Alcohol-related intentional nonadherence to antiretroviral therapy among people living with HIV, Cape Town, South Africa

This paper presents the findings of an exploratory study to investigate the challenges faced by people living with HIV/AIDS (PLWHA) in communities in Cape Town, South Africa. The primary goal of the study was to gather data to inform the adaptation of a group risk reduction intervention to the South African context. Qualitative methods were used to examine the experiences of PLWHA. Eight focus group discussions (FGDs) were conducted with 83 HIV-positive participants and 14 key informants (KIs) involved in work with PLWHA were interviewed. Findings revealed that AIDS-related stigma was still pervasive in local communities. This was associated with the difficulty of disclosure of their status for fear of rejection. Also notable was the role of risky behaviours such as lack of condom use and that PLWHA considered their HIV/AIDS status as secondary to daily life stressors like poverty, unemployment, and gender-based violence. These findings have implications for the adaptation or development of behavioural risk reduction interventions for PLWHA.

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Motivational Interviewing in Global Practice Settings

Motivational Interviewing in HIV Care ◽

10.1093/med/9780190619954.003.0014 ◽

2019 ◽

pp. 135-140

Author(s):

Sarah Dewing ◽

Cathy Mathews

Keyword(s):

South Africa ◽

Global Health ◽

Motivational Interviewing ◽

Cape Town ◽

Standard Of Care ◽

People Living With Hiv ◽

Information Giving ◽

The World ◽

Living With Hiv

Motivational interviewing (MI) in increasingly used to support people living with HIV around the world. When MI strategies represent a large departure from standard of care, learning and implementing MI can be challenging. Chapter 14 focused on experiences in Cape Town, South Africa, as counselors moved from more education/information-giving approaches to MI-informed approaches. In practice, the role of ongoing supervision and support is critically important. We emphasize the value of supervision in MI for the all MI-based interventions and particularly for these kinds of interventions in global health settings where they may be quite different from current norms.

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Treatment guidelines and early loss from care for people living with HIV in Cape Town, South Africa: A retrospective cohort study

PLoS Medicine ◽

10.1371/journal.pmed.1002434 ◽

2017 ◽

Vol 14 (11) ◽

pp. e1002434 ◽

Cited By ~ 7

Author(s):

Ingrid T. Katz ◽

Richard Kaplan ◽

Garrett Fitzmaurice ◽

Dominick Leone ◽

David R. Bangsberg ◽

...

Keyword(s):

South Africa ◽

Cohort Study ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Treatment Guidelines ◽

Cape Town ◽

People Living With Hiv ◽

Early Loss ◽

Living With Hiv

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Understanding the role of resilience resources, antiretroviral therapy initiation, and HIV-1 RNA suppression among people living with HIV in South Africa

AIDS ◽

10.1097/qad.0000000000002175 ◽

2019 ◽

Vol 33 ◽

pp. S71-S79 ◽

Cited By ~ 7

Author(s):

Ingrid T. Katz ◽

Laura M. Bogart ◽

Janan J. Dietrich ◽

Hannah H. Leslie ◽

Hari S. Iyer ◽

...

Keyword(s):

South Africa ◽

Antiretroviral Therapy ◽

People Living With Hiv ◽

Therapy Initiation ◽

Living With Hiv ◽

Hiv 1

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A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa

Journal of Health Psychology ◽

10.1177/1359105316643375 ◽

2016 ◽

Vol 23 (6) ◽

pp. 776-787 ◽

Cited By ~ 21

Author(s):

Lena S Andersen ◽

Jessica F Magidson ◽

Conall O’Cleirigh ◽

Jessica E Remmert ◽

Ashraf Kagee ◽

...

Keyword(s):

South Africa ◽

Antiretroviral Therapy ◽

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

People Living With Hiv ◽

Therapy Adherence ◽

Antiretroviral Therapy Adherence ◽

Living With Hiv ◽

Therapy Intervention

Depression is prevalent among people living with HIV in South Africa and interferes with adherence to antiretroviral therapy. This study evaluated a nurse-delivered, cognitive behavioral therapy intervention for adherence and depression among antiretroviral therapy users with depression in South Africa ( n = 14). Primary outcomes were depression, antiretroviral therapy adherence, feasibility, and acceptability. Findings support robust improvements in mood through a 3-month follow up. Antiretroviral therapy adherence was maintained during the intervention period. Participant retention supports acceptability; however, modest provider fidelity despite intensive supervision warrants additional attention to feasibility. Future effectiveness research is needed to evaluate this nurse-delivered cognitive behavioral therapy intervention for adherence and depression in this context.

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