Masivukeni: Development of a multimedia based antiretroviral therapy adherence intervention for counselors and patients in South Africa

Robert H. Remien, Claude A. Mellins, Reuben N. Robbins, Ryan Kelsey, Jessica Rowe, Patricia Warne, Jenifar Chowdhury, Nuruneesa Lalkhen, Lara Hoppe, Elaine J. Abrams, Nabila El-Bassel, Susan Witte, Dan J. Stein

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

Effective medical treatment for HIV/AIDS requires patients' optimal adherence to antiretroviral therapy (ART). In resource-constrained settings, lack of adequate standardized counseling for patients on ART remains a significant barrier to adherence. Masivukeni ("Let's Wake Up" in Xhosa) is an innovative multimedia-based intervention designed to help people living with HIV in resource-limited settings achieve and maintain high levels of ART adherence. Adapted from a couples-based intervention tested in the United States (US), Masivukeni was developed through community-based participatory research with US and South African partners and informed by Ewart's Social Action Theory. Innovative computer-based multimedia strategies were used to translate a labor- and training-intensive intervention into one that could be readily and widely used by lay counselors with relatively little training with low-literacy patients. In this paper, we describe the foundations of this new intervention, the process of its development, and the evidence of its high acceptability and feasibility.

Original languageEnglish
Pages (from-to)1979-1991
Number of pages13
JournalAIDS and Behavior
Volume17
Issue number6
DOIs
StatePublished - Jul 2013
Externally publishedYes

Keywords

  • ART adherence
  • HIV
  • Intervention
  • Multimedia
  • Task-shifting

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