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Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe: Nzira Itsva

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Tarisai Bere, Primrose Nyamayaro, Jessica F. Magidson, Dixon Chibanda, Alfred Chingono, Ronald Munjoma, Kirsty Macpherson, Chiratidzo Ellen Ndhlovu, Conall O'Cleirigh, Khameer Kidia, Steven A. Safren, Melanie Abas

Original languageEnglish
Pages (from-to)1265-1276
Number of pages12
JournalJournal of Health Psychology
Issue number10
Early online date18 Feb 2016
Publication statusPublished - 1 Sep 2017

King's Authors


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.

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