{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:36:40Z","timestamp":1792611400709,"version":"4.5.0"},"reference-count":52,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Adolescents living with HIV (ALWH) experience higher mortality rates compared to other age groups, exacerbated by the suboptimal transition from paediatric to adult HIV care, during which decreased adherence to antiretroviral therapy (ART) and unsuppressed viremia are frequent. Care transition\u2014a process lasting months or years\u2014ideally prepares ALWH for adult care and can be improved by interventions that are youth\u2010friendly and address psychosocial issues affecting ART adherence; however, such interventions are infrequently operationalized. Community\u2010based accompaniment (CBA), in which laypeople provide individualized support and health system navigation, can improve health outcomes among adults with HIV. Here, we describe patient and provider perceptions of a novel HIV CBA intervention called \u201cPASEO\u201d for ALWH in Lima, Peru.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PASEO consisted of six core elements designed to support ALWH during and after the transition to adult HIV care. During 2019\u20132021, community\u2010based health workers provided tailored accompaniment for ALWH aged 15\u201321 years over 9 months, after which adolescent participants were invited to provide feedback in a focus group or in\u2010depth interview. HIV care personnel were also interviewed to understand their perspectives on PASEO. A semi\u2010structured interview guide probing known acceptability constructs was used. Qualitative data were analysed using a framework analysis approach and emergent themes were summarized with illustrative quotes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We conducted five focus groups and 11 in\u2010depth interviews among\n                      <jats:italic>N<\/jats:italic>\n                      = 26 ALWH and nine key\u2010informant interviews with HIV care personnel. ALWH participants included males, females and one transgender female, and those with both early childhood and recent HIV infection. ALWH praised PASEO, attributing increased ART adherence to the project. Improved mental health, independence, self\u2010acceptance and knowledge on how to manage their HIV were frequently cited. HIV professionals similarly voiced strong support for PASEO. Both ALWH and HIV professionals expressed hope that PASEO would be scaled. HIV professionals voiced concerns regarding financing PASEO in the future.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A multicomponent CBA intervention to increase ART adherence among ALWH in Peru was highly acceptable by ALWH and HIV programme personnel. Future research should determine the efficacy and economic impact of the intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.26019","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T11:23:17Z","timestamp":1666005797000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Patient and provider perceptions of a community\u2010based accompaniment intervention for adolescents transitioning to adult HIV care in urban Peru: a qualitative analysis"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8732-6959","authenticated-orcid":false,"given":"Jerome T.","family":"Galea","sequence":"first","affiliation":[{"name":"School of Social Work College of Behavioral and Community Sciences University of South Florida Tampa Florida USA"},{"name":"College of Public Health University of South Florida Tampa Florida USA"},{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milagros","family":"Wong","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brennan","family":"Ninesling","sequence":"additional","affiliation":[{"name":"Morsani College of Medicine University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Ramos","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Senador","sequence":"additional","affiliation":[{"name":"Socios En Salud Sucursal Peru Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Epicentro Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenka","family":"Kolevic","sequence":"additional","affiliation":[{"name":"Servicio de Infectologia Instituto Nacional del Salud del Ni\u00f1o Lima Peru"},{"name":"Programa de ITS VIH\/SIDA y hepatitis Ministerio de Salud Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Matos","sequence":"additional","affiliation":[{"name":"Programa de ITS VIH\/SIDA y hepatitis Ministerio de Salud Lima Peru"},{"name":"Servicio de Infectolog\u00eda Hospital Nacional Arzobispo Loayza Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Servicio de Infectologia Instituto Nacional del Salud del Ni\u00f1o Lima Peru"},{"name":"Programa de ITS VIH\/SIDA y hepatitis Ministerio de Salud Lima Peru"},{"name":"Servicio de Enfermedades Infecciosas y Tropicales Hospital Nacional Hip\u00f3lito Unanue Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato A.","family":"Errea","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA"},{"name":"Socios En Salud Sucursal Peru Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Lindeborg","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Benites","sequence":"additional","affiliation":[{"name":"Programa de ITS VIH\/SIDA y hepatitis Ministerio de Salud Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonid","family":"Lecca","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA"},{"name":"Socios En Salud Sucursal Peru Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Global Health Equity Brigham and Women's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly F.","family":"Franke","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"United Nations Children's Fund. 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