“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa

Background: In South Africa, interventions are needed to address the impact of hazardous drinking on antiretroviral therapy among people living with HIV (PLWH). Participant feedback about these interventions can identify ways to enhance their acceptability. We interviewed participants in a randomize...

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Main Authors: Myers-Franchi, Bronwyn, Parry, C.D.H., Morojele, N.K., Nkosi, S., Shuper, P.A., Kekwaletswe, C.T., Sorsdahl, K.R.
Format: Journal Article
Language:English
Published: MDPI 2020
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/85715
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author Myers-Franchi, Bronwyn
Parry, C.D.H.
Morojele, N.K.
Nkosi, S.
Shuper, P.A.
Kekwaletswe, C.T.
Sorsdahl, K.R.
author_facet Myers-Franchi, Bronwyn
Parry, C.D.H.
Morojele, N.K.
Nkosi, S.
Shuper, P.A.
Kekwaletswe, C.T.
Sorsdahl, K.R.
author_sort Myers-Franchi, Bronwyn
building Curtin Institutional Repository
collection Online Access
description Background: In South Africa, interventions are needed to address the impact of hazardous drinking on antiretroviral therapy among people living with HIV (PLWH). Participant feedback about these interventions can identify ways to enhance their acceptability. We interviewed participants in a randomized controlled trial of a brief motivational interviewing and problem-solving therapy (MI-PST) intervention about their perceptions of this alcohol-reduction intervention. Methods: The trial was conducted in HIV treatment clinics operating from six hospitals in the Tshwane region of South Africa. We conducted qualitative in-depth interviews with a random selection of participants. Twenty-four participants were interviewed after the final intervention session and 25 at the six-month follow up. Results: Participants believed that it was acceptable to offer PLWH, an alcohol reduction intervention during HIV treatment. They described how the MI-PST intervention had helped them reduce their alcohol consumption. Intervention components providing information on the health benefits of reduced consumption and building problem-solving and coping skills were perceived as most beneficial. Despite these perceived benefits, participants suggested minor modifications to the dosage, content, and delivery of the intervention for greater acceptability and impact. Conclusions: Findings highlight the acceptability and usefulness of this MI-PST intervention for facilitating reductions in alcohol consumption among PLWH.
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spelling curtin-20.500.11937-857152021-10-01T04:13:17Z “Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa Myers-Franchi, Bronwyn Parry, C.D.H. Morojele, N.K. Nkosi, S. Shuper, P.A. Kekwaletswe, C.T. Sorsdahl, K.R. Science & Technology Life Sciences & Biomedicine Environmental Sciences Public, Environmental & Occupational Health Environmental Sciences & Ecology South Africa alcohol reduction anti-retroviral therapy motivational interviewing problem-solving therapy HIV global mental health PROBLEM-SOLVING INTERVENTION USE DISORDERS SUBSTANCE USE HIV CLINICS ADHERENCE CARE PREFERENCES HIV/AIDS DRINKING TSHWANE Background: In South Africa, interventions are needed to address the impact of hazardous drinking on antiretroviral therapy among people living with HIV (PLWH). Participant feedback about these interventions can identify ways to enhance their acceptability. We interviewed participants in a randomized controlled trial of a brief motivational interviewing and problem-solving therapy (MI-PST) intervention about their perceptions of this alcohol-reduction intervention. Methods: The trial was conducted in HIV treatment clinics operating from six hospitals in the Tshwane region of South Africa. We conducted qualitative in-depth interviews with a random selection of participants. Twenty-four participants were interviewed after the final intervention session and 25 at the six-month follow up. Results: Participants believed that it was acceptable to offer PLWH, an alcohol reduction intervention during HIV treatment. They described how the MI-PST intervention had helped them reduce their alcohol consumption. Intervention components providing information on the health benefits of reduced consumption and building problem-solving and coping skills were perceived as most beneficial. Despite these perceived benefits, participants suggested minor modifications to the dosage, content, and delivery of the intervention for greater acceptability and impact. Conclusions: Findings highlight the acceptability and usefulness of this MI-PST intervention for facilitating reductions in alcohol consumption among PLWH. 2020 Journal Article http://hdl.handle.net/20.500.11937/85715 10.3390/ijerph17165706 English http://creativecommons.org/licenses/by/4.0/ MDPI fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
South Africa
alcohol reduction
anti-retroviral therapy
motivational interviewing
problem-solving therapy
HIV
global mental health
PROBLEM-SOLVING INTERVENTION
USE DISORDERS
SUBSTANCE USE
HIV CLINICS
ADHERENCE
CARE
PREFERENCES
HIV/AIDS
DRINKING
TSHWANE
Myers-Franchi, Bronwyn
Parry, C.D.H.
Morojele, N.K.
Nkosi, S.
Shuper, P.A.
Kekwaletswe, C.T.
Sorsdahl, K.R.
“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa
title “Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa
title_full “Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa
title_fullStr “Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa
title_full_unstemmed “Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa
title_short “Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa
title_sort “moving forward with life”: acceptability of a brief alcohol reduction intervention for people receiving antiretroviral therapy in south africa
topic Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
South Africa
alcohol reduction
anti-retroviral therapy
motivational interviewing
problem-solving therapy
HIV
global mental health
PROBLEM-SOLVING INTERVENTION
USE DISORDERS
SUBSTANCE USE
HIV CLINICS
ADHERENCE
CARE
PREFERENCES
HIV/AIDS
DRINKING
TSHWANE
url http://hdl.handle.net/20.500.11937/85715