Mary E Yaden, Rayah T Sawaya, Jessica Reddy, Katherine A Jong, Jacob White, Tracy Moniz, Margaret S Chisolm
A systematic review of the arts and humanities in psychiatry education
International review of psychiatry (Abingdon, England)
hiv remains major public health challenge many low middleincome countries lmics initiation greater number people living hiv plhiv onto antiretroviral therapy art following world health organizations universal test treat recommendation potential overstretch already challenged health systems lmics various mainstream communitybased care models implemented improve treatment outcomes plhiv little effort made harness potential families households plhiv enhance treatment outcomes end sought explore characteristics effectiveness householdfocused interventions lmics management hiv measured levels adherence viral suppression different dimensions hiv competence additionally sought explore mechanisms change explain interventions achieved expected outcomes systematically reviewed literature published 2003 2018 obtained six electronic databases thematically analysed 11 selected articles guided population intervention comparison outcome pico framework following generative causality logic whereby mechanisms postulated mediate intervention outcomes applied mechanismbased inferential reasoning retroduction identify mechanisms underlying interventions understand interventions expected work identified hivrelated interventions household focus multicomponent multidimensional incorporating aspects information sharing hiv improving communication stimulating social support promoting mental health interventions sought empower stimulate selfefficacy strengthening perceived social support plhiv studies reported significant positive impact improving various aspects hiv competent household positive effects hiv knowledge communication household members improved mental health outcomes youths living hivaffected households aiming strengthen perceived social support selfefficacy plhiv householdfocused hiv interventions address various aspects household hiv competency nevertheless role household enabling resource improve outcomes plhiv remains largely untapped public hiv programmes research improving household hiv competency therefore required prospero registration crd42018094383