Womandla Health: development and rationale of a behavioral intervention to support HIV treatment adherence among postpartum women in South Africa.
Womandla Health: development and rationale of a behavioral intervention to support HIV treatment adherence among postpartum women in South Africa.
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DOI：
10.1186/s12905-023-02817-y
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发表时间：
2023-12-06
影响因子：
2.5
通讯作者：
Knight, Lucia
中科院分区：
文献类型：
--
作者：
Pellowski, Jennifer A.;Jensen, Destry;Tsawe, Nokwazi;Colvin, Christopher;Cu-Uvin, Susan;Operario, Don;Lurie, Mark;Harrison, Abigail;Myer, Landon;Knight, Lucia
虽然备选方案B + 在消除艾滋病毒垂直传播和改善妇女获得终身抗逆转录病毒疗法(ART)方面取得了长足进步，但产后期仍然是脱离艾滋病毒护理和不遵守治疗的风险期。从南非开普敦30名艾滋病毒携带者从怀孕到产后一年收集了纵向定性数据，以检查在这一过渡期间遵守艾滋病毒治疗的关键障碍和促进者。参与者还被问及他们对行为干预内容、形式和范围的偏好。干预的发展过程是由费尔南德斯等人的S干预图谱过程指导的，并得到了定性数据、更广泛的关于艺术坚持的文献和过渡理论的指导。妇女健康干预是一种多组成部分的干预措施，包括与一名非专业卫生工作者的四次个人会议和四次同龄人小组会议，时间跨度为怀孕晚期和产后早期。这些会议以过渡理论为指导，利用激励性访谈技术增强妇女能力，以确定她们自己在艾滋病毒护理方面的个人障碍，并确定克服这些障碍的解决办法和战略。这一干预措施将在小规模随机对照试验中进行测试。如果成功，这些发现将为艾滋病毒治疗提供一种创新的方法，利用过渡到母亲的机会来支持自我护理行为，重点关注抗逆转录病毒治疗的坚持以及女性产后的整体健康和心理社会需求。
While Option B + has made great strides in eliminating vertical transmission of HIV and improving access to lifelong antiretroviral therapy (ART) for women, the postpartum period remains a risk period for disengagement from HIV care and non-adherence. Longitudinal qualitative data was collected from 30 women living with HIV in Cape Town, South Africa from pregnancy through 1 year postpartum to examine key barriers and facilitators to HIV treatment adherence across this transition. Participants were also asked about their preferences for behavioral intervention content, format, and scope. The intervention development process was guided by Fernandez et al.’s Intervention Mapping process and was informed by the qualitative data, the wider literature on ART adherence, and Transition Theory. The Womandla Health Intervention is a multicomponent intervention consisting of four individual sessions with a lay health worker and four peer group sessions, which span late pregnancy and early postpartum. These sessions are guided by Transition Theory and utilize motivational interviewing techniques to empower women to ascertain their own individual barriers to HIV care and identify solutions and strategies to overcome these barriers. This intervention will be tested in a small scale RCT. If successful, findings will provide an innovative approach to HIV treatment by capitalizing on the transition into motherhood to bolster self-care behaviors, focusing on ART adherence and also women’s overall postpartum health and psychosocial needs.
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影响因子：
3.7
作者：
Colvin CJ;Konopka S;Chalker JC;Jonas E;Albertini J;Amzel A;Fogg K
通讯作者：
Fogg K
DOI：
10.1097/qai.0000000000000584
发表时间：
2015-06
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Journal of acquired immune deficiency syndromes (1999)
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影响因子：
3.7
作者：
Hodgson I;Plummer ML;Konopka SN;Colvin CJ;Jonas E;Albertini J;Amzel A;Fogg KP
通讯作者：
Fogg KP
DOI：
10.1016/j.socscimed.2021.114555
发表时间：
2022-01
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
McTigue G;Swartz A;Brittain K;Rini Z;Colvin CJ;Harrison A;Myer L;Pellowski J
通讯作者：
Pellowski J
影响因子：
4.5
作者：
Katirayi, Leila;Chouraya, Caspian;Tylleskar, Thorkild
通讯作者：
Tylleskar, Thorkild