title: Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva.
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.
authors.affiliation: 1 College Of Health Sciences, University of Zimbabwe, Zimbabwe.
authors.forename: Tarisai
authors.initials: T
authors.lastname: Bere
authors.affiliation: 1 College Of Health Sciences, University of Zimbabwe, Zimbabwe.
authors.forename: Primrose
authors.initials: P
authors.lastname: Nyamayaro
authors.affiliation: 2 Massachusetts General Hospital/Harvard Medical School, USA.
authors.forename: Jessica F
authors.initials: JF
authors.lastname: Magidson
authors.affiliation: 1 College Of Health Sciences, University of Zimbabwe, Zimbabwe.
authors.forename: Dixon
authors.initials: D
authors.lastname: Chibanda
authors.affiliation: 1 College Of Health Sciences, University of Zimbabwe, Zimbabwe.
authors.forename: Alfred
authors.initials: A
authors.lastname: Chingono
authors.affiliation: 1 College Of Health Sciences, University of Zimbabwe, Zimbabwe.
authors.forename: Ronald
authors.initials: R
authors.lastname: Munjoma
authors.affiliation: 3 Institute of Psychiatry, Psychology and Neuroscience, King's College London, London.
authors.forename: Kirsty
authors.initials: K
authors.lastname: Macpherson
authors.affiliation: 1 College Of Health Sciences, University of Zimbabwe, Zimbabwe.
authors.forename: Chiratidzo Ellen
authors.initials: CE
authors.lastname: Ndhlovu
authors.affiliation: 2 Massachusetts General Hospital/Harvard Medical School, USA.
authors.forename: Conall
authors.initials: C
authors.lastname: O'Cleirigh
authors.affiliation: 4 The Arnhold Global Health Institute, USA.
authors.forename: Khameer
authors.initials: K
authors.lastname: Kidia
authors.affiliation: 5 University of Miami, USA.
authors.forename: Steven A
authors.initials: SA
authors.lastname: Safren
authors.affiliation: 3 Institute of Psychiatry, Psychology and Neuroscience, King's College London, London.
authors.forename: Melanie
authors.initials: M
authors.lastname: Abas
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy; D000328:Adult; D000368:Aged; D018501:Antirheumatic Agents / Q000627:therapeutic use*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D065246:Culturally Competent Care / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000208:ethnology*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D055815:Young Adult; D015030:Zimbabwe / Q000208:ethnology
chemical_list: D018501:Antirheumatic Agents
keywords: AIDS; HIV; adherence; cognitive-behavioural therapy; culture; intervention