Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva
Bere, T.; Nyamayaro, P.; Magidson, J.F.; Chibanda, D.; Chingono, A.; Munjoma, R.; Macpherson, K.; Ndhlovu, C.E.; O'Cleirigh, C.; Kidia, K.; Safren, S.A.; Abas, M.
Journal of Health Psychology 22(10): 1265-1276
2017
ISSN/ISBN: 1461-7277 PMID: 26893295 DOI: 10.1177/1359105315626783Document Number: 664701
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.