Hand in Hand: An Intervention Taking Heterosexual Couples Through the HIV Care Cascade Together

  • Jennifer M. BelusEmail author


The global HIV epidemic has undergone significant shifts over the last decade, transforming HIV into a chronic illness. A shift in focus is now sorely needed on how to provide treatment and care to individuals living with HIV that can improve their quality of life by addressing the psychosocial milieu of the disease. In the area of HIV prevention and testing, the benefits of working with couples, rather than individuals, have been delineated and empirically supported. This paper extends the work by proposing a model of a couple-based intervention that can help couples, regardless of HIV concordance status, move through the HIV care cascade, from testing, linkage to care, treatment, and retention using a cognitive-behavioral couples framework. This paper draws primarily on research with heterosexual couples in sub-Saharan Africa, though adapting this framework to meet the needs of diverse couples in other geographical regions is recommended.


HIV care cascade Heterosexual couples Cognitive-behavioral treatment Sub-Saharan Africa HIV testing 


Compliance with Ethical Standards

Conflict of Interest

The author declares that there are no conflicts of interest.


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Authors and Affiliations

  1. 1.Department of PsychologyUniversity of MarylandCollege ParkUSA

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