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J Health Psychol. 2017 Sep;22(10):1265-1276. doi: 10.1177/1359105315626783. Epub 2016 Feb 18.

Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva.

Author information

1
1 College Of Health Sciences, University of Zimbabwe, Zimbabwe.
2
2 Massachusetts General Hospital/Harvard Medical School, USA.
3
3 Institute of Psychiatry, Psychology and Neuroscience, King's College London, London.
4
4 The Arnhold Global Health Institute, USA.
5
5 University of Miami, USA.

Abstract

Few evidence-based interventions to improve adherence to antiretroviral therapy have been adapted for use in Africa. We selected, culturally adapted and tested the feasibility of a cognitive-behavioural intervention for adherence and for delivery in a clinic setting in Harare, Zimbabwe. The feasibility of the intervention was evaluated using a mixed-methods assessment, including ratings of provider fidelity of intervention delivery, and qualitative assessments of feasibility using individual semi-structured interviews with counsellors (n=4) and patients (n=15). The intervention was feasible and acceptable when administered to 42 patients and resulted in improved self-reported adherence in a subset of 15 patients who were followed up after 6months.

KEYWORDS:

AIDS; HIV; adherence; cognitive-behavioural therapy; culture; intervention

PMID:
26893295
PMCID:
PMC4990503
DOI:
10.1177/1359105315626783
[Indexed for MEDLINE]
Free PMC Article

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