HIV/AIDS Mental and Behavioural Disorders
Conditions
Interventions
Motivational Interviewing Training and support Programme for Lay Counsellors
Motivational Interviewing counselling by trained and supported counsellors
Standard lay counsellor support
Patient control group
Sponsors
Wits Health Consortium
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for patient participants: • =18 years old • Diagnosed as HIV positive • Able to provide consent • ART naive • Not pregnant at HIV test
Exclusion criteria
Exclusion criteria: Exclusion criteria for patient participants : • <18 years old • HIV negative • Pregnant at HIV test • Previously on ART • Unable/ unwilling to provide informed consent • Plan to engage in HIV care and treatment services elsewhere
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MI Competency Audio-recording will be assessed for fidelity to the MI process using the Motivational Interviewing Treatment Integrity (MITI) coding system. MITI has two components: (1) global scores are assigned on a five-point Linkert scale to characterize an entire interaction: cultivating change talks (CCT), softening sustain talk (SST), empathy (EM) and partnership (PA) (2) behaviour counts that require that assessors tally instances of particular counsellor behaviours such as complex reflections (CR), simple reflections (SR), affirmations and emphasizing client autonomy Each counsellor will be rated by two independent assessors. The ratings for each session/participant will be averaged to determine the final values. Overall, MI adherence scores for each user were determined using the MITI formula. We will compare the mean scores for each MI adherent measure for each timeline pair, using paired t-tests to assess changes to MI proficiency. An overall assessment will be conducted using q1 and q4 data to assess mean differences across time points. MITI formula Technical Global (Technical) - (Cultivating Change Talk + Softening Sustain Talk)/2 Relational Global (Relational) - (Partnership + Empathy)/2 ;ART initiation by key endpoints: 3, 6, 9 and 12 months post HIV diagnosis. An analysis of covariance (ANCOVA) will be conducted to determine the intervention effect on the timing of ART initiation while controlling for baseline covariates. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patients becoming lost to follow-up (LTFU) during the observation period will be defined as being late for a scheduled visit by 90 days or longer. We will compare the intervention effect on LTFU using Cox proportional regression.;Psychological wellbeing Psychological wellbeing will be measured using a 9-item questionnaire indicating the overall degree of agreement with questions relating to different psychological components. Higher scores specify higher levels of psychological wellbeing. Overall mean scores will be categorized into low (score =2), medium (score =4) or high (score >4) psychological wellbeing. | — |
Countries
South Africa
Contacts
Public ContactThembeka Sineke
Researcher
Outcome results
None listed