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The patient\u2212provider relationship, conceptualized at the core of PCC in multiple models, remains largely unexamined in HIV care. We conducted a systematic review to better understand the types of PCC interventions implemented to improve patient\u2212provider interactions and how these interventions have improved HIV care continuum outcomes and person\u2010reported outcomes (PROs) among people living with HIV in low\u2010 and middle\u2010income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We searched databases, conference proceedings and conducted manual targeted searches to identify randomized trials and observational studies published up to January 2023. The PCC search terms were guided by the Integrative Model of Patient\u2010Centeredness by Scholl. We included person\u2010centred interventions aiming to enhance the patient\u2212provider interactions. We included HIV care continuum outcomes and PROs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 28 unique studies: 18 (64.3%) were quantitative, eight (28.6.%) were mixed methods and two (7.1%) were qualitative. Within PCC patient\u2212provider interventions, we inductively identified five categories of PCC interventions: (1) providing friendly and welcoming services; (2) patient empowerment and improved communication skills (e.g. supporting patient\u2010led skills such as health literacy and approaches when communicating with a provider); (3) improved individualized counselling and patient\u2010centred communication (e.g. supporting provider skills such as training on motivational interviewing); (4) audit and feedback; and (5) provider sensitisation to patient experiences and identities. Among the included studies with a comparison arm and effect size reported, 62.5% reported a significant positive effect of the intervention on at least one HIV care continuum outcome, and 100% reported a positive effect of the intervention on at least one of the included PROs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Among published HIV PCC interventions, there is heterogeneity in the components of PCC addressed, the actors involved and the expected outcomes. While results are also heterogeneous across clinical and PROs, there is more evidence for significant improvement in PROs. Further research is necessary to better understand the clinical implications of PCC, with fewer studies measuring linkage or long\u2010term retention or viral suppression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Improved understanding of PCC domains, mechanisms and consistency of measurement will advance PCC research and implementation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26258","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T01:58:34Z","timestamp":1715651914000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Person\u2010centred interventions to improve patient\u2212provider relationships for HIV services in low\u2010 and middle\u2010income countries: a systematic review"],"prefix":"10.1002","volume":"27","author":[{"given":"Laura K.","family":"Beres","sequence":"first","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Centre for Infectious Disease Research in Zambia (CIDRZ) Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Underwood","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis School of Medicine  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Le Tourneau","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis School of Medicine  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1231-1546","authenticated-orcid":false,"given":"Christopher Galloway","family":"Kemp","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauri","family":"Kore","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Yaeger","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis School of Medicine  St Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjia","family":"Li","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alec","family":"Aaron","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Keene","sequence":"additional","affiliation":[{"name":"Oxford University  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepthi Priyanka","family":"Mallela","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banda A. 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