Abstract
This case study with one lay adherence counsellor assessed the implementation of Options for Health, a sexual risk-reduction intervention based on Motivational Interviewing (MI), in an antiretroviral clinic in Cape Town, South Africa. In most cases Options was not delivered with fidelity and less than one-third of intended recipients received it; the counsellor often forgot to do Options, was unsure how to deal with particular cases and felt that there was not always time to do Options. Options was not implemented in a way that was consistent with MI. Revisions to the implementation plan and training programme are required.
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Notes
“Patient Advocates” are community workers who provide support to patients by conducting home visits prior to treatment initiation and also between their clinical appointments to provide advice on adherence and healthy living.
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Acknowledgments
The authors would like to acknowledge Ms Joanne Croome for providing the booster training session and the evaluation of the transcript, as well as Ms Reshma Ramachandran and Ms Nontobeko Mdudu for their work on data collection. The work of the adherence counsellor in this study is also gratefully acknowledged.
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Dewing, S., Mathews, C., Schaay, N. et al. The Feasibility of Implementing a Sexual Risk Reduction Intervention in Routine Clinical Practice at an ARV Clinic in Cape Town: A Case Study. AIDS Behav 15, 905–910 (2011). https://doi.org/10.1007/s10461-010-9718-8
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DOI: https://doi.org/10.1007/s10461-010-9718-8