Barriers, Facilitators, and Strategies to Improve Participation of a Couple-Based Intervention to Address Women's Antiretroviral Therapy Adherence in KwaZulu-Natal, South Africa.
Background: Couple-based interventions (CBIs), despite strong efficacy in improving numerous HIV risk behaviors, are not widely available and have not been tested to improve women's antiretroviral therapy (ART) adherence. We examined barriers and facilitators to participation in a CBI based on cogni...
| Published in: | International Journal of Behavioral Medicine Vol. 31; no. 1; pp. 75 - 85 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Feb2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174953058&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174953058 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Feb2024 vid: 31 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 174953058 162139399 174953058 174953058 10.1007/s12529-023-10160-7 174953058 ppf: 75 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers, Facilitators, and Strategies to Improve Participation of a Couple-Based Intervention to Address Women's Antiretroviral Therapy Adherence in KwaZulu-Natal, South Africa. aug: au: Belus, Jennifer M. Msimango, Lindani I. van Heerden, Alastair Magidson, Jessica F. Bradley, Valerie D. Mdakane, Yvonne van Rooyen, Heidi Barnabas, Ruanne V. affil: https://ror.org/03adhka07 Department of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland sug: subj: Anti-Retroviral Agents Therapeutic Use Medication Compliance Women Cognitive Therapy Couples Counseling Methods Behavior Therapy Human Female Male Semi-Structured Interview South Africa HIV-Positive Persons Purposive Sample Thematic Analysis Conceptual Framework Interpersonal Relations Qualitative Studies Funding Source Communication Problem Solving Support, Psychosocial Female Male ab: Background: Couple-based interventions (CBIs), despite strong efficacy in improving numerous HIV risk behaviors, are not widely available and have not been tested to improve women's antiretroviral therapy (ART) adherence. We examined barriers and facilitators to participation in a CBI based on cognitive behavioral couple therapy for women's ART adherence in KwaZulu-Natal, South Africa. Methods: Semi-structured interviews were conducted with women with HIV (n = 15) and men of mixed HIV status (n = 15). Thematic analyses were guided by the Consolidated Framework for Implementation Research. Results: Facilitators mostly related to the couple's relationship, including having an existing healthy relationship, men's desire to support their partners, and a potential opportunity for men's HIV disclosure. Barriers included a lack of understanding of how a CBI approach would be useful for women's ART adherence, sole focus on women if male partners were also living with HIV, and men's lack of prior HIV status disclosure to female partners. Conclusion: Findings indicate that relationship context and the male partner's HIV status need to be addressed during recruitment, enrolment, and during the intervention to promote uptake. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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