dc.contributor.author | Dewing, Sarah | |
dc.contributor.author | Mathews, Catherine | |
dc.contributor.author | Schaay, Nikki | |
dc.contributor.author | Cloete, Allanise | |
dc.contributor.author | Simbayi, Leickness | |
dc.contributor.author | Louw, Johann | |
dc.date.accessioned | 2013-01-23T13:02:22Z | |
dc.date.available | 2013-01-23T13:02:22Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Dewing, S., et al. (2013). "It's important to take your medication everyday okay?" An evaluation of counselling by lay counsellors for ARV adherence support in the Western Cape, South Africa. AIDS and Behaviour, 17(1): 203-12 | en_US |
dc.identifier.issn | 1573-3254 | |
dc.identifier.uri | http://hdl.handle.net/10566/510 | |
dc.description.abstract | There is growing interest in standard care
programmes for antiretroviral (ARV) adherence support. In
South Africa, individual counselling following ARV initiation
is a main strategy for supporting adherence in the
public sector. Egan’s client-centred ‘‘Skilled Helper’’
counselling model is the predominant model used in HIV
counselling in this context. This study evaluated counselling
delivered by lay ARV adherence counsellors in Cape
Town in terms of adherence to Egan’s model. Thirty-eight
transcripts of counselling sessions with non-adherent
patients were analysed based on the methods of content
analysis. These sessions were conducted by 30 counsellors.
Generally counsellors’ practice adhered neither to Egan’s
model nor a client-centred approach. Inconsistent with
evidence-based approaches to counselling for ARV
adherence support, counsellors mainly used informationgiving
and advice as strategies for addressing clients’ nonadherence.
Recommendations for improving practice are
made. The question as to how appropriate strategies from
developed countries are for this setting is also raised. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Springer | en_US |
dc.rights | This is the author postprint version of an article published by Springer. The file may be freely used, provided that acknowledgement of the source is given | |
dc.source.uri | http://dx.doi.org/10.1007/s10461-012-0211-4 | |
dc.subject | Standard care | en_US |
dc.subject | Counselling | en_US |
dc.subject | Egan's skilled helper model | en_US |
dc.subject | Antiretroviral adherence support | en_US |
dc.title | "It's important to take your medication everyday okay?" An evaluation of counselling by lay counsellors for ARV adherence support in the Western Cape, South Africa | en_US |
dc.type | Article | en_US |
dc.privacy.showsubmitter | false | |
dc.status.ispeerreviewed | true | |
dc.description.accreditation | Web of Science | en_US |