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Future destinations and social inclusion scoping review: how people cured of hepatitis C (HCV) using direct- acting antiviral drugs progress in a new HCV-free world.

Authors :
Donaldson, Sarah R.
Radley, Andrew
Dillon, John F.
Source :
Substance Abuse Treatment, Prevention & Policy; 6/8/2022, Vol. 17 Issue 1, p1-10, 10p
Publication Year :
2022

Abstract

<bold>Background: </bold>There has been a paradigm shift in the treatment of Hepatitis C (HCV) from the interferon-era to direct-acting antiviral (DAA) drugs. Cure of HCV for the key risk group, those with a history of injecting drug use, may provide a range of benefits to an individual's quality of life that can be additional to that of a clinical cure. The interferon-era provided evidence that cure of HCV can be a turning point for those who use drugs, supporting a recovery journey. There remains a question if DAAs can provide the same opportunity.<bold>Methods: </bold>We employed a scoping review methodology to consider the additional non-clinical benefits that HCV cure may provide. We used the theoretical construct of recovery capital to consider how these benefits may support a recovery journey in the DAA-era.<bold>Results: </bold>Our search provided 2095 articles, from which 35 were included in the analysis. We developed a thematic synthesis of the non-clinical outcomes identified based on the four over-arching themes of recovery capital: physical, cultural, social and human capital. Our review suggests that identity change is a constituent part of each of the recovery capital domains in relation to HCV treatment.<bold>Conclusion: </bold>We identified Social Identity Model Of Recovery (SIMOR) as a mechanism through which DAAs may provide non-clinical outcomes to increase recovery capital domains. Further research is required to develop an understanding of the impact a cure of HCV with DAAs may have on identity, overall health and wellbeing and social inclusion to support recovery journeys. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
1747597X
Volume :
17
Issue :
1
Database :
Complementary Index
Journal :
Substance Abuse Treatment, Prevention & Policy
Publication Type :
Review
Accession number :
157319055
Full Text :
https://doi.org/10.1186/s13011-022-00475-1