How Best to Keep Persons with HIV in Care?

As with most chronic conditions, many persons with HIV (PWH) do not remain in care consistently. Single interventions to improve retention such as Short Message Service (SMS) messages (commonly known as texting), conditional cash transfer (CCT), and peer navigators have all shown some benefit, but further analysis suggests that many PWH don't need each individual intervention; thus, a more tailored approach is needed. Investigators tested sequentially adaptive strategies in which interventions were delivered depending on the individual patient's circumstances. Participants included 1809 PWH in Kenya who had started ART within 90 days; all were randomized to standard of care (SOC; education and counseling), SMS messages, or CCT (400 Kenyan s…