From research to practice: lay adherence counsellors' fidellity to an evidence-based intervention for promoting adherence to antiretroviral treatment in the Western Cape, South Africa
SOURCE: AIDS and Behavior
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): S.Dewing, C.Mathews, A.Cloete, N.Schaay, M.Shah, L.Simbayi, J.Louw
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), COUNSELLING, HIV TESTING AND COUNSELLING (HTC), PRIMARY HEALTH CARE, WESTERN CAPE PROVINCE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7790
HANDLE: 20.500.11910/2914
URI: http://hdl.handle.net/20.500.11910/2914
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): S.Dewing, C.Mathews, A.Cloete, N.Schaay, M.Shah, L.Simbayi, J.Louw
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), COUNSELLING, HIV TESTING AND COUNSELLING (HTC), PRIMARY HEALTH CARE, WESTERN CAPE PROVINCE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7790
HANDLE: 20.500.11910/2914
URI: http://hdl.handle.net/20.500.11910/2914
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
In the Western Cape, lay counsellors are tasked with supporting antiretroviral (ARV) adherence in public healthcare clinics. Thirty-nine counsellors in 21 Cape Town clinics were trained in Options for Health (Options), an evidence-based intervention based on motivational interviewing (MI). We evaluated counsellors' ability to deliver Options for addressing poor adherence following 5 days training. Audio-recordings of counselling sessions collected following training were transcribed and translated into English. Thirty-five transcripts of sessions conducted by 35 counsellors were analysed for fidelity to the Options protocol, and using the Motivational Interviewing Treatment and Integrity (MITI) code. Counsellors struggled with some of the strategies associated with MI, such as assessing readiness-to-change and facilitating change talk. Overall, counsellors failed to achieve proficiency in the approach of MI according to the MITI. Counsellors were able to negotiate realistic plans for addressing patients' barriers to adherence. Further efforts aimed at strengthening the ARV adherence counselling programme are needed.-
Related Research Outputs:
- "It's important to take your medication everyday okay?": an evaluation of counselling by lay counsellors for ARV adherence support in the Western Cape, South Africa
- Behaviour change counselling for ARV adherence support within primary health care facilities in the Western Cape, South Africa
- Improving the counselling skills of lay counsellors in antiretroviral adherence settings: a cluster randomised controlled trial in the Western Cape, South Africa
- Putting HIV/AIDS counselling in South Africa in its place
- Baseline assessment: European Union partnerships for the delivery of primary health care programme in South Africa
- Universal HIV testing of infants at immunization clinics: an acceptable and feasible approach for early infant diagnosis in high HIV prevalence settings
- Using participatory mapping to inform a community-randomized trial of HIV counseling and testing
- A decline in new HIV infections in South Africa: estimating HIV incidence from three national HIV surveys in 2002, 2005 and 2008
- Translational behavioural medicine research: examples from South Africa
- "It's important to take your medication everyday okay?": an evaluation of counselling for ARV adherence support in the Western Cape
- Efficacy of a lay health worker led group antiretroviral medication adherence training among non-adherent HIV-positive patients in KwaZulu-Natal, South Africa: results from a randomized trial
- Predictors of tuberculosis (TB) and antiretroviral (ARV) medication non-adherence in public primary care patients in South Africa: a cross sectional study
- Recruiting and educating participants for enrollment in HIV-vaccine research: ethical implications of the results of an empirical investigation
- Strengthening TB infection prevention and control (IPC) in health care facilities in the Western Cape, South Africa
- High HIV testing uptake and linkage to care in a novel program of home-based HIV counseling and testing with facilitated referral in KwaZulu-Natal, South Africa
- Initiation of antiretroviral therapy and viral suppression after home HIV testing and counselling in KwaZulu-Natal, South Africa, and Mabarara district, Uganda: a prospective, observational intervention study
- Evaluation of the HIV lay counselling and testing profession in South Africa
- Uptake of antiretroviral therapy and male circumcision after community-based HIV testing and strategies for linkage to care versus standard clinic referral: a multisite, open-label, randomised controlled trial in South Africa and Uganda
- Primary health care in the era of HIV/AIDS. Some implications for health systems reform
- Integrating services, marginalizing patients: psychiatric patients and primary health care in South Africa