Conclusions
nonadherence, CMD, virologic failure
The FB intervention had no effect on adherence and viral suppression, possibly due to the absence of skill-based adherence training and ceiling effect. The intervention improved CMD symptoms, but the effect was smaller than previously shown in an urban setting. More work is needed to evaluate the effect of the approach on HIV outcomes in different populations, including young adults, men, and populations with more severe symptoms at higher risk of nonadherence and virologic failure. The further development of the FB intervention to incorporate adherence training may be a promising approach to reach those at high risk of poor HIV outcomes.