Feasibility and acceptability of Project Connect: A couples-based HIV-risk reduction intervention among young couples in Johannesburg, South Africa.

Given the importance of couples to the transmission of HIV, interventions focusing on both members of a partnership can play an important role in its prevention. We adapted and pilot-tested Project Connect, an evidence-based HIV prevention intervention for couples, to determine its acceptability and...

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Published in:AIDS Care Vol. 26; no. 4; pp. 476 - 483
Main Authors: Pettifor, Audrey, MacPhail, Catherine, Nguyen, Nadia, Rosenberg, Molly, Parker, Lisa, Sibeko, Jabu
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Apr2014
Online Access:View this record in EBSCOhost
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      dt: Apr2014
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09540121.2013.841827
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        atl: Feasibility and acceptability of Project Connect: A couples-based HIV-risk reduction intervention among young couples in Johannesburg, South Africa.
      aug:
        au:
          Pettifor, Audrey
          MacPhail, Catherine
          Nguyen, Nadia
          Rosenberg, Molly
          Parker, Lisa
          Sibeko, Jabu
        affil: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Wits Reproductive Health and HIV Institute (WRHI), University of the Witwatersrand, Johannesburg, South Africa
      sug:
        subj:
          HIV Infections Prevention and Control
          Sexual Partners Education
          Intimate Partner Violence
          Safe Sex
          Psychoeducation
          Pilot Studies
          Interviews
          Questionnaires
          South Africa
          Prospective Studies
          Human
          Descriptive Statistics
          Male
          Female
          Outcomes of Education
          Urban Areas
          Funding Source
          Male
          Female
      ab: Given the importance of couples to the transmission of HIV, interventions focusing on both members of a partnership can play an important role in its prevention. We adapted and pilot-tested Project Connect, an evidence-based HIV prevention intervention for couples, to determine its acceptability and feasibility among a sample of young urban South African couples. We recruited couples from a clinic in inner-city Johannesburg to take part in the study. Interviewer-administered questionnaires were conducted at baseline and postintervention; an in-depth interview (IDI) was also conducted postintervention. Of 75 couples screened, 15 were eligible and enrolled. An important reason for ineligibility was a recent history of intimate partner violence (IPV). Couples attended, on average, five of the seven sessions. Overall, the intervention was acceptable and showed signs of potential efficacy. Couples reported enjoying Connect and feeling comfortable with its content. Participants also reported learning important communication and problem-solving skills, which resulted in more effective engagement in HIV prevention behaviors. However, the number of sessions and strict eligibility criteria proved challenging to the feasibility of the study. We recommend future couples' interventions have fewer sessions and enroll couples with a history of IPV.
      pubtype: Academic Journal
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        research
        tables/charts
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      ougenre: Article
    language: English
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