Strategies to Overcome Implementation Challenges of Multiple Family Group Therapy for Adolescents Living With HIV in Ghana: Perspectives of Multiple Stakeholders.
Background: Multiple Family Group Therapy (MFGT) shows promise for improving outcomes among adolescents living with HIV (ALHIV), but strategies for successful implementation and positive outcomes in resource‐constrained settings remain unexplored. This study explored multistakeholder perspectives on...
| Publicado en: | Health & Social Care in the Community Vol. 2026; pp. 1 - 15 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
1/31/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192289115&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192289115 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: 1/31/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 192289115 192289115 192289115 10.1155/hsc/9597286 192289115 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Strategies to Overcome Implementation Challenges of Multiple Family Group Therapy for Adolescents Living With HIV in Ghana: Perspectives of Multiple Stakeholders. aug: au: Boakye, Dorothy Serwaa Adjorlolo, Samuel Niroumand Sarvandani, Mohammad affil: Department of Health Administration and Education,, University of Education,, Winneba, Ghana, uew.edu.gh sug: subj: Family Therapy HIV Infections Therapy HIV-Positive Persons Psychosocial Factors Adolescent Health Stakeholder Participation Program Implementation Resource-Limited Settings Ghana Funding Source Male Female Qualitative Studies Descriptive Research Conceptual Framework Child Adolescence Young Adult Focus Groups Interviews Thematic Analysis Software Motivation Health Personnel Transportation Skill Acquisition Social Inclusion Reminder Systems Education, Continuing Professional Competence Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background: Multiple Family Group Therapy (MFGT) shows promise for improving outcomes among adolescents living with HIV (ALHIV), but strategies for successful implementation and positive outcomes in resource‐constrained settings remain unexplored. This study explored multistakeholder perspectives on effective strategies to support the implementation of the MFGT in Ghana. Methods: A qualitative descriptive study was conducted at a district hospital in the Lower Manya Krobo District, Ghana. Data were collected through focus group discussions with ALHIV (n = 12), caregivers (n = 13), and health professionals (n = 5), supplemented by three in‐depth interviews (with ALHIV). All stakeholder groups were recruited purposively with assistance from health workers. Data were analyzed using contextual thematic analysis guided by the Consolidated Framework for Implementation Research. Results: Five themes emerged: (1) incentives and motivation for participants and healthcare workers, including transportation support and fair compensation; (2) skills building and capacity development through multimodal training approaches; (3) program design elements focusing on creating a sense of belonging through program identifiers and clear expectations; (4) addressing attendance barriers through flexible scheduling and reminder systems; and (5) program delivery optimization via diversified facilitation, adolescent engagement, and preprogram disclosure support. Conclusions: Successful MFGT implementation requires comprehensive strategies that address the needs of multiple stakeholders across individual, organizational, and contextual levels. The findings provide evidence‐based implementation strategies that balance intervention fidelity with contextual adaptation for family‐based HIV interventions in resource‐constrained settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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