From research to practice: Lay adherence counsellors' fidelity to an evidence-based intervention for promoting adherence to antiretroviral treatment in the Western Cape, South Africa

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dc.contributor.authorDewing, Sarah
dc.contributor.authorMathews, Catherine
dc.contributor.authorCloete, Allanise
dc.contributor.authorSchaay, Nikki
dc.contributor.authorShah, Madhvi
dc.contributor.authorSimbayi, Leickness
dc.contributor.authorLouw, Johann
dc.date.accessioned2017-07-03T09:36:02Z
dc.date.available2017-07-03T09:36:02Z
dc.date.issued2013
dc.description.abstractIn 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.en_US
dc.description.accreditationDepartment of HE and Training approved list
dc.identifier.citationDewing, S. et al. (2013). From research to practice: Lay adherence counsellors' fidelity to an evidence-based intervention for promoting adherence to antiretroviral treatment in the Western Cape, South Africa. AIDS and Behaviour, 17 (9): 2935–2945en_US
dc.identifier.issn1090-7165
dc.identifier.urihttp://hdl.handle.net/10566/3025
dc.identifier.urihttp://dx.doi.org/10.1007/s10461-013-0509-x
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherSpringer Verlagen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1007/s10461-013-0509-x
dc.status.ispeerreviewedTRUE
dc.subjectLay counselloren_US
dc.subjectAdherence counsellingen_US
dc.subjectIntervention fidelityen_US
dc.subjectMotivational interviewingen_US
dc.titleFrom research to practice: Lay adherence counsellors' fidelity to an evidence-based intervention for promoting adherence to antiretroviral treatment in the Western Cape, South Africaen_US
dc.typeArticleen_US

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