"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

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dc.contributor.authorDewing, Sarah
dc.contributor.authorMathews, Catherine
dc.contributor.authorSchaay, Nikki
dc.contributor.authorCloete, Allanise
dc.contributor.authorSimbayi, Leickness
dc.contributor.authorLouw, Johann
dc.date.accessioned2013-01-23T13:02:22Z
dc.date.available2013-01-23T13:02:22Z
dc.date.issued2013
dc.description.abstractThere is growing interest in standard care programmes for antiretroviral (ARV) adherence support. In South Africa, individual counselling following ARV initiation is a main strategy for supporting adherence in the public sector. Egan’s client-centred ‘‘Skilled Helper’’ counselling model is the predominant model used in HIV counselling in this context. This study evaluated counselling delivered by lay ARV adherence counsellors in Cape Town in terms of adherence to Egan’s model. Thirty-eight transcripts of counselling sessions with non-adherent patients were analysed based on the methods of content analysis. These sessions were conducted by 30 counsellors. Generally counsellors’ practice adhered neither to Egan’s model nor a client-centred approach. Inconsistent with evidence-based approaches to counselling for ARV adherence support, counsellors mainly used informationgiving and advice as strategies for addressing clients’ nonadherence. Recommendations for improving practice are made. The question as to how appropriate strategies from developed countries are for this setting is also raised.en_US
dc.description.accreditationWeb of Scienceen_US
dc.identifier.citationDewing, S., et al. (2013). "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. AIDS and Behaviour, 17(1): 203-12en_US
dc.identifier.issn1573-3254
dc.identifier.urihttp://hdl.handle.net/10566/510
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherSpringeren_US
dc.rightsThis is the author postprint version of an article published by Springer. The file may be freely used, provided that acknowledgement of the source is given
dc.source.urihttp://dx.doi.org/10.1007/s10461-012-0211-4
dc.status.ispeerreviewedtrue
dc.subjectStandard careen_US
dc.subjectCounsellingen_US
dc.subjectEgan's skilled helper modelen_US
dc.subjectAntiretroviral adherence supporten_US
dc.title"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 Africaen_US
dc.typeArticleen_US

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