Supporting Treatment for Anti-Retroviral Therapy (START) Together: Protocol for a pilot, randomized, couple-based intervention to promote women's ART adherence and men's engagement in HIV care in KwaZulu-Natal, South Africa

Belus, Jennifer M.; Heerden, Alastair van; Rooyen, Heidi van; Bradley, Valerie D.; Magidson, Jessica F.; Hines, Abigail C.; Barnabas, Ruanne V.

doi:10.1016/j.conctc.2022.100970

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“…Given this background, we sought to develop a CBI that had the following goals: improve women's ART adherence, test whether men's own engagement in care could be improved by virtue of their participation in a CBI, and improve the couple's relationship functioning [21]. We therefore sought feedback on the following issues to inform intervention development: (1) the general idea of using a CBI to address women's ART adherence, (2) specific intervention components and intervention structure that aligned with cognitive behavioral couple therapy (CBCT), the intervention's theoretical framework, and (3) how a CBI focused on women's ART adherence could affect men's willingness to engage in the intervention and their own care as well as possible strategies to optimize this messaging.…”

Section: Introductionmentioning

confidence: 99%

Barriers, Facilitators, and Strategies to Improve Participation of a Couple-Based Intervention to Address Women’s Antiretroviral Therapy Adherence in KwaZulu-Natal, South Africa

et al. 2023

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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.

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Section: Introductionmentioning

confidence: 99%