV treatment adherence, positive social interactions between PWID and staff provided positive feedback during treatment, and HCV treatment may complicate the addiction recovery process. Although PWID face several barriers to adherence, we identified treatment adherence facilitators that could be incorporated into clinical practice. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 50% |
Australia | 1 | 25% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 50% |
Scientists | 1 | 25% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 1% |
Unknown | 75 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 18 | 24% |
Researcher | 10 | 13% |
Student > Ph. D. Student | 7 | 9% |
Student > Doctoral Student | 5 | 7% |
Student > Bachelor | 5 | 7% |
Other | 15 | 20% |
Unknown | 16 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 32% |
Nursing and Health Professions | 10 | 13% |
Social Sciences | 6 | 8% |
Psychology | 3 | 4% |
Agricultural and Biological Sciences | 2 | 3% |
Other | 14 | 18% |
Unknown | 17 | 22% |