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. 2017 Sep;22(10):1265-1276.
doi: 10.1177/1359105315626783. Epub 2016 Feb 18.

Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva

Tarisai Bere  1 , Primrose Nyamayaro  1 , Jessica F Magidson  2 , Dixon Chibanda  1 , Alfred Chingono  1 , Ronald Munjoma  1 , Kirsty Macpherson  3 , Chiratidzo Ellen Ndhlovu  1 , Conall O'Cleirigh  2 , Khameer Kidia  4 , Steven A Safren  5 , Melanie Abas  3
Affiliations

Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva

Tarisai Bere et al. J Health Psychol. 2017 Sep.

Abstract

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.

Keywords: AIDS; HIV; adherence; cognitive-behavioural therapy; culture; intervention.

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Conflict of interest statement

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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