Patients' and Providers' Views on Optimal Evidence-Based and Scalable Interventions for Individuals at High Risk of HIV Treatment Failure: Sequential Explorations Among Key Stakeholders in Cape Town, South Africa.

Adherence Antiretroviral therapy adherence Interventions Qualitative research Retention in care South Africa

Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Aug 2022
Historique:
accepted: 09 02 2022
pubmed: 23 2 2022
medline: 7 7 2022
entrez: 22 2 2022
Statut: ppublish

Résumé

To support translation of evidence-based interventions into practice for HIV patients at high risk of treatment failure, we conducted qualitative research in Cape Town, South Africa. After local health officials vetted interventions as potentially scalable, we held 41 in-depth interviews with patients with elevated viral load or a 3-month treatment gap at community clinics, followed by focus group discussions (FGDs) with 20 providers (physicians/nurses, counselors, and community health care workers). Interviews queried treatment barriers, solutions, and specific intervention options, including motivational text messages, data-informed counseling, individual counseling, peer support groups, check-in texts, and treatment buddies. Based on patients' preferences, motivational texts and treatment buddies were removed from consideration in subsequent FGDs. Patients most preferred peer support groups and check-in texts while individual counseling garnered the broadest support among providers. Check-in texts, peer support groups, and data-informed counseling were also endorsed by provider sub-groups. These strategies warrant attention for scale-up in South Africa and other resource-constrained settings.

Identifiants

pubmed: 35190943
doi: 10.1007/s10461-022-03623-7
pii: 10.1007/s10461-022-03623-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2783-2797

Subventions

Organisme : Boston University School of Public Health
ID : Established Investigator Innovation Award

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Lora L Sabin (LL)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA. lsabin@bu.edu.

Allen L Gifford (AL)

Section of General Internal Medicine, Boston University School of Medicine and Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA, 02118, USA.
Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, 02130, USA.

Jessica E Haberer (JE)

Center of Global Health, Massachusetts General Hospital, Boston, MA, 02114, USA.
Department of Medicine, Harvard Medical School, Boston, MA, 02114, USA.

Kelsee Harvey (K)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA.

Natalya Sarkisova (N)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA.

Kyle Martin (K)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA.

Rebecca L West (RL)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA.

Jessie Stephens (J)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA.

Clare Killian (C)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA.

Nafisa Halim (N)

Department of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown, 3rd Floor, Boston, MA, 02118, USA.

Natacha Berkowitz (N)

City of Cape Town Health Department, Cape Town, South Africa.

Karen Jennings (K)

City of Cape Town Health Department, Cape Town, South Africa.

Lauren Jennings (L)

Desmond Tutu Health Foundation, Cape Town, South Africa.

Catherine Orrell (C)

Desmond Tutu Health Foundation, Cape Town, South Africa.

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