Patients’ and Providers’ Views on Optimal Evidence-Based and Scalable Interventions for Individuals at High Risk of HIV Treatment Failure: Sequential Explorations Among Key Stakeholders in Cape Town, South Africa

To support translation of evidence-based interventions into practice for HIV patients at high risk of treatment failure, we conducted qualitative research in Cape Town, South Africa. After local health officials vetted interventions as potentially scalable, we held 41 in-depth interviews with patien...

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Bibliographic Details
Published in:AIDS and behavior 2022-08, Vol.26 (8), p.2783-2797
Main Authors: Sabin, Lora L., Gifford, Allen L., Haberer, Jessica E., Harvey, Kelsee, Sarkisova, Natalya, Martin, Kyle, West, Rebecca L., Stephens, Jessie, Killian, Clare, Halim, Nafisa, Berkowitz, Natacha, Jennings, Karen, Jennings, Lauren, Orrell, Catherine
Format: Article
Language:English
Subjects:
Antiretroviral drugs
Clinics
Community health care
Counseling
Health care
Health Psychology
Health services
HIV
Human immunodeficiency virus
Infectious Diseases
Intervention
Medical personnel
Medicine
Medicine & Public Health
Nurses
Original Paper
Patient compliance
Patients
Peer tutoring
Physicians
Public Health
Qualitative research
Short message service
Social support
Support groups
Text messaging
Texts
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Summary:To support translation of evidence-based interventions into practice for HIV patients at high risk of treatment failure, we conducted qualitative research in Cape Town, South Africa. After local health officials vetted interventions as potentially scalable, we held 41 in-depth interviews with patients with elevated viral load or a 3-month treatment gap at community clinics, followed by focus group discussions (FGDs) with 20 providers (physicians/nurses, counselors, and community health care workers). Interviews queried treatment barriers, solutions, and specific intervention options, including motivational text messages, data-informed counseling, individual counseling, peer support groups, check-in texts, and treatment buddies. Based on patients’ preferences, motivational texts and treatment buddies were removed from consideration in subsequent FGDs. Patients most preferred peer support groups and check-in texts while individual counseling garnered the broadest support among providers. Check-in texts, peer support groups, and data-informed counseling were also endorsed by provider sub-groups. These strategies warrant attention for scale-up in South Africa and other resource-constrained settings.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-022-03623-7